文章摘要
俞茗文,罗文韬,唐俊,周仁娣,崔维维,罗红玲,万萍,翟华.五禽戏——猿提改良动作在咽期吞咽障碍康复中的应用研究[J].中国康复,2020,35(10):512-516
五禽戏——猿提改良动作在咽期吞咽障碍康复中的应用研究
Application of Five Mimic Animal Boxing modified Monkey Lifting in Rehabilitation of Pharyngeal Stage Dysphagia
  
DOI:
中文关键词: 脑卒中  脑外伤  吞咽障碍  五禽戏  猿提
英文关键词: stroke  brain injuries,traumatic  deglutition disorders  Five Mimic Animal Boxing  Monkey Lifting
基金项目:国家自然科学基金项目“基于脑FMRI整合多模式吞咽检测探索脑梗死后梨状窝滞留的多因素病理机制”(81772442,E2-G18019); “五禽戏之猿戏在咽期吞咽障碍康复疗效的机制研究”项目(A1—N1501010802)
作者单位
俞茗文 上海交通大学医学院附属瑞金医院康复医学科上海 200025 
罗文韬 上海中医药大学康复医学院听力与言语康复教研室上海201203 
唐俊 上海中医药大学康复医学院听力与言语康复教研室上海201203 
周仁娣 上海市养志康复医院(上海市阳光康复中心)放射科上海 201619 
崔维维 上海市养志康复医院(上海市阳光康复中心)康复治疗部言语治疗科上海 201619 
罗红玲 上海市第七人民医院康复治疗科上海 200137 
万萍 上海中医药大学康复医学院听力与言语康复教研室上海201203 
翟华 上海市养志康复医院(上海市阳光康复中心)康复科上海 201619 
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中文摘要:
  目的:验证猿提动作对于脑卒中和脑外伤后咽期吞咽障碍的治疗效果。方法:将符合纳入标准的38名咽期吞咽障碍患者随机分入研究组和对照组,每组19人,2组均接受常规训练,研究组另外接受猿提改良动作训练,对照组另外采用Shaker训练法、门德尔松手法并结合低头转头法,每周5次,共治疗20次。2组患者治疗前后均分别采用功能性经口摄食量表(FOIS)评级和电视荧光吞咽造影检查(VFSS)进行吞咽功能评定。结果:治疗后,2组的FOIS均明显上升(均P<0.05),2组治疗前后稀钡及稠钡的会厌谷及梨状窝滞留、渗透量、喉上抬、喉前移的距离差异均有统计学意义(均P<0.05),治疗后2组FOIS及VFSS参数比较差异均无统计学意义。结论:五禽戏——猿提改良动作能改善脑卒中和脑外伤后咽期吞咽障碍患者的吞咽功能,且能增加吞咽时喉上抬及喉前移的距离,减少渗透与误吸,并能减少梨状窝滞留。
英文摘要:
  Objective: To explore the treatment effect of Five Mimic Animal Boxing (FMAB) in the monkey frolic exercise inside the Monkey Lifting to pharyngeal swallowing disorder after brain injury and stroke. Methods: Thirty-eight patients with pharyngeal swallowing disorder who met the inclusion criteria were randomly divided into experimental group and control group according to the random number table. The control group was trained with Monkey Lifting, and the control group was trained by Shaker Exercise and Mendelssohn Maneuver, combined with Chin Tuck and Head Rotation swallowing training, 5 times a week, 4 weeks. The swallowing function was assessed by the Functional Oral Intake Scale (FOIS) and Videofluorographic Swallowing Study (VFSS) before and after treatment in two groups. Results: After treatment, the FOIS scores were significantly increased in both two groups (both P<0.05), but there was no significant difference between the two groups (P>0.05). There was significant difference in the vallecular residue, distance of laryngeal elevation and distance of laryngeal forward, and the percent of penetration before and after treatment in both two groups (all P<0.05). After treatment, there was no significant difference in FOIS and VFSS scores between two groups. Conclusion: FMAB-Monkey Lifting action can improve the swallowing function of patients with pharyngeal swallowing disorder after brain injury and stroke, increase the distance of laryngeal elevation and distance of laryngeal forward, and reduce the percent of penetration and aspiration, and decrease the vallecular residue.
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