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与颈椎和姿势障碍相关的吞咽困难。

Dysphagia associated with cervical spine and postural disorders.

作者信息

Papadopoulou Soultana, Exarchakos Georgios, Beris Alexander, Ploumis Avraam

出版信息

Dysphagia. 2013 Dec;28(4):469-80. doi: 10.1007/s00455-013-9484-7.

Abstract

Difficulties with swallowing may be both persistent and life threatening for the majority of those who experience it irrespective of age, gender, and race. The purpose of this review is to define oropharyngeal dysphagia and describe its relationship to cervical spine disorders and postural disturbances due to either congenital or acquired disorders. The etiology and diagnosis of dysphagia are analyzed, focusing on cervical spine pathology associated with dysphagia as severe cervical spine disorders and postural disturbances largely have been held accountable for deglutition disorders. Scoliosis, kyphosis–lordosis, and osteophytes are the primary focus of this review in an attempt to elucidate the link between cervical spine disorders and dysphagia. It is important for physicians to be knowledgeable about what triggers oropharyngeal dysphagia in cases of cervical spine and postural disorders. Moreover, the optimum treatment for dysphagia, including the use of therapeutic maneuvers during deglutition, neck exercises, and surgical treatment, is discussed.

摘要

对于大多数经历吞咽困难的人来说,无论年龄、性别和种族如何,吞咽困难可能持续存在且危及生命。本综述的目的是定义口咽吞咽困难,并描述其与颈椎疾病以及先天性或后天性疾病导致的姿势障碍之间的关系。分析吞咽困难的病因和诊断,重点关注与吞咽困难相关的颈椎病理,因为严重的颈椎疾病和姿势障碍在很大程度上被认为是吞咽障碍的原因。脊柱侧弯、脊柱后凸-前凸和骨赘是本综述的主要关注点,旨在阐明颈椎疾病与吞咽困难之间的联系。对于医生来说,了解在颈椎和姿势障碍情况下引发口咽吞咽困难的因素非常重要。此外,还讨论了吞咽困难的最佳治疗方法,包括吞咽时的治疗手法、颈部锻炼和手术治疗。

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