舌動態定量解析手法の確立と嚥下訓練法の舌運動効果の解明

舌动态定量分析方法的建立及吞咽训练法舌运动效果的阐明

• 批准号: 22K17663
• 负责人: 粟飯原 けい子
• 金额: $ 1.66万
• 依托单位: Fujita Health University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Early-Career Scientists
• 财政年份: 2022
• 资助国家: 日本
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-22K17663/
• 关键词: 摂食嚥下障害; リハビリテーション; 舌; 動態解析

研究目的：舌動態の定量解析手法を確立し，現行の舌強化訓練法・嚥下手技における舌の運動効果を定量的に検証する．さらに咽頭残留，誤嚥を認める摂食嚥下障害患者の舌動態を定量化し，症状との関連性について検討する．令和4年度の実施計画目的：舌動態の定量評価法の確立，対象：摂食嚥下障害の既往がない健常成人10名（男性5 名，女性5名）．方法：1, 舌の形態的・機能的異常の除外　舌の形態・可動域・舌小帯短縮症の有無を確認し，舌の形態的・機能的異常がないことを確認する．2, 嚥下CT撮影　撮影は320列面検出器型CTを用いて実施する．専用の椅子に被験者を着座させ，60度仰角に調整する．舌の輪郭描出を目的に被験者の舌表面をアルギン酸ナトリウム混合の希釈造影剤にてコーティングする．唾液嚥下と液体嚥下をそれぞれ1試行ずつ検者の合図で開始させCT撮影を行う．　3, CT画像処置　CT付属のソフトウェアで嚥下中の舌動態のMPR像・3D-CT像を作成する．描出された舌表面から舌の前後・左右径と体積を計測する．計測者は嚥下CTを用いた研究に精通した2名で行い，計測の信頼性を確認する．研究の進捗状況：5名の撮影を実施し，解析対象の3名の舌動態の描出並びに舌動態の定量解析を行っている．研究に関して有識者からの意見をもとに研究方法や解析方法等の修正を行いながら進めている．

Objective: to confirm the quantitative analysis of tongue dynamic status, to determine the quantitative results of tongue movement under the method of tongue intensification, to determine the quantitative results of tongue movement under the method of tongue intensification, to determine the quantitative results of tongue movement, to determine the quantity of tongue movement in patients with food disorders, and to determine the symptoms and symptoms of patients with food disease. the purpose of this paper is to apply the method of quantitative analysis of tongue movement in order to ensure the establishment of the quantitative analysis method of tongue movement. Elephant: there were 10 healthy adults (5 males and 5 females) with dysphagia caused by eating disease. methods: 1, the normal function of tongue shape except tongue shape, dysphasia, dysphagia, dysphasia, dysphagia, dysphagia. The mechanism of the tongue shape is often used to confirm that. 2, under the CT video syndicate, the 320-row noodle-out CT device is used to apply the device. Use the chair to hold the seat. The 60-degree elevation is adjusted. The tongue shows that the surface of the tongue is full of acid, acid, The CT portrait is placed under the CT image, the middle tongue dynamic MPR image is like the 3D-CT image. The left and right sides of the tongue surface are traced. The designer is proficient in CT research, and is proficient in the industry. The results of the study are as follows: the progress of the study was carried out by 5 video clippers, and the results were analyzed and analyzed in 3 cases. The results were analyzed by quantitative analysis of the tongue movement data of 3 cases. to study the opinions of interested parties, the analytical methods of research methods and other corrective methods to improve the performance.