Effect of Spinal Sagittal Alignment in Sitting Posture on Swallowing Function in Healthy Adult Women: A Cross-Sectional Study
Effect of Spinal Sagittal Alignment in Sitting Posture on Swallowing Function in Healthy Adult Women: A Cross-Sectional Study
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坐姿脊柱矢状排列对健康成年女性吞咽功能的影响：横断面研究
DOI：
10.1007/s00455-022-10476-8
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发表时间：
2023
期刊：
影响因子：
2.6
通讯作者：
Shinya Fukunaga
中科院分区：
文献类型：
--
作者：
Katsuya Nakamura;Shinsuke Nagami;Chiharu Kurozumi;Shu Harayama;Mayu Nakamura;Masahiro Ikeno;Jitsuro Yano;Tomonori Yokoyama;Shusaku Kanai;Shinya Fukunaga
吞咽功能与姿势直接或间接相关，例如头颈角度和身体位置。然而，不同坐姿对口咽吞咽的影响尚未被研究。本研究旨在探讨胸腰椎排列的变化是否影响口咽吞咽。共有 58 名没有吞咽困难的健康成年女性（平均年龄 22.2±1.67 岁）参加了这项横断面研究。参与者采取三种坐姿：舒适坐姿（CS）、胸椎直立坐姿（TUS）和塌陷坐姿（SS）。在每种坐姿中，对后凸指数（使用屈曲曲线）、头部和颈椎角度（使用数码相机）、吞咽速度（100毫升吞水测试）以及口腔和关节功能[通过最大舌压（MTP）和口腔介力运动（ODK）]进行评估。 SS 显示出最大的后凸指数，并且与头部更大的前移相关。与 CS (p= 0.002) 和 TUS (p= 0.020) 相比，SS 中的吞咽速度显着降低，与其他姿势相比，SS 中的 /ta/ (p= 0.004) 和 /ka/ (p< 0.001) 音节的 ODK 显着降低。此外，与 TUS 相比，SS 中的 MTP 趋于降低 (p= 0.064)。我们的结果表明，不同胸腰椎排列的坐姿变化会影响吞咽速度以及口腔和关节功能。因此，减少坐姿后凸的调整可能会改善吞咽速度以及口腔和关节功能。
Swallowing function is both directly and indirectly related to postures, such as head and cervical angle and body position. However, the effects of different sitting postures on oropharyngeal swallowing have not been investigated. This study aimed to investigate whether the change in thoracolumbar alignment affected the oropharyngeal swallowing. A total of 58 healthy adult women (mean age 22.2 ± 1.67 years) without dysphagia were enrolled in this cross-sectional study. Participants were positioned in three sitting postures: comfortable sitting (CS), thoracic upright sitting (TUS), and slump sitting (SS). In each sitting posture, the kyphosis index (using a flexicurve), head and cervical angles (using a digital camera), swallowing speed (100-ml water swallowing test), and oral and articulatory function [by maximum tongue pressure (MTP) and oral diadochokinesis (ODK)] were evaluated. SS showed the largest kyphosis index and was associated with a greater anterior translation of the head. Swallowing speed was significantly decreased in SS compared with CS (p= 0.002) and TUS (p= 0.020) and ODK was significantly decreased in SS compared with other postures, for both /ta/ (p= 0.004) and /ka/ (p< 0.001) syllables. Further, MTP tended to decrease in SS compared with TUS (p= 0.064). Our results suggest that changes in sitting posture with different thoracolumbar alignments affect swallowing speed and oral and articulatory function. Consequently, adjustments to reduce sitting postural kyphosis may improve swallowing speed and oral and articulatory function.
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颏舌肌活动响应前/中立头部姿势的变化。
影响因子：
3
作者：
Mary K. Milidonis;Steven L. Kraus;Richard L. Segal;Charles G. Widmer
通讯作者：
Charles G. Widmer
身体姿势对健康志愿者不自主吞咽的影响
影响因子：
2.9
作者：
Y. Shiino;S. Sakai;R. Takeishi;Hirokazu Hayashi;Masahiro Watanabe;T. Tsujimura;J. Magara;Kayoko Ito;Tetsu Tsukada;M. Inoue
通讯作者：
M. Inoue
影响因子：
4
作者：
Takeuchi, Noriko;Sawada, Nanami;Morita, Manabu
通讯作者：
Morita, Manabu
影响因子：
2.9
作者：
Moon, Il-Young;Yi, Chung-Hwi;Yong, Joon-Hyoung
通讯作者：
Yong, Joon-Hyoung
DOI：
10.1016/s0003-9993(97)90335-x
发表时间：
1997-11-01
影响因子：
4.3
作者：
Raine, S;Twomey, LT
通讯作者：
Twomey, LT