Yokochi K
Department of Rehabilitation, Ohzora Hospital, Inasa, Shizuoka, Japan.
Brain Dev. 1997 Dec;19(8):552-5. doi: 10.1016/s0387-7604(97)00077-6.
Oral motor patterns during feeding were investigated in 58 patients with severe physical disability. Five patients showed a pattern resembling sucking. Twenty-nine exhibited an up-and-down movement of the jaw and protrusion of the tongue. Among these, the mouth opened when the food entered and the lips closed before swallowing in 20 patients; the mouth was constantly open in nine. Eight had an up-and-down movement of the jaw without protrusion of the tongue. These patterns were frequently seen in patients with spastic tetraplegia caused by neonatal asphyxia and compensated for oral motor impairment. Sixteen patients showed lateral movement of the jaw at some time during feeding; in these patients the texture of the food was more coarse than in those with other patterns.
对58名严重身体残疾患者进食时的口腔运动模式进行了研究。5名患者表现出类似吸吮的模式。29名患者表现出下颌的上下运动和舌头的前伸。其中,20名患者在食物进入时嘴巴张开,吞咽前嘴唇闭合;9名患者嘴巴一直张开。8名患者下颌有上下运动但舌头未前伸。这些模式在新生儿窒息导致的痉挛性四肢瘫痪患者中经常出现,并弥补了口腔运动障碍。16名患者在进食过程中的某个时候表现出下颌的侧向运动;在这些患者中,食物的质地比其他模式的患者更粗糙。