| 陈月馨,黄昭莹,姚瑶,蔡思敏,招少枫.基于B+M型超声的不同吞咽任务下舌运动参数重测信度研究[J].中国康复,2022,37(1):3-6 |
| 基于B+M型超声的不同吞咽任务下舌运动参数重测信度研究 |
| Test-retest reliability of tongue motion parameters in different swallowing tasks using B+M ultrasound |
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| DOI： |
| 中文关键词: 吞咽障碍 超声 舌运动 重测信度 |
| 英文关键词: dysphagia ultrasound tongue movements reliability |
| 基金项目:国家自然科学基金青年项目（81601966）；深圳市基础研究资助项目（JCYJ20190808102001750）;深圳市福田区卫生公益性科研项目（FTWS2019087，FTWS2019007） |
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| 中文摘要: |
| 目的：探讨B+M型超声测量不同吞咽任务过程中舌运动参数的可重复性。方法：分别在第1天和第3天对平均年龄（50.65±4.25）岁的18名健康个体唾液吞咽和5ml水吞咽时舌运动的超声数据进行采集，包括舌上升期（IIa期）的垂直运动幅度和速率以及整个吞咽时长；比较前后2次测量数据有无差异性，分析超声重复测量信度。结果：唾液吞咽时舌垂直运动幅度的组内相关系数（ICC）为 0.878；舌运动速率的ICC为0.817；运动总时长ICC为0.352，5ml水吞咽时舌运动幅度的ICC为0.901，运动速率ICC为0.744，运动总时长ICC为0.881。结论：B+M型超声对唾液吞咽和5ml水吞咽过程中舌上升期的垂直运动幅度及速率测量都具有较好的可重复性，其中，运动幅度具有更高的重复测量信度，可作为今后临床超声在研究吞咽舌运动中有意义的指标。 |
| 英文摘要: |
| Objective: To study the repeatability of tongue motion parameters by B+M ultrasound in different swallowing tasks. Methods: A total of 18 healthy volunteers were recruited. Tongue movements parameters, including the amplitude and velocity of IIa, the duration of oral stage, during saliva swallowing and 5-mL water swallowing were collected by B+M ultrasound at day 1 and day 3 respectively. The difference between the data measured in D1 and D3 was compared and test-retest reliability was analyzed. Results: In saliva swallowing task, the intra-correlation coefficients (ICC) of the vertical lingual amplitude was 0.878, that of lingual velocity was 0.817, and that of oral stage duration was 0.352. In 5-mL water swallowing task, the ICC of amplitude, velocity and duration was 0.901, 0.744 and 0.881 respectively. Conclusion: There was a good reliability in lingual amplitude detecting by B+M-mode ultrasound, which might be a reliable way to assess tongue motion in different swallowing tasks. |
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