Effect of reclining and chin-tuck position on the coordination between respiration and swallowing
Effect of reclining and chin-tuck position on the coordination between respiration and swallowing
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DOI：
10.1111/j.1365-2842.2005.01586.x
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发表时间：
2006-06-01
影响因子：
2.9
通讯作者：
Oi, K
中科院分区：
文献类型：
--
作者：
Ayuse, T;Ayuse, T;Oi, K
在吞咽困难的患者中使用了缩颏位和斜躺位，以防止吞咽时误吸。然而，这两种行为治疗都可能影响呼吸功能。这项研究的目的是检验一个假设，即如果缩颏姿势和身体斜倚影响呼吸功能，这将与呼吸和吞咽之间的协调改变有关。为了研究这一假设，呼吸参数和测压法用于四种组合的斜躺姿势和缩颏姿势。在60 °仰卧60 °缩颏位中，吞咽呼吸暂停持续时间（0.89 s.d.）0.17 s）和颏下肌电图爆发（2.34 s. d.）0.84与直立坐姿和30度斜倚姿势相比，我们的结论是，60度斜躺与60度下巴收紧可能会影响口腔处理阶段，延迟和减少各种口咽运动。这些反过来又会显著影响呼吸和吞咽之间的协调。
Chin-tuck position and reclining posture have been used in dysphagia patients to prevent aspiration during swallowing. However, both behavioural treatments may affect respiratory function. This study was carried out to test the hypothesis that if chin-tuck posture and body reclining affected respiratory function, this would be associated with altered coordination between respiration and swallowing. To investigate this hypothesis, respiratory parameters and manometry were used in each of four combinations of reclining posture and chin-tuck position. In the 60 degrees reclining with 60 degrees chin-tuck position, duration of swallowing apnea (0.89 s.d. 0.17 s) and submental electromyography burst (2.34 s.d. 0.84 s) were significantly longer when compared to both upright sitting and 30 degrees reclining positions. We conclude that 60 degrees reclining from vertical with 60 degrees chin-tuck may affect oral processing stages which delay and reduce a variety of oropharyngeal movements. These in turn significantly influence the coordination between respiration and swallowing.