门德尔松手法与用力吞咽相结合对脑卒中后吞咽困难患者误吸的影响。
Effect of the combination of Mendelsohn maneuver and effortful swallowing on aspiration in patients with dysphagia after stroke.
作者信息
Kim Ji-Hoon, Kim Young-A, Lee Hye-Jin, Kim Keum-Sook, Kim Seung-Tae, Kim Tae-Sue, Cho Young-Seok
机构信息
Department of Occupational Therapy, Gimcheon University, Republic of Korea.
Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea.
出版信息
J Phys Ther Sci. 2017 Nov;29(11):1967-1969. doi: 10.1589/jpts.29.1967. Epub 2017 Nov 24.
Abstract
[Purpose] This study investigated the effect of a combined method incorporating the Mendelsohn maneuver and effortful swallowing on aspiration in patients with dysphagia after stroke. [Subjects and Methods] Three patients with dysphagia were recruited. All patients were treated with a combined method consisting of the Mendelsohn maneuver and effortful swallowing. The intervention period was total 20 sessions. Evaluation was based on videofluoroscopic swallowing study and the degree of aspiration was assessed using penetration-aspiration scale. [Results] Before and after intervention, all participants showed a decrease in aspiration with liquid type and semisolid type food. [Conclusion] This study confirms that the combined method of the Mendelsohn maneuver and effortful swallowing has a positive effect on aspiration in patients with dysphagia after stroke.
摘要
[目的] 本研究探讨了将门德尔松手法与用力吞咽相结合的方法对中风后吞咽困难患者误吸的影响。[对象与方法] 招募了3例吞咽困难患者。所有患者均采用门德尔松手法与用力吞咽相结合的方法进行治疗。干预期共20次。评估基于视频荧光吞咽造影检查，并使用渗透-误吸量表评估误吸程度。[结果] 干预前后，所有参与者在液体型和半固体型食物的误吸方面均有所减少。[结论] 本研究证实，门德尔松手法与用力吞咽相结合的方法对中风后吞咽困难患者的误吸有积极影响。
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