Timing of Events in Normal Swallowing: A Videofluoroscopic Study
Timing of Events in Normal Swallowing: A Videofluoroscopic Study
复制标题
正常吞咽事件的时间安排：电视透视研究
DOI：
--
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Alice Walker
中科院分区：
文献类型：
--
作者：
K. Kendall;S. McKenzie;R. Leonard;M. I. Gonçalves;Alice Walker
对60名正常成人志愿者进行了动态视频透视吞咽研究，以建立临床有用的时间测量的规范性数据。吞咽姿势定时与实际食团传输定时的关系特别令人感兴趣，因为它提供了对较大食团体积调节的生理学的洞察。评价的参数包括食团咽部转运的时间、软腭抬高、杓会厌襞抬高和声门上闭合、食团到达谷、舌骨移位开始和持续时间、食团到达咽食管括约肌、最大咽部收缩和咽食管括约肌打开。这些参数代表正常吞咽所需的事件，可用于识别吞咽困难患者的异常，并为患者内和患者间吞咽性能的比较提供基础。此外，我们的经验表明，它们是可靠的。其他研究人员报告了一些测量结果。然而，据我们所知，杓会厌皱襞抬高、软腭抬高和闭合以及咽部最大收缩的时间的标准数据尚未描述。当在选定的患者中无法获得常规措施时，本研究中包括的其他措施可能提供替代方案。新的和替代措施的相关性和临床效用，特别是，进行了讨论。
Dynamic videofluoroscopic swallow studies were performed on 60 normal adult volunteers to establish normative data for clinically useful timing measures. The relation of swallowing gesture timing to the timing of actual bolus transit was of particular interest because it provides insight into the physiology of larger bolus volume accommodation. Parameters evaluated include the timing of bolus pharyngeal transit, soft palate elevation, aryepiglottic fold elevation and supraglottic closure, arrival of the bolus in the vallecula, hyoid bone displacement onset and duration, arrival of the bolus at the pharyngoesophageal sphincter, maximum pharyngeal constriction, and pharyngoesophageal sphincter opening. These parameters represent events required for normal deglutition, can be used to identify abnormalities in dysphagic patients, and provide a basis for comparison of swallowing performance both within and between patients. In addition, our experience has shown them to be reliably obtained. Other investigators have reported some of the measurements. However, to our knowledge, normative data for timing of aryepiglottic fold elevation, soft palate elevation and closure, and maximum pharyngeal constriction have not been described. Other measures included in the present study may provide alternatives when conventional measures cannot be obtained in selected patients. The relevance and clinical utility of new and alternative measures, in particular, are discussed.
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影响因子：
29.4
作者：
Kahrilas, PJ;Lin, SZ;Logemann, JA
通讯作者：
Logemann, JA
DOI：
10.1044/jshr.3705.1041
发表时间：
1994-10-01
期刊：
JOURNAL OF SPEECH AND HEARING RESEARCH
影响因子：
--
作者：
BISCH, EM;LOGEMANN, JA;LAZARUS, CL
通讯作者：
LAZARUS, CL
影响因子：
29.4
作者：
JACOB, P;KAHRILAS, PJ;HA, T
通讯作者：
HA, T
影响因子：
5
作者：
DODDS, WJ;MAN, KM;KERN, MK
通讯作者：
KERN, MK
影响因子：
29.4
作者：
KAHRILAS, PJ;LOGEMANN, JA;ERGUN, GA
通讯作者：
ERGUN, GA