연하 중 인후두부 움직임의 표준적 시간 데이터
Normative Temporal Data of Hyolaryngeal Movements during Swallowing
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: This study evaluated the temporal variables of hyolaryngeal movements during normal swallowing using kinematic analysis of the video fluoroscopic swallowing study (VFSS) to present the normal cut-off values of those variables. Methods: Seventy-five healthy volunteers (17 men, 58 women) without swallowing dysfunctions were recruited to examine the swallowing of 2-ml diluted barium by a VFSS. Kinematic analysis was conducted by digitization of video files for movements of hyolaryngeal structures, including the vocal cords, hyoid bone, and epiglottis during normal swallowing. The time points and duration of hyolaryngeal movements were measured. The time points were the start point, maximal point, and the end point of the LE (Laryngeal Elevation), HE (Hyoid Excursion), and EF (Epiglottic Folding). The durations of LE, HE, and EF were obtained by subtracting the time of the start point from the time of the maximal point. The onset time of LE was defined as the reference time point (0 sec). The upper and lower limits of the 95% confidence interval were adopted as the normal cut-off values for the temporal variables of hyolaryngeal movements after transformation to a normal distribution. If a transformation formula to a normal distribution was not found in a variable, the values of the 2.5-97.5 percentile were adopted. Results: The cut-off values of the maximal and end points of the LE were 0.281 to 0.916 sec, and 0.830 to 2.205 sec, respectively. The cut-off values of the start, maximal and end points of the HE were −0.233 to 0.400 sec, 0.320 to 0.874 sec, and 0.889 to 2.055 sec, respectively. The cut-off values of the start, maximal, and end points of the EF were 0.017 to 0.483 sec, 0.364 to 1.055 sec, and 0.774 to 1.773 sec, respectively. The cut-off values of the duration of LE, HE, and EF were 0.281 to 0.916 sec, 0.258 to 0.767 sec, and 0.255 to 0.787 sec, respectively. Conclusion: This study presented the normal cut-off values of temporal variables of hyolaryngeal movements during normal swallowing. This study can serve as a basis for classifying and analyzing the patterns of patients with dysphagia.
Abstract
Objective: This study evaluated the temporal variables of hyolaryngeal movements during normal swallowing using kinematic analysis of the video fluoroscopic swallowing study (VFSS) to present the normal cut-off values of those variables. Methods: Seventy-five healthy volunteers (17 men, 58 women) without swallowing dysfunctions were recruited to examine the swallowing of 2-ml diluted barium by a VFSS. Kinematic analysis was conducted by digitization of video files for movements of hyolaryngeal structures, including the vocal cords, hyoid bone, and epiglottis during normal swallowing. The time points and duration of hyolaryngeal movements were measured. The time points were the start point, maximal point, and the end point of the LE (Laryngeal Elevation), HE (Hyoid Excursion), and EF (Epiglottic Folding). The durations of LE, HE, and EF were obtained by subtracting the time of the start point from the time of the maximal point. The onset time of LE was defined as the reference time point (0 sec). The upper and lower limits of the 95% confidence interval were adopted as the normal cut-off values for the temporal variables of hyolaryngeal movements after transformation to a normal distribution. If a transformation formula to a normal distribution was not found in a variable, the values of the 2.5-97.5 percentile were adopted. Results: The cut-off values of the maximal and end points of the LE were 0.281 to 0.916 sec, and 0.830 to 2.205 sec, respectively. The cut-off values of the start, maximal and end points of the HE were −0.233 to 0.400 sec, 0.320 to 0.874 sec, and 0.889 to 2.055 sec, respectively. The cut-off values of the start, maximal, and end points of the EF were 0.017 to 0.483 sec, 0.364 to 1.055 sec, and 0.774 to 1.773 sec, respectively. The cut-off values of the duration of LE, HE, and EF were 0.281 to 0.916 sec, 0.258 to 0.767 sec, and 0.255 to 0.787 sec, respectively. Conclusion: This study presented the normal cut-off values of temporal variables of hyolaryngeal movements during normal swallowing. This study can serve as a basis for classifying and analyzing the patterns of patients with dysphagia.
참고문헌 (24)
- Han TR, "Rehabilitation medicine" (2014), Koonja Co.
- Kahrilas PJ, "Pharyngeal clearance during swallowing: a combined manometric and videofluoroscopic study", Gastroenterology, 103, pp.128~136 (1992)[DOI]
- Leopold NA, "Supranuclear control of swallowing", Dysphagia, 25, pp.250~257 (2010)[DOI]
- Kendall KA, "Timing of events in normal swallowing: a videofluoroscopic study", Dysphagia, 15, pp.74~83 (2000)[DOI]
- Kim Y, "Temporal measurements of pharyngeal swallowing in normal populations", Dysphagia, 20, pp.290~296 (2005)[DOI]
- Mendell DA, "Temporal sequence of swallow events during the oropharyngeal swallow", J Speech Lang Hear Res, 50, pp.1256~1271 (2007)[DOI]
- Shaker R, "CoordPauloski ination of deglutitive glottic closure with oropharyngeal swallowing", Gastroenterology, 98, pp.1478~1484 (1990)[DOI]
- Ohmae Y, "Timing of glottic closure during normal swallow", Head Neck, 17, pp.394~402 (1995)[DOI]
- Inamoto Y, "Evaluation of swallowing using 320-detector-row multislice CT. Part II: kinematic analysis of laryngeal closure during normal swallowing", Dysphagia, 26, pp.209~217 (2011)[DOI]
- Amin MR, "Dynamic Magnetic Resonance Imaging of the Pharynx During Deglutition", Ann Otol Rhinol Laryngol, 122, pp.145~150 (2013)[DOI]
- Matsubara K, "Swallowing pressure and pressure profiles in young healthy adults", Laryngoscope, 124, pp.711~717 (2014)[DOI]
- Inokuchi H, "Electromyography of swallowing with fine wire intramuscular electrodes in healthy human: activation sequence of selected hyoid muscles", Dysphagia, 29, pp.713~721 (2014)[DOI]
- Nam HS, "Temporal Characteristics of Hyolaryngeal Structural Movements in Normal Swallowing", Laryngoscope, 125, pp.2129~2133 (2015)[DOI]
- Logemann JA, "Evaluation and treatment of swallowing disorders. 2nd ed" (1998), Pro-Ed
- Kang BS, "Influence of Aging on Movement of the Hyoid Bone and Epiglottis during Normal Swallowing: A Motion Analysis", Gerontology, 56, pp.474~482 (2010)[DOI]
- Paik NJ, "Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies", J Electromyogr Kinesiol, 18, pp.329~335 (2008)[DOI]
- Logemann JA, "Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men", J Speech Lang Hear Res 2000, 43, pp.1264~1274 (2000)
- Seo SG, "Longitudinal Changes of the Swallowing Process in Subacute Stroke Patients with Aspiration", Dysphagia, 26, pp.41~48 (2011)[DOI]
- Jacob P, "Upperesophageal sphincter opening and modulation during swallowing", Gastroenterology, 97, pp.1469~1478 (1989)[DOI]
- Cook IJ, "Opening mechanisms of the human upper esophageal sphincter", Am J Physiol, 257, pp.G748~G759 (1989)
- Kendall KA, "Structural mobility in deglutition after single modality treatment of head and neck carcinomas with radiation therapy", Head Neck, 20, pp.720~725 (1998)
- Dodds WJ, "Influence of bolus volume on swallow-induced hyoid movement in normal subjects", AJR, 150, pp.1307~1309 (1988)[DOI]
- Robbins J, "Oropharyngeal swallowing in normal adults of different ages", Gastroenterology, 103, pp.823~829 (1992)[DOI]
- 이승학, "The Accuracy of the Swallowing Kinematic Analysis at Various Movement Velocities of the Hyoid and Epiglottis", Annals of Rehabilitation Medicine, 37(3), pp.320~327 (2013), 대한재활의학회