Evaluating Method for Swallowing Function-Influence of Posture for Swallowing

吞咽功能评价方法——吞咽姿势的影响

• 批准号: 14571857
• 负责人: KOSHINO Hisashi
• 金额: $ 2.05万
• 依托单位: HEALTH SCIENCES UNIVERSITY OF HOKKAIDO
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14571857/
• 关键词: Swallowing Function; Swallowing Sound; Tongue Movement; Ultrasound Diagnostic Equipment; Denture; 補綴装置

Objectives:The purpose of this study was to develop an objective evaluation method for swallowingMethods:Ten healthy, fully dentate males (average age: 29.5 ± 3.6 years old) were selected as subjects. To observe tongue movements in swallowing the test food, general-purpose ultra-sound diagnostic equipment was used with a 5 MHz electronic convex sector scanning probe. To record swallowing sounds, a heart sound microphone was connected to the ultra-sound diagnostic equipment through a physiologic signal unit. The tongue movements and swallowing sounds were simultaneously recorded on recording paper and analyzed by plotting five inflection points (T1, T2, T3, T4 and T5) of the movement curve and two beginning points of swallowing sounds (S1 and S2) using a digitizer. Subjects were directed to swallow the test food (a starch compound mixed with water) with 3 bodily positions; sitting in upright position in the dental chair, reclining at a 300 angle in the dental chair, a complete reclining … More position in the dental chair. Also, X-ray images by a videofluorography were recorded simultaneously with echo images and swallowing sounds in five healthy, fully dentate males in upright position.Results:It was confirmed that all the data of 10 subjects had repeatability. There was statistically significant correlation between T4 and Si, T4 and S2 (p<0.001), respectively. Si were always ahead of T4. From the VF-image, Si coincided with the point of time that the epiglottis was just going to shut, and T4 coincided with the point of time that the tail of test food has just got to the esophagus.In the complete reclining position, time from the starting point of swallowing to T_3, T_4, S_1 and S_2 were significantly extended (p<0.05), and time from T_3 to T_4 was also significantly extended (p<0.05). There was a significantly correlation between T_4 and S_1, statistically (p<0.05).Conclusion:From this investigation, it is suggested that our evaluation method could be useful for the diagnosis of swallowing. Less

目的：建立一种吞咽功能的客观评价方法。方法：选择10名健康男性，平均年龄29.5 ± 3.6岁。为了观察吞咽测试食物时的舌头运动，使用具有5 MHz电子凸扇形扫描探头的通用超声诊断设备。为了记录吞咽音，通过生理信号单元将心音麦克风连接到超声诊断设备。在记录纸上同时记录舌运动和吞咽音，并通过使用数字化仪绘制运动曲线的五个拐点（T1、T2、T3、T4和T5）和吞咽音的两个起始点（S1和S2）来分析。受试者被指示以3种身体姿势吞咽测试食物（与水混合的淀粉化合物）;在牙科椅中以直立姿势坐着，在牙科椅中以30 °角斜躺，在牙科椅中完全斜躺。 ...更多信息 坐在牙科椅上。此外，X线图像的视频荧光造影同时记录回声图像和吞咽音在5个健康，完全齿状男性在直立position.Results：它被证实，所有的数据10个主题具有重复性。T_4与S_1、T_4与S_2的相关性有统计学意义（p<0.001）。我总是在T4前面。在VF图像上，S1与会厌即将关闭的时间点相吻合，T4与试验食物尾部到达食管的时间点相吻合，在完全卧位时，从吞咽开始点到T3、T4、S1、S2的时间明显延长T_3 ~ T_4时间也明显延长（p<0.05）。T_4与S_1有显著相关性（p<0.05）。结论：本研究提示，本方法可用于吞咽障碍的诊断。少

项目成果

Hattori, M., Koshino, H., Hirai T. et al.: "Tongue Motor Behavior and Mandibular Movement in Habitual Chewing Side and Non-Habitual Chewing Side"J Jpn Prothodont Soc.. 44. 386-393 (2000)

Hattori, M.、Koshino, H.、Hirai T.等：“习惯性咀嚼侧和非习惯性咀嚼侧的舌头运动行为和下颌运动”J Jpn Prothodont Soc.. 44. 386-393 (2000)

Hattori M, Koshino H, Hirai: "Tongue Motor Behavior and Mandibular Movement in Chewing."J Jpn Prothodont Soc. 44. 129-137 (2000)

Hattori M、Koshino H、Hirai：“咀嚼时的舌头运动行为和下颌运动。”J Jpn Prothodont Soc。

Ishijima T., Koshino H., Hirai T., Takasaki H.: "The relationship between salivary secretion rate and masticatory efficiency."Journal of Oral Rehabilitation. 29. 1-4 (2002)

Ishijima T.、Koshino H.、Hirai T.、Takasaki H.：“唾液分泌率与咀嚼效率之间的关系。”口腔康复杂志。

Matsumi P, Koshino H, Hirai T et al.: "Evaluating Method for Swallowing Function Observed by tongue Movement and Swallowing Sound."J Jpn Prothodont Soc. 44(104special Issue). (2000)

Matsumi P、Koshino H、Hirai T 等人：“通过舌头运动和吞咽声音观察吞咽功能的评估方法”。Jpn Prothodont Soc。

Matsumi T, Koshino H, Hirai T et al.: "An Evaluating Method for Swallowing Function Using Ultrasonography -Comparison with Videofluorography and its clinical application-."J Jpn Prothodont Soc. 47(110special Issue). (2003)

Matsumi T、Koshino H、Hirai T 等人：“使用超声检查吞咽功能的评估方法 - 与视频荧光检查的比较及其临床应用 -”J Jpn Prothodont Soc。