Evaluation of tongue-, jaw-, and swallowing-related muscle coordination during voluntarily triggered swallowing.
Evaluation of tongue-, jaw-, and swallowing-related muscle coordination during voluntarily triggered swallowing.
复制标题
评估自愿触发吞咽过程中舌头、下颌和吞咽相关肌肉的协调性。
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
Y. Maeda
中科院分区：
文献类型：
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作者：
T. Ono;H. Iwata;K. Hori;K. Tamine;Jugo Kondoh;S. Hamanaka;Y. Maeda
目的
吞咽困难患者的口腔修复治疗可能会因口腔和咽部功能不协调或不一致而妨碍良好的治疗效果。由于最佳的治疗需要全面了解口咽吞咽的机制，本研究旨在描述健康患者自愿触发吞咽过程中舌，颌和吞咽相关肌肉协调的正常时间模式。
材料和方法
在7名健康男性志愿者中记录了7个测量点的舌压、吞咽声和咬肌、二腹肌前肌和舌骨下肌在自愿触发吞咽过程中的表面肌电图（EMG）活动。这些参数的起始和偏移的顺序通过重复测量双向方差分析进行分析。
结果
二腹肌前肌活动的发作发生在第一次，并显着早于咬肌或舌骨下肌和舌压力的发作。咬肌活动的发生也明显早于舌骨下肌和舌压力。咬肌活动的偏移几乎与吞咽声同步，并且明显早于二腹肌前肌和舌骨下肌以及舌压的偏移。二腹肌前肌电爆发持续到舌压偏移，然后是舌骨下肌活动偏移。
结论
自愿触发吞咽过程中舌头、下颌和口咽肌肉的时间协调模式似乎与已知的安全推注管理一致，并提供了评价口咽吞咽功能的标准。
PURPOSE
The prosthodontic treatment of dysphagic patients may preclude favorable treatment outcomes due to uncoordinated or discordant oral and pharyngeal functions. Since optimal treatment requires a full understanding of the mechanism of oropharyngeal swallowing, this study seeks to describe the normal temporal pattern of tongue-, jaw-, and swallowing-related muscle coordination during voluntarily triggered swallows in healthy patients.
MATERIALS AND METHODS
Tongue pressure against the hard palate at seven measuring points, swallowing sounds, and surface electromyography (EMG) activity of the masseter, anterior digastric, and infrahyoid muscles during voluntarily triggered swallowing were recorded in seven healthy male volunteers. The order of onset and offset of these parameters was analyzed by repeated-measures two-way analysis of variance.
RESULTS
The onset of anterior digastric muscle activity occurred first and was significantly earlier than the onset of the masseter or infrahyoid muscles and tongue pressure. The onset of masseter muscle activity was also significantly earlier than that of the infrahyoid muscle and tongue pressure. Offset of masseter activity was almost simultaneous with the swallowing sound and was significantly earlier than the offset of the anterior digastric and infrahyoid muscles as well as tongue pressure. The EMG burst of the anterior digastric muscle continued until the offset of tongue pressure, and was followed by the offset of infrahyoid muscle activity.
CONCLUSIONS
The temporal coordination patterns of the tongue, jaw, and oropharyngeal muscles during voluntarily triggered swallowing appear to agree with known safe management of a bolus and offer criteria for evaluating the function of oropharyngeal swallowing.