Burkhead Lori M, Sapienza Christine M, Rosenbek John C
Department of Communicative Disorders, University of Florida, and Brain Rehabilitation Research Center of Excellence, Malcom Randall VA Medical Center, Gainesville, Florida, USA.
Dysphagia. 2007 Jul;22(3):251-65. doi: 10.1007/s00455-006-9074-z. Epub 2007 Apr 25.
Dysphagia rehabilitation, historically, has focused a great deal on various compensations during swallowing to prevent aspiration and/or improve safety and efficiency. Exercise, in general, has been a part of the dysphagia rehabilitation landscape. However, heightened discussions in the field regarding best practices for exercise training, particularly strengthening, raise more questions than answers. The intent of this paper is to (1) explore the overriding principles of neuromuscular plasticity with regard to strength training, (2) evaluate how current exercise-training interventions in dysphagia rehabilitation correspond to these principles, and (3) postulate directions for future study of normal and disordered swallowing and determine how to incorporate these principles into dysphagia rehabilitation.
从历史上看，吞咽困难康复主要集中在吞咽过程中的各种代偿方法上，以防止误吸和/或提高安全性与效率。一般来说，运动一直是吞咽困难康复领域的一部分。然而，该领域关于运动训练（尤其是强化训练）最佳实践的讨论日益激烈，引发的问题比答案更多。本文旨在：（1）探讨神经肌肉可塑性在力量训练方面的首要原则；（2）评估吞咽困难康复中当前的运动训练干预措施如何符合这些原则；（3）推测正常和紊乱吞咽未来研究的方向，并确定如何将这些原则纳入吞咽困难康复中。
