Cho Young-Seok, Oh Dong-Hwan, Paik Young-Rim, Lee Jeong-Hoon, Park Ji-Su
Department of Occupational Therapy, Hyejeon College, Republic of Korea.
Department of Occupational Therapy, Kyungdong University, Republic of Korea.
J Phys Ther Sci. 2017 Oct;29(10):1815-1816. doi: 10.1589/jpts.29.1815. Epub 2017 Oct 21.
[Purpose] The purpose of this study was to investigate the effect of self-exercise on oropharyngeal swallowing function in patients with dysphagia. [Subjects and Methods] Nine patients with dysphagia after stroke were recruited. Self-exercise including effortful swallowing, tongue strengthening, and shaker exercise was performed 5 times a week for 4 weeks. Swallowing function was evaluated using the videofluoroscopic dysphagia scale (VDS) based on a videofluoroscopic swallowing study. [Results] There were significant differences in both the oral and pharyngeal phases of the VDS before and after the intervention. [Conclusion] This study demonstrated that bedside self-exercise is a positive method to improve oropharyngeal swallowing function in patients with dysphagia after stroke.
[目的] 本研究旨在探讨自我训练对吞咽困难患者口咽吞咽功能的影响。[对象与方法] 招募了9例脑卒中后吞咽困难患者。进行包括用力吞咽、舌肌强化训练和摇头训练在内的自我训练,每周5次,共4周。基于电视荧光吞咽造影检查,使用电视荧光吞咽造影吞咽功能量表(VDS)评估吞咽功能。[结果] 干预前后VDS的口腔期和咽期均有显著差异。[结论] 本研究表明,床边自我训练是改善脑卒中后吞咽困难患者口咽吞咽功能的一种有效方法。