Clinical Advantages of Eating Positions of the Mid-Neck on Swallowing Function
Clinical Advantages of Eating Positions of the Mid-Neck on Swallowing Function
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DOI：
10.1589/jpts.24.837
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发表时间：
2012-10-01
影响因子：
--
通讯作者：
Han, Meng
中科院分区：
文献类型：
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作者：
Higashijima, Misako;Murata, Jun;Han, Meng
[目的] 有一个既定的理论认为，轻微弯曲的颈部位置对于所有吞咽障碍患者来说都是理想的。然而，我们注意到这一理论需要进一步研究躯干延长线上的颈部中部位置对吞咽功能的影响。 [对象和方法] 采用视频荧光检查 (VF) 记录对 10 名无误吸的吞咽障碍患者以直立坐位和另外 10 名斜卧位进行检查。我们编辑录音以获得逐帧静态图像，并使用二维图像分析软件检查口腔和咽部传输的时间和范围以及喉部抬高。 [结果] 结果显示，与直立坐位组相比，斜卧位组的口腔通过时间明显更长，咽部通过时间更短。然而，喉部通过时间或喉部抬高程度没有显着差异。 [结论] 结果表明，除了对所有患者统一采用轻微弯曲的颈部位置外，颈中角度调整有助于精细调整口腔和咽部的转运时间，以确保康复策略中的安全推注转运。
[Purpose] There is an established theory that slightly flexed neck positions are ideal for all patients with swallowing disorders. However, we noted that this theory needs further study of the effects of the mid-neck positions on the extended line from the trunk on swallowing function. [Subjects and Methods] Examinations were made using video fluorography (VF) recording of 10 swallowing disorder patients without aspiration in the upright seated position, and another 10 in the reclining position. We edited the recordings to obtain frame-by-frame static images, and examined time and extents of oral and the pharyngeal transits, and laryngeal elevation, using two-dimensional image analysis software. [Results] The results show there was a significantly longer oral transit time and a shorter pharyngeal transit time in the reclining position group compared to the upright seated group. However, there was no significant difference in either laryngeal transit time or the extent of laryngeal elevation. [Conclusions] The results suggest that apart from the uniform application of a slightly flexed neck position for all patients, the mid-neck angle adjustment is useful for making fine adjustment of oral and pharyngeal transit times in order to secure safe bolus transit in rehabilitation strategies.