생강 맛 탄산수 삼킴이 뇌졸중으로 인한 연하장애 환자의 목뿔위근 근 활성도에 미치는 효과
The Effect of Ginger Carbonated Water Swallow on Suprahyoid Muscle Activity in Stroke with Dysphagia Patient
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
본 연구는 뇌졸중으로 인한 연하장애 환자 20명을 대상으로 탄산과 생강의 감각자극에 대한 목뿔위근의 근 활성도 변화를 확인하고자 하였다. 근 활성도는 목뿔위근에 표면 근전도(surface Electromyogram, sEMG)를 부착하여 물, 탄산음료, 생강 맛 탄산음료를 삼키는 동안 평균값, 최대값을 측정하였다. 그리고 시각 아날로그 척도(Visual Analog Scales, VAS)를 통해 세 가지 식이에 대한 선호도와 강도를 측정하였다. 연구결과, 세 가지 식이 삼킴에 따른 근 활성도 평균값과 최대값 모두 유의한 차이를 보였다(p<.001). 세 가지 식이 삼킴 중에서 생강 맛 탄산음료가 물과 탄산음료보다 평균값과 최대값에서 가장 큰 근 활성도를 보였다(p<.05). VAS를 이용한 맛에 대한 선호도는 물이 가장 높았으며, 자극 강도는 생강 맛 탄산음료가 가장 높은 결과를 보였다. 본 연구는 생강 맛 탄산음료가 뇌졸중으로 인한 연하장애 환자의 목뿔위근의 근 활성도에 가장 큰 영향을 미치는 것을 확인하였다. 뇌졸중 환자의 연하재활치료 시 생강 맛 탄산수를 적용한 감각자극 훈련이 유용하게 활용되기를 기대한다.
Abstract
This study was to compare the stimulus of carbonated water and ginger carbonated water and water on suprahyoid muscle activity of the stroke patient who has the symptom of dysphagia. For the study, the 20 stroke patients who had symptom of dysphagia were selected as test subject, and the average and maximum value of the suprahyoid muscle activity of them were measured by surface electromyogram(sEMG). After that, by Visual Analog Scales(VAS), the preference of the taste and stimulation intensity of swallow were measured after swallowing of diet. There was a significant difference on the average and maximum value of suprahyoid muscle activity when swallowed each 5㎖ of water, carbonated water and ginger. The highest value of average and maximum of the stimulus was ginger carbonated water. The most preferred taste average value measured by VAS was water. The highest value of average of stimulation intensity of swallow was ginger carbonated water. Through the study, ginger carbonated water was the most effective on suprahyoid muscle activity of stroke with dysphagia patients. It is expected that ginger carbonated water will be a clinical solution to improve stroke patient's swallowing function.
참고문헌 (24)
- 원영식, "연하장애를 수반한 뇌졸중 환자의 삼킴 기능에 혀 압력 프로토콜과 구강인두운동의 병행적용이 미치는 효과", 특수교육재활과학연구, 51(2), pp.57~71 (2012), 특수교육재활과학연구소[DOI]
- 송승일, "과제 지향적 활동이 뇌졸중 환자의 자기효능감과 재활동기에 미치는 영향", 특수교육재활과학연구, 54(4), pp.303~321 (2015), 특수교육재활과학연구소[DOI]
- Bardan, E., "Effect of aging on bolus kinematics during the pharyngeal phase of swallowing", American Journal of Physiology-Gastrointestinal and Liver Physiology, 290(3), pp.458~465 (2006)
- Bingjie, L., "Quantitative videofluoroscopic analysis of penetration-aspiration in post-stroke patients", Neurology India, 58(1), pp.42~47 (2010)
- Bulow, M., "Videoradiographic analysis of how carbonated thin liquids and thickened liquids affect the physiology of swallowing in subjects with aspiration on thin liquids", Acta Radiologica, 44(4), pp.366~372 (2003)
- Cichero, J. A., "Thickening agents used for dysphagia management : effect on bioavailability of water, medication and feelings of satiety", Nutrition Journal, 12(1), pp.1~8 (2013)
- DeLoach, L. J., "The visual analog scale in the immediate postoperative period : intrasubject variability and correlation with a numeric scale", Anesthesia & Analgesia, 86(1), pp.102~106 (1998)
- Ding, R., "The effects of taste and consistency on swallow physiology in younger and older healthy individuals a surface electromyographic study", Journal of Speech, Language, and Hearing Research, 46(4), pp.977~989 (2003)
- Finestone, H. M., "Quantifying fluid intake in dysphagic stroke patients : a preliminary comparison of oral and nonoral strategies", Archives of Physical Medicine and Rehabilitation, 82(12), pp.1744~1746 (2001)
- Garcia, J. M., "Thickened liquids practice patterns of speech-language pathologists", American Journal of Speech-Language Pathology, 14(1), pp.4~13 (2005)
- Gillen, G., "Stroke rehabilitation: A function-based approach" (1998), Mosby
- Green, B. G., "Chemesthesis and taste : evidence of independent processing of sensation intensity", Physiology & behavior, 86(4), pp.526~537 (2005)
- Horner, J., "Dysphagia following brain-stem stroke : clinical correlates and outcome", Archives of Neurology, 48(11), pp.1170~1173 (1991)
- Huckabee, M. L., "Submental surface electromyographic measurement and pharyngeal pressures during normal and effortful swallowing", Archives of Physical Medicine and Rehabilitation, 86(11), pp.2144~2149 (2005)
- Katzan, I. L., "The effect of pneumonia on mortality among patients hospitalized for acute stroke", Neurology, 60(4), pp.620~625 (2003)
- Krival, K., "Effects of club soda and ginger brew on linguapalatal pressures in healthy swallowing", Dysphagia, 27(2), pp.228~239 (2012)
- Logemann, J. A., "Preswallow sensory input : its potential importance to dysphagic patients and normal individuals", Dysphagia, 11(1), pp.9~10 (1996)
- Logemann, J. A., "A randomized study of three interventions for aspiration of thin liquids in patients with dementia or parkinson’s disease", Journal of Speech, Language, and Hearing Research, 51(1), pp.173~183 (2008)
- Martino, R., "Dysphagia after stroke incidence, diagnosis, and pulmonary complications", Stroke, 36(12), pp.2756~2763 (2005)
- Michou, E., "Examining the role of carbonation and temperature on water swallowing performance : a swallowing reaction-time study", Chemical Senses, 37(9), pp.799~807 (2012)
- Miller, A. J., "Deglutition", Physiological Reviews, 62(1), pp.129~184 (1982)
- Miura, Y., "Effects of taste solutions, carbonation, and cold stimulus on the power frequency content of swallowing submental surface electromyography", Chemical Senses, 34(4), pp.325~331 (2009)
- Morishita, M., "Effect of carbonated beverages on pharyngeal swallowing in young individuals and elderly inpatients", Dysphagia, 29(2), pp.213~222 (2014)
- Robbins, J., "The current state of clinical geriatric dysphagia research", Journal of Rehabilitation Research and Development, 39(4), pp.7~9 (2002)