A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study.
A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study.
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DOI：
10.1007/s00455-009-9217-0
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发表时间：
2009-12
期刊：
影响因子：
2.6
通讯作者：
Shaker, Reza
中科院分区：
文献类型：
--
作者：
Logemann, Jeri A.;Rademaker, Alfred;Pauloski, Barbara Roa;Kelly, Amy;Stangl-McBreen, Carrie;Antinoja, Jodi;Grande, Barbara;Farquharson, Julie;Kern, Mark;Easterling, Caryn;Shaker, Reza
7家机构参与了这项小型临床试验，其中包括19名患者，他们在视频透视(VFG)中显示口咽吞咽困难，涉及上食道括约肌(UES)，并有3个月的吸入史。所有患者被随机分成两组，一组是传统的吞咽疗法，另一组是摇晃运动，为期6周。每个患者在治疗前和治疗后都接受了一次改良的吞钡治疗，包括两次吞咽，分别为3毫升和5毫升的液体钡和3毫升的钡布丁。每个视频透视研究被送到中心实验室并进行数字化，以测量舌骨和喉部的运动以及UES的开口。14名患者接受了治疗前和治疗后的VFG检查。Shaker组患者治疗后误吸次数明显减少。口腔和咽部不同部位的残留物在不同组之间没有差异。在传统疗法中，从治疗前到治疗后，包括3毫升布丁燕子的喉部上移和舌骨上移，以及3毫升液体丸的喉前移位，表明吞咽生理有显著改善。在这两种治疗方法后，3毫升的糊状燕子的UES开口宽度显着增加。
Seven institutions participated in this small clinical trial that included 19 patients who exhibited oropharyngeal dysphagia on videofluorography (VFG) involving the upper esophageal sphincter (UES) and who had a 3-month history of aspiration. All patients were randomized to either traditional swallowing therapy or the Shaker exercise for 6 weeks. Each patient received a modified barium swallow pre- and post-therapy, including two swallows each of 3 ml and 5 ml liquid barium and 3 ml barium pudding. Each videofluorographic study was sent to a central laboratory and digitized in order to measure hyoid and larynx movement as well as UES opening. Fourteen patients received both pre-and post-therapy VFG studies. There was significantly less aspiration post-therapy in patients in the Shaker group. Residue in the various oral and pharyngeal locations did not differ between the groups. With traditional therapy, there were several significant increases from pre- to post-therapy, including superior laryngeal movement and superior hyoid movement on 3-ml pudding swallows and anterior laryngeal movement on 3-ml liquid boluses, indicating significant improvement in swallowing physiology. After both types of therapy there is a significant increase in UES opening width on 3-ml paste swallows.
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影响因子：
29.4
作者：
JACOB, P;KAHRILAS, PJ;HA, T
通讯作者：
HA, T
DOI：
10.1152/ajpgi.1997.272.6.g1518
发表时间：
1997-06-01
影响因子：
4.5
作者：
Shaker, R;Kern, M;Bonnevier, J
通讯作者：
Bonnevier, J
影响因子：
29.4
作者：
Shaker, R;Easterling, C;Dikeman, K
通讯作者：
Dikeman, K
DOI：
10.1002/hed.2880150509
发表时间：
1993-09-01
影响因子：
2.9
作者：
LAZARUS, C;LOGEMANN, JA;GIBBONS, P
通讯作者：
GIBBONS, P
影响因子：
29.4
作者：
KAHRILAS, PJ;DODDS, WJ;SHAKER, R
通讯作者：
SHAKER, R