Improper sitting posture while eating adversely affects maximum tongue pressure.

Improper sitting posture while eating adversely affects maximum tongue pressure.
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DOI:
10.1016/j.jds.2020.08.012
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发表时间:
2021-01
影响因子:
3.5
通讯作者:
Tsuga K
Tsuga K
中科院分区:
医学4区
文献类型:
--
作者:
Yoshikawa M;Nagakawa K;Tanaka R;Yamawaki K;Mori T;Hiraoka A;Higa C;Nishikawa Y;Yoshida M;Tsuga K

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虽然许多研究已经检查了进食时颈部和躯干位置的有效性,但很少有研究检查下肢位置如何影响吞咽功能。这项研究的目的是研究如何舌压,这是吞咽过程中的一个重要因素,是受影响的进食姿势在床上和轮椅。共有43名健康成人(13名男性和30名女性; 29.0 ± 5.9岁)和33名需要长期护理的老年人(14名男性和19名女性; 83.6 ± 7.8岁)参加了研究。在健康和老年参与者中,测量了四种不同姿势的舌压:床上的好姿势和差姿势(分别为姿势1和2),以及斜躺轮椅上的好姿势和差姿势(分别为姿势3和4)。在健康受试者中,体位1的平均舌压(40.2 ± 7.24 kPa)显著高于体位2(37.6 ± 8.68 kPa)和体位4(38.2 ± 8.14 kPa)(P < 0.05)。体位3舌压(41.3 ± 7.75 kPa)显著高于体位2和体位4(P < 0.05)。在老年参与者中,姿势1的舌压中位数(16.9 kPa;四分位距[IQR],9.4-21.6 kPa)显著高于姿势2(14.1 kPa; IQR,9.2-21.6 kPa)。体位3的舌压(18.5 kPa; IQR,14.2-26.0 kPa)显著高于体位1或2和体位4(15.9 kPa; IQR,10.6-22.9 kPa)。进食时的呕吐可能会影响舌头的压力。
Although many studies have examined the efficacy of neck and trunk positioning during eating, few studies have examined how the positioning of the lower extremities affects swallowing function. The purpose of this study was to examine how tongue pressure, which is an important factor during swallowing, is affected by eating postures in bed and wheelchair. A total of 43 healthy adults (13 men and 30 women; 29.0 ± 5.9 years) and 33 elderly individuals requiring long-term care (14 men and 19 women; 83.6 ± 7.8 years) participated. In both healthy and elderly participants, tongue pressure was measured in four different postures: a good and poor postures in bed (postures 1 and 2, respectively), and a good and poor postures in a reclining wheelchair (posture 3 and 4, respectively). Among the healthy participants, the mean tongue pressure was significantly higher in posture 1 (40.2 ± 7.24 kPa) than in posture 2 (37.6 ± 8.68 kPa) or posture 4 (38.2 ± 8.14 kPa) (P < 0.05). Tongue pressure was also significantly higher in posture 3 (41.3 ± 7.75 kPa) than in either posture 2 or 4 (P < 0.05). Among the elderly participants, the median tongue pressure in posture 1 (16.9 kPa; interquartile range [IQR], 9.4–21.6 kPa) was significantly higher than that in posture 2 (14.1 kPa; IQR, 9.2–21.6 kPa). Tongue pressure in posture 3 (18.5 kPa; IQR, 14.2–26.0 kPa) was significantly higher than that in either posture 1 or 2, and posture 4 (15.9 kPa; IQR, 10.6–22.9 kPa). Posture during eating can potentially affect tongue pressure.
DOI: 10.1093/ptj/61.12.1755
发表时间: 1981-01-01
期刊: PHYSICAL THERAPY
影响因子: 3.2
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DOI: 10.1007/s00455-017-9797-z
发表时间: 2017-08-01
期刊: DYSPHAGIA
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发表时间: 2000-11-01
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DOI: 10.1177/019459989411000212
发表时间: 1994-02-01
影响因子: 3.4
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DOI: 10.1007/s00455-007-9089-0
发表时间: 2008-03-01
期刊: DYSPHAGIA
影响因子: 2.6
作者:
Hewitt, Angela;Hind, Jacqueline;Robbins, JoAnne
通讯作者: Robbins, JoAnne