밴드를 이용한 연하곤란의 보상기법
Compensatory Technique Using Therapeutic Band for Dysphagia
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 63-year-old man visited outpatient clinic complaining of dysphagia due to left jugular foramen meningioma. The patient underwent conventional dysphagia rehabilitation programs but functional improvement was not enough. A videofluoroscopic swallowing study (VFSS) revealed decreased laryngeal elevation and a lot of residue in pyriform sinus and vallecula. We noticed that enhancing laryngeal elevation like mendelshon maneuver promotes functional compensation, so we developed a therapeutic band for promoting laryngeal elevation. In follow-up VFSS, swallowing function was improved on the band. Persistent dysphagia due to decreased laryngeal elevation is very common and this case showed the possibility of improvement of symptom using therapeutic band we devleoped with conventional dysphagia rehabilitation programs.
Abstract
A 63-year-old man visited outpatient clinic complaining of dysphagia due to left jugular foramen meningioma. The patient underwent conventional dysphagia rehabilitation programs but functional improvement was not enough. A videofluoroscopic swallowing study (VFSS) revealed decreased laryngeal elevation and a lot of residue in pyriform sinus and vallecula. We noticed that enhancing laryngeal elevation like mendelshon maneuver promotes functional compensation, so we developed a therapeutic band for promoting laryngeal elevation. In follow-up VFSS, swallowing function was improved on the band. Persistent dysphagia due to decreased laryngeal elevation is very common and this case showed the possibility of improvement of symptom using therapeutic band we devleoped with conventional dysphagia rehabilitation programs.
참고문헌 (13)
- Elmstahl S, "Treatment of dysphagia improves nutriational conditions in stroke patients", Dysphagia, 14, pp.61~66 (1999)
- Paik NJ, "Dysphagia", eMedicine physical medicine &Rehabiliation: Online Medical Textbook eMedicine.com, Inc., 2001 (Online update, 2006), ~ (2006)
- Rah UW, "Clinical Practice Guideline for Stroke Rehabilitation in Korea 2012", Brain Neurorehabil, 7, pp.S1~S75 (2014)
- Ding R, "Surface electromyographic and electroglottographic studies in normal subjects under two swallow conditions:normal and during mendelsohnmanuever", Dysphagia, 17, pp.1~12 (2002)
- Mendelsohn MS, "Function in the pharyngoesophageal segment", Laryngoscope, 97, pp.483~489 (1987)
- Burkhead L, "Strength-training exercise in dysphagia rehabilitation: principles, procedures, and directions for future research", Dysphagia, 22, pp.251~265 (2007)
- 윤기정, "연하장애를 가진 뇌졸중 환자에서 비위관 삽입이 연하 기능에 미치는 영향", 대한연하장애학회지, 5(2), pp.61~65 (2015), 대한연하장애학회
- Paik NJ, "Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies", J ElectromyogrKinesiol, 18, pp.329~335 (2008)
- Heo SY, "Immediate effects of kinesio tapping on the movement of the hyoid bone and epiglottis during swallowing by stroke patients with dysphagia", J PhysTher Sci, 27, pp.3355~3357 (2015)
- Lin CL, "Application of Kinesio Taping method for newborn swallowing difficultly:A case report and literature review", Medicine (Baltimore), 95, pp.e4458~ (2016)
- Gary H. McCullough, "Effects of the Mendelsohn Maneuver on Extent of Hyoid Movement and UES Opening Post-Stroke", Dysphagia, 28(4), pp.511~519 (2013), Springer Nature[DOI]
- Lee NH, "Acute effects of Kinesio taping on muscle function and self-perceived fatigue level in healthy adults", Eur J Sport Sci, 12, pp.1~8 (2017)
- Shaker R, "Augmentation of deglutitive upper esophageal sphincter opening in elderly by exercise", Arm J physiol, 272, pp.1518~1522 (1997)