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

我们研制了一种适用于老年人和颈部活动受限患者的吞咽困难康复手法--“捏面肌训练”，并通过与传统手法如“振动法”、“门德尔松法”进行肌电活动的比较，评价了该手法对颧下肌、舌骨下肌和胸锁乳突肌的影响。对16名正常受试者的表面肌电信号进行了测量。另一方面，在胸锁乳突肌中，“揉面式训练”的肌电活动明显低于“摇动练习”。综上所述，我们认为对老年人和颈部活动受限的患者来说，“吞面式训练”是一种有效的吞咽困难恢复训练方法。

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.