Koheil R, Sochaniwskyj A E, Bablich K, Kenny D J, Milner M
Dev Med Child Neurol. 1987 Feb;29(1):19-26. doi: 10.1111/j.1469-8749.1987.tb02103.x.
In an attempt to decrease the rates of drooling of 12 children with cerebral palsy, the authors investigated the effectiveness of EMG auditory feedback training of the orbicularis oris, of making the act of swallowing a conscious one, and of providing an auditory signal to cue swallowing by means of an Accularm interval timer. After biofeedback training there was a significant decrease in drooling rates and a small increase in swallowing rates. After the Accularm was used the children maintained the decreased drooling rates and there was a further small improvement in swallowing rates. One month after treatment stopped there was a non-significant regression in the rates of both drooling and swallowing. The marked decrease in drooling after biofeedback training must be attributed to more effective swallowing as a result of improved oral motor control, rather than to increased rates of swallowing.
为降低12名脑瘫患儿的流涎率，作者研究了口轮匝肌肌电图听觉反馈训练、使吞咽行为变为有意识行为以及通过Accularm间隔定时器提供听觉信号以提示吞咽的有效性。生物反馈训练后，流涎率显著降低，吞咽率略有增加。使用Accularm后，患儿的流涎率持续降低，吞咽率进一步小幅改善。治疗停止1个月后，流涎率和吞咽率均出现不显著的回落。生物反馈训练后流涎显著减少，这一定是由于口腔运动控制改善导致吞咽更有效，而非吞咽率增加所致。
