Sensory motor integration in the recovery process of tongue function – exploring the active touch -

舌头功能恢复过程中的感觉运动统合

• 批准号: 22K10053
• 负责人: 真柄 仁
• 金额: $ 2.66万
• 依托单位: Niigata University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2022
• 资助国家: 日本
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22K10053/
• 关键词: 口腔運動; 嚥下運動; 口腔機能低下症; 神経可塑性変化; 経頭蓋磁気刺激

本研究では，摂食嚥下リハビリテーションとして頻用される舌挙上運動の嚥下改善メカニズムにおける神経可塑性変化，および運動感覚障害からの回復プロセスへの促進機序の解明を目的としている．初年度は，持続的な舌挙上運動時の舌筋と舌骨上筋の筋活動挙動について検討した．健常成人２０名（男性１０名，平均年齢２８．８±５．３歳）を対象とした．はじめにバルーン型舌圧測定器を用いて最大舌圧値を３回測定し，その平均値を個人の最大値（１００％）と定義し，更に最大値の２５％，５０％，７５％の舌圧を決定した．次に，２５％，５０％，７５％，１００％舌圧での１０秒間の舌圧発揮をランダムな順で実施した．記録の対象は舌圧，舌筋，舌骨上筋，舌骨下筋および咬筋とし，舌筋の筋電図記録には吸引型表面電極を，その他の筋では表面電極を用いた．記録中は舌圧強度確認のため視覚的フィードバックを行い，各試行の間には少なくとも１分間の休憩時間を設定した．筋電位全波整流波形の積分値である筋活動量および平均周波数を各タスクで比較し，更に経時的変化の評価のため，１０秒間のタスクを最初の1秒を除いたＥａｒｌｙ（１－４秒），Ｍｉｄｄｌｅ（４－７秒），Ｌａｔｅ（７－１０秒）に分割した．結果，１０秒間全体の比較では，各筋における活動量は舌圧強度の増加に伴って増加していた．舌筋活動量に経時的変化は認められなかったが，平均周波数は全てのタスクで減少していた．一方，舌骨上筋と舌骨下筋の筋活動量は，舌圧強度の増加に伴って増加していた．舌圧強度の増加に伴い，舌筋だけでなく舌骨筋群もその活動量を増加させていた．１０秒間の舌圧発揮時には，舌筋は急速に疲労するが，舌圧維持のために舌骨筋群が代償的に筋活動量を増加させていることが考えられ，結果は英文誌にまとめ投稿，査読中である．

The purpose of this study is to improve the plasticity of the animal by using the upper and lower parts of the tongue to improve the plasticity of the animal. In this study, the food was used to improve the plasticity of the animal. 20 healthy adults (10 males, average age 28.8 ±5.3 years old) were tested with a maximum tongue size of 3 times. The average person per person is defined (100%) and the maximum is 25%. 50%, 75%, 75%, 50%, 75%, 50%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75%, 50%, 75%, 75 Make sure that the strength of the tongue in the record confirms that the rest time of each bank is less than one minute and the rest time is set. The average weekly wave number of the full-wave rectifier waveform of the rib position is much higher than that of the average cycle, and the average weekly wave number of each cycle is higher than that of each other. In 10 seconds, the Early (4 seconds), Middle (4 seconds), Late (7 seconds) and Late (7 seconds) were removed in 1 second. As a result, the activity of all tendons was measured in 10 seconds, and the strength was increased with the increase of tongues. On one side, the activity of the suprahyoid tendons and the subhyoid tendons increased, and the strength of the tongue increased with the increase of the strength of the tongue. the strength of the tongue increased with the increase of the strength of the tongue, and the strength of the tongue increased with the increase of the strength of the tongue, and the strength of the tongue increased with the increase of the strength of the tongue. The tongue maintains the amount of muscle activity of the hyoid muscle group of the hyoid bone group, and the results show that the English journal has contributed to the project.

项目成果

咀嚼嚥下のプロセスを生体記録と食塊物性から評価する

根据生物记录和食团物理特性评估咀嚼和吞咽过程

• 发表时间: 2022
• 作者: Jin Magara;Taku Suzuki;Kouta Nagoya;Reiko Ita;Takanori Tsujimura;Makoto Inoue;真柄 仁;真柄 仁
• 通讯作者: 真柄 仁

Relationship between tongue pressure and pharyngeal dysphagia in multiple system atrophy and amyotrophic lateral sclerosis patients.

多系统萎缩和肌萎缩侧索硬化症患者舌压与咽部吞咽困难的关系。

• 发表时间: 2022
• 作者: Jin Magara;Taku Suzuki;Kouta Nagoya;Reiko Ita;Takanori Tsujimura;Makoto Inoue
• 通讯作者: Makoto Inoue

摂食嚥下機能改善に寄与する口腔機能アプローチ

有助于改善进食和吞咽功能的口腔功能方法

• 发表时间: 2022
• 作者: Jin Magara;Taku Suzuki;Kouta Nagoya;Reiko Ita;Takanori Tsujimura;Makoto Inoue;真柄 仁
• 通讯作者: 真柄 仁

Endurance evaluation of lingual pressure generation using electromyographic analysis of tongue and hyoid muscles

使用舌和舌骨肌的肌电图分析评估舌压产生的耐力

• 发表时间: 2022
• 作者: Reiko Ita;Jin Magara;Takanori Tsujimura;Makoto Inoue
• 通讯作者: Makoto Inoue

持続的舌圧発揮時の舌筋および舌骨筋群の筋電図学的分析

持续舌压期间舌头和舌骨肌的肌电图分析

• 发表时间: 2022
• 作者: Jin Magara;Taku Suzuki;Kouta Nagoya;Reiko Ita;Takanori Tsujimura;Makoto Inoue;真柄 仁;真柄 仁;板 離子，落合勇人，小貫和佳奈，真柄 仁，辻村恭憲，井上 誠
• 通讯作者: 板 離子，落合勇人，小貫和佳奈，真柄 仁，辻村恭憲，井上 誠