Effects of the head lift exercise on the pharyngeal pressure of chronic stroke patients with dysphagia

抬头运动对慢性脑卒中吞咽困难患者咽部压力的影响

• 批准号: 23700654
• 负责人: TAKAHASHI Masanori
• 金额: $ 2.25万
• 依托单位: University of Occupational and Environmental Health, Japan
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2011
• 资助国家: 日本
• 起止时间: 2011 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23700654/
• 关键词: 摂食・嚥下障害; 維持期脳卒中; 頭部挙上訓練; 嚥下造影検査; 嚥下内圧

There have been few reports made of swallowing training helping to improve the dysphagia of chronic stroke patients. It has been reported that the implementation of head lift exercises in chronic stroke patients with dysphagia has reduced aspiration, but the detailed mechanism of this has not been made clear. Therefore we implemented head lift exercise in regard to chronic stroke patients with dysphagia with the purpose of studying the mechanism by which swallowing function is improved by head lift exercise, and compared the results of videofluorography and manometric examination before and after exercise. The results showed a statistically significant rise in pharyngeal pressure after the implementation of exercise, as compared to before it, but no changes were noted during the evaluation of videofluorography image analysis. It is possible that head lift exercise among chronic stroke patients with dysphagia may increase pharyngeal pressure and improve swallowing function.

没有报道吞咽训练有助于改善慢性中风患者的吞咽困难。据报道，慢性中风患者的头部提升运动的实施降低了抽吸，但尚未明确详细的机制。因此，我们针对患有吞咽困难的慢性中风患者实施了头部提升运动，目的是研究通过头部提升运动改善吞咽功能的机制，并比较了录像荧光摄影和锻炼前和经过修复检查的结果。结果表明，与之前相比，实施运动后，咽压力上的统计学显着升高，但在评估视频摄影图像分析期间没有发现任何变化。吞咽困难的慢性中风患者中的头部提升运动可能会增加咽压力并改善吞咽功能。