New strategy to improve velopharyngeal incompetence using CPAP and speech appliances.

使用 CPAP 和言语器具改善腭咽功能不全的新策略。

• 批准号: 07807179
• 负责人: TACHIMURA Takashi
• 金额: $ 1.28万
• 依托单位: Osaka University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1995
• 资助国家: 日本
• 起止时间: 1995 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07807179/
• 关键词: Cleft palate; velopharynx; levator veli palatini; electromyography; speech appliance; CPAP; nasal air pressure; speech therapy; 鼻咽腔閉鎖; スピーチェイド

1. In the placement condition of a speech appliance including a palatal lift and speech, bulb, levator veli palatini muscle (LVP) activity decreased in both condition of speech and blowing. The differential activity in LVP between placement and removal of a speech appliance might generate reserve capacity for velopharyngeal function for speech.2. Velopharyngeal function might be normally altered through placement of a speech appliance. Thus, continuous positive air pressure treatment for improvement of velopharyngeal function for speakers3. with substantial velopharyngeal incompetence could be effective as well as speakers with borderline velopharyngeal incompetence.4. The results of clinical application of CPAP for speakers wearing a speech appliance, a PLP or a speech bulb, showed that the efficacy for the CPAP is possible to dependent upon adaptation of a speech appliance to velopharyngeal. That is, in case of poor adapted speech appliance, the effect of CPAP to improve velopharyngeal function was not so clear as in case of a well adapted one.5. Future study should be warranted to clarify whether a well adapted speech appliance in relation to the circumstance of the velopharynx can commonly be effective to improve substantial velopharyngeal incompetence.

1.在包括腭提升和讲话的语音矫治器的放置条件下，球，腭帆提肌（LVP）的活动在讲话和吹气的条件下均降低。LVP在放置和移除语音矫治器之间的差异性活动可能会产生语音功能的储备能力。正常情况下，通过放置语音矫治器可以改变腭咽功能。因此，持续正压治疗可改善说话者的咽喉功能3。与严重的喉咽功能不全和边缘性喉咽功能不全的说话者一样有效. CPAP对佩戴语音矫治器、PLP或语音灯泡的说话者的临床应用结果表明，CPAP的功效可能取决于语音矫治器对咽部的适应性。也就是说，在语音矫治器适应不良的情况下，CPAP对改善患者咽功能的作用不如语音矫治器适应良好的情况明显。未来的研究应保证澄清一个良好的适应性的语音矫治器的情况下，咽喉通常可以有效地改善实质性的咽喉功能不全。

项目成果

Tachimura, Takashi: "Generation of functional reserve capacity for adequate velopharyngeal function in association with placement of a speech appliance" Jpn.J.Logoped.and Phoniatr.38 (4). 337-343 (1997)

Tachimura, Takashi：“与言语器具的放置相关的足够腭咽功能的功能储备能力的生成”Jpn.J.Logoped.and Phoniatr.38 (4)。

舘村 卓, 高 英保, 原 久永, 他: "スピーチエイド装着による鼻咽腔閉鎖機能の予備能形成" 音声言語医学. 38・4. 337-343 (1997)

Taku Tatemura、Hideyasu Taka、Hisanaga Hara 等：“通过佩戴言语辅助器来形成腭咽闭合功能的储备能力” 言语和语言医学 38・4（1997）。

舘村 卓, 高 英保, 原 久永, 他: "スピーチエイド装着にともなう発音時口蓋帆挙筋活動の変化" 日本口蓋裂学会雑誌. 22・1. 22-31 (1997)

Takashi Tatemura、Hideyasu Taka、Hisanaga Hara 等：“由于佩戴言语辅助器而导致发音时提腭帆肌活动的变化”，日本裂腭协会杂志 22・1（1997 年）。