摂食・嚥下障害への治療的介入:治療効果,構音との関連  [in Japanese] Therapeutic Intervention for Dysphagia : Outcome and the Relationship between Dysphagia and Dysarthria  [in Japanese]

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Abstract

我々は神経疾患に起因する46例の摂食・嚥下障害患者に対する治療的介入の効果,ならびに摂食・嚥下機能と構音機能の関係を検討した.結果は以下のとおりである.(1)28例に十分な効果がみられた.(2)年齢,発症から入院までの期間,介入の期間,摂食・嚥下障害の重症度は改善とは関係がなかった.認知機能の問題のみが治療効果に影響をおよぼした.(3)藤島の摂食・嚥下能力に関するグレードをもとにした摂食・嚥下機能と発話明瞭度との間には有意な相関が認められなかった.摂食・嚥下の口腔準備期の機能と構音の間には有意な相関が認められた.これらの結果は,摂食・嚥下機能と構音機能の間には共通する要素とそれぞれの機能に固有の要素が存在することを示している.言語聴覚士は摂食・嚥下障害の治療的介入にあたって,構音と共通する口腔準備期の機能のみならず,摂食・嚥下に固有の要素に対しても広く介入すべきであると考えた.

This paper investigates the efficacy of therapeutic intervention for 46 patients, suffering from dysphagia due to neurological disorders, and the relationship between swallowing and articulatory functions. The results are as follows. (1) 28 patients achieved sufficient recovery of the swallowing function. (2) Age, time elapsed between onset and admission, the duration of intervention, and the severity of dysphagia were unrelated to recovery. Only problems of cognitive function affected the outcome of intervention. (3) There was no significant correlation between the swallowing function, based on Fujishima's swallowing function grade, and intelligibility of speech. Oral preparatory functions in swallowing significantly correlated with articulation. These findings suggest that the swallowing function and articulatory function consist of common factors and their own particular factors and thus that therapeutic intervention might require distinct strategies for each.

Journal

  • THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS

    THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS 17(1), 28-35, 2000-04-30

    Japanese Association of Communication Disorders

References:  10

Codes

  • NII Article ID (NAID)
    10008101757
  • NII NACSIS-CAT ID (NCID)
    AN10091280
  • Text Lang
    JPN
  • Article Type
    REV
  • ISSN
    09128204
  • NDL Article ID
    5391894
  • NDL Source Classification
    ZF1(教育) // ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z7-1914
  • Data Source
    CJP  NDL  J-STAGE 
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