Effects of the head lift exercise on the pharyngeal pressure of chronic stroke patients with dysphagia

抬头运动对慢性脑卒中吞咽困难患者咽部压力的影响

• 批准号: 23700654
• 负责人: TAKAHASHI Masanori
• 金额: $ 2.25万
• 依托单位: University of Occupational and Environmental Health, Japan
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2011
• 资助国家: 日本
• 起止时间: 2011 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23700654/
• 关键词: 摂食・嚥下障害; 維持期脳卒中; 頭部挙上訓練; 嚥下造影検査; 嚥下内圧

There have been few reports made of swallowing training helping to improve the dysphagia of chronic stroke patients. It has been reported that the implementation of head lift exercises in chronic stroke patients with dysphagia has reduced aspiration, but the detailed mechanism of this has not been made clear. Therefore we implemented head lift exercise in regard to chronic stroke patients with dysphagia with the purpose of studying the mechanism by which swallowing function is improved by head lift exercise, and compared the results of videofluorography and manometric examination before and after exercise. The results showed a statistically significant rise in pharyngeal pressure after the implementation of exercise, as compared to before it, but no changes were noted during the evaluation of videofluorography image analysis. It is possible that head lift exercise among chronic stroke patients with dysphagia may increase pharyngeal pressure and improve swallowing function.

目前很少有关于吞咽训练有助于改善慢性中风患者吞咽困难的报道。有报道称，慢性脑卒中合并吞咽困难的患者实施抬头练习可以减少误吸，但其具体机​​制尚未明确。因此，我们对伴有吞咽困难的慢性脑卒中患者进行抬头运动，旨在研究抬头运动改善吞咽功能的机制，并比较运动前后的摄片和测压检查结果。结果显示，与运动前相比，运动后咽部压力有统计学显着升高，但在荧光影像分析评估过程中未发现变化。患有吞咽困难的慢性脑卒中患者进行抬头运动可能会增加咽部压力并改善吞咽功能。