五禽戏——猿提改良动作在咽期吞咽障碍康复中的应用研究

俞茗文; 罗文韬; 唐俊; 周仁娣; 崔维维; 罗红玲; 万萍; 翟华

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

摘要点击次数: 6397

全文下载次数: 3982

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.

查看全文下载PDF阅读器 HTML全文

关闭