Evaluating Method for Swallowing Function for the Handicapped People

残疾人吞咽功能评价方法

• 批准号: 17592035
• 负责人: KOSHINO Hisashi
• 金额: $ 2.11万
• 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: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592035/
• 关键词: Swallowing Function; Swallowing Sound; Tongue Movement; Ultrasound Diagnostic Equipment; Endoscope; Videofluorography

Objectives:The purpose of this study was to develop an objective evaluation method of swallowing for handicapped patient.Methods:Study 1 : Subjects; Five healthy, fully dentate (Mean age: 30.6 ア 5.9yo.)Study 2 : Subjects; Five healthy, fully dentate (Mean age: 41.3±5.2yo.)Study 3 : Subjects; Four handicapped peopleThe general-purpose ultra-sound diagnostic equipment (US) with a 5 MHz electronic convex sector scanning probe, videofluorography (VF) and endoscope (VE) were used to observe tongue movements in swallowing the test food. To record the 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 DVD and analyzed by plotting five inflection points (Tl, T2, T3, T4 and T5) of the movement curve and two beginning points of swallowing sounds (S1 and S2). Subjects were directed to swallow the test food (a starch compound mixed with water or pudding)Results:Study 1: From the VF-image and US-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.Study 2: From the US-image and VE image, SI coincided with the white-out in VE-image at swallowing. After the white-out in ES-image, S2 was observed in US-image. In the empty swallowing, S2 was not observed.Study 3: In both two subjects, S2 was not observed when the aspiration was occurred. However, they could swallow the test food without aspiration, S2 was observed.

目的：为残障患者提供一种客观的吞咽评估方法。方法：研究1：受试者；5名健康，牙齿发育完全（平均年龄：30.6 ~ 5.9岁）。研究2：受试者；5例健康，牙齿发育完全（平均年龄：41.3±5.2岁）。研究3：受试者；采用5 MHz电子凸扇形扫描探头的通用超声诊断设备（US）、荧光显像（VF）和内窥镜（VE）观察舌部吞咽试验食物时的运动。为了记录吞咽声，心音麦克风通过生理信号单元连接到超声诊断设备上。同时记录舌部运动和吞咽音，绘制舌部运动曲线的5个拐点（Tl、T2、T3、T4、T5）和吞咽音的2个起点（S1、S2）进行分析。研究结果：研究1：从vf -像和us -像来看，SI与会厌即将关闭的时间点一致，T4与测试食物尾部刚刚到达食道的时间点一致。研究2：从US-image和VE-image上看，吞咽时的SI与VE-image的白化相吻合。ES-image的白校正后，US-image出现S2。空吞时未见S2。研究3：两名受试者在误吸时均未观察到S2。然而，它们可以吞下试验食物而不误吸，S2被观察到。

项目成果

Rheological Properties in 31 Foods before and after Chewing in Swallowing Threshold

31 种食物在吞咽阈值咀嚼前后的流变特性

• 发表时间: 2006
• 期刊: Journal of Japanese Society for Mastication Science and Health Promotion 16
• 作者: Hisashi KOSHINO;Toshihiro HIRAI;Yuichi YOKOYAMA;Tetsuji MAKIURA;Tamachi MATSUMI;Kazuo IWASAKI
• 通讯作者: Kazuo IWASAKI

Evaluation of swallowing function using ultrasound diagnostic methods

使用超声诊断方法评估吞咽功能

• 发表时间: 2005
• 期刊: Prosthodontic Research ＆ Practice 4
• 作者: Tamachi MATSUMI;Hisashi KOSHINO;Toshihiro HIRAI;Yuichi YOKOYAMA
• 通讯作者: Yuichi YOKOYAMA

Evaluating Method of Masticatory Function at Swallowing Threshold for Complete Denture Wearers

全口义齿佩戴者吞咽阈值咀嚼功能评价方法

• 发表时间: 2007
• 期刊: Journal of Japanese Prosthodontic Society 51
• 作者: Hisashi KOSHINO;Toshihiro HIRAI;Yuichi YOKOYAMA;Tetsuji MAKIURA;Tamachi MATSUMI;Kazuo IWASAKI
• 通讯作者: Kazuo IWASAKI

各種食品の咀嚼前および嚥下閾食塊のレオロジー物性

各种食物预咀嚼和吞咽阈值丸剂的流变特性

• 发表时间: 2006
• 期刊: 日本咀嚼学会雑誌 16
• 作者: N.;Tanoue;et. al.;越野 寿
• 通讯作者: 越野 寿

Evaluating method for swallowing function using trace of tongue movement and swallowing sound

利用舌运动轨迹和吞咽声音评价吞咽功能的方法

• 发表时间: 2005
• 期刊: Prosthodontic Research and Practice 4:1
• 作者: Tamachi MATSUMI;Hisashi KOSHINO;Toshihiro HIRAI;Yuichi YOKOYAMA
• 通讯作者: Yuichi YOKOYAMA