Oropharyngeal swallow in younger and older women: Videofluoroscopic analysis
Oropharyngeal swallow in younger and older women: Videofluoroscopic analysis
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DOI：
10.1044/1092-4388(2002/034
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发表时间：
2002-06-01
影响因子：
2.6
通讯作者：
Kahrilas, PJ
中科院分区：
文献类型：
--
作者：
Logemann, JA;Pauloski, BR;Kahrilas, PJ
许多关于正常吞咽的初步研究都是在年轻男性中进行的。最近，越来越多的人开始关注性别之间吞咽功能是否存在差异，以及年龄对两性吞咽功能的影响。本研究检查了8名年龄在21岁至29岁之间的健康年轻女性和8名年龄在80岁至93岁之间的健康老年女性在两次吞咽各1ml和10ml液体团时的吞咽能力。以慢动作和真实的时间审查这些吞咽的视频荧光镜研究，以确认不存在吞咽障碍，完成每次吞咽的运动学分析。咽部结构的运动范围和口咽吞咽的协调特征的数据取自此运动学分析。比较两组患者静止时的喉位和颈部长度。这项研究的数据与以前发表的年轻和老年男性的数据进行了比较。有趣的是，老年女性的活动范围往往大于年轻女性。只有舌根运动随着年龄的增长而明显减少。在1 ml和10 ml吞咽期间观察到的运动持续时间和程度的体积效应与早期研究相似。老年妇女也表现出增加的运动范围相对于老年男子。这种增加可能表明对老年男性中未观察到的衰老效应的补偿。
Much of the initial research on normal swallowing has been conducted in young men. Recently, there has been increasing interest in determining whether there are differences between the sexes in swallowing function and in the effects of aging on swallowing in both sexes. This investigation examined the swallowing ability of 8 healthy young women between the ages of 21 and 29 and 8 healthy older women between the ages of 80 and 93 during two swallows each of 1 ml and 10 ml liquid boluses. Videofluoroscopic studies of these swallows were reviewed in slow motion and real time to confirm the absence of swallowing disorders, Kinematic analysis of each swallow was completed. Data on range of motion of pharyngeal structures and coordination characteristics of the oropharyngeal swallow were taken from this kinematic analysis. Position of the larynx at rest and length of neck were compared between the two groups. Data from this study were compared with previously published data on younger and older men. Interestingly, the range of motion of the older women was often greater than that of the young women. Only tongue base movement diminished significantly with age in women. Volume effects observed in duration and extent of movement during the I ml and 10 ml swallows were similar to those in earlier studies. Older women also exhibited an increased range of motion relative to the old men. This increase may indicate a compensation for aging effects not seen in older men.