綿チップ押しつぶし課題の舌圧測定への応用と嚥下課題教示手段としての効果

• 加藤, 直志

• 小島, 千枝子

• 小野, 高裕

• 近藤, 重悟

• Naoshi, KATO

• Chieko, KOJIMA

• Takahiro, ONO

• Jugo, KONDO

書誌事項

タイトル別名

• Application of a Cotton Swab Squashing Task to Tongue Pressure Measurement and its Effectiveness in a Swallowing Task Instruction Technique

抄録

type:P(論文)

研究報告

Original articles

本研究では，“綿チップ押しつぶし” 課題の有用性について検討した．第１実験では，嚥下障害者を含む102 名を対象に“綿チップ押しつぶし” 課題後の綿球のつぶれ具合とJMS 舌圧測定器の最大舌圧の相関分析，回帰分析を行い，綿球のつぶれ具合で舌圧を推測できるかを調べた．第２実験では，健常若年者20 名を対象に，綿チップ押しつぶしを教示に用いた嚥下（MS），Effortful swallow（ES），普通嚥下の舌圧発現様相を比較し，嚥下課題の教示に用いることの有効性を調べた．その結果，第１実験では，舌圧=12.117 ＋ 67.961 ×綿球水分変化量の回帰式が得られ（R2 =0.568），第２実験では，MS はES とほぼ同等に舌圧持続時間と舌圧最大値が高値を示し，さらに，MS では綿チップの押しつぶし課題でターゲットとした部位の舌前方部（Ch1）の舌圧発現が他測定点より有意に早く，Ch1の舌圧持続時間はES より有意に延長した．以上のことから，“綿チップ押しつぶし” 課題は，嚥下訓練において多彩な訓練ツールとして用いることができることが示された．

The present study investigated the usefulness of a “cotton swab squashing” task to patients with dysphagia. The first experiment involved 102 subjects, including dysphagia patients. To determine whether the post-task state of the cotton swab could be used to measure tongue pressure, the state of the cotton swab after the squashing task was evaluated, and a correlational analysis with maximum tongue pressure measured with a JMS tongue pressuremeasurement device as well as regression analysis were conducted. To investigate the efficacyof the squashing task for use in swallowing task instructions, a second experiment, involving 20 young healthy volunteers, compared tongue pressure during swallowing, using cotton swab squashing （CS）, effortful swallowing （ES）, and normal swallowing. The results of the firstexperiment indicated a regression equation of maximum tongue pressure: 12.117 ＋ 67.961 ×the amount of change in the cotton tip moisture content （R2 ＝ 0.568）. The second experiment indicated high values for tongue pressure duration and maximum tongue pressure, which were roughly identical for both CS and ES. Furthermore, tongue pressure expression in CS at the tongue anterior site（ Ch1）, which was targeted in the cotton swab squashing task, was significantly faster than at other measurement sites, and the tongue pressure duration, at Ch1 in CS, was significantly longer than in the ES. The above findings demonstrate that the cotton swab squashing task can be used in diverse ways for dysphagia training.

収録刊行物

• リハビリテーション科学ジャーナル = Journal of Rehabilitation Sciences

  リハビリテーション科学ジャーナル = Journal of Rehabilitation Sciences 9 27-38, 2014-03-31

キーワード

• 舌圧
• 嚥下課題
• 綿チップ押しつぶし
• tongue pressure
• swallowing task
• cotton swab squashing

詳細情報

• CRID: 1050564288482160000
• NII論文ID: 120005462057
• NII書誌ID: AA12646078
• Web Site: http://id.nii.ac.jp/1090/00000995/
• 本文言語コード: ja
• 資料種別: departmental bulletin paper
• データソース種別:
  • IRDB
  • CiNii Articles