Evaluation of a New Dysphagia Rehabilitation Maneuver " Soba Slurping-Like Traning"

我们开发了一种适合老年人和颈部活动受限患者的吞咽困难康复动作“荞麦面吸食训练”，使用喂食管，通过比较执行该动作时的肌电图活动与传统动作（如“摇床练习”和“门德尔松动作”），评估该动作对颏下肌肉、舌骨下肌和胸锁乳突肌的影响。对 16 名正常受试者进行表面肌电图测量，颏下肌中，“吸荞麦训练”的肌电活动与“摇动运动”一样高，舌骨下肌的肌电活动是“摇动运动”的三分之二。另一方面，在胸锁乳突肌中，“吸荞麦样训练”的肌电图活性明显低于“摇动运动”。总之，我们认为“吸荞麦训练”对于老年人和颈部活动受限的患者来说是一种有效的吞咽困难康复方法。

We developed a dysphagia rehabilitation maneuver,"soba slurping-like training",using a feeding tube, suitable for elderly persons and patients with limited neck movement,and evaluate the effect of this manuever on submental muscles, infrahyoid muscles, and sternocleidomasutoid muscle, by comparing EMG activity when performing this maneuver and traditional maneuvers such as "Shaker Exercise" and "Mendelsohn Maneuver".Surface EMG was measured from 16 normal subjects,In submental muscles, the EMG activity of the "soba slurping-like traning" was as high as that of "Shake Exercise", and in infrahyoid muscles was two-third of that of "Shake Exercise". On the other hand, in the sternocleidmastoide muscle, the EMG activity of the "soba slurping-like training" was significantly low compared with "Shake Exercise". In conclution, we consider that "soba slurping-like training" is an effective dysphagia regabilitation manuerver for elderly persons and patients with limited neck movements.