노인의 삼킴 단계별 삼킴 기능 평가를 위한 표면 근전도 검사의 융합적 연구 : 체계적 문헌고찰
A Convergence Study of Surface Electromyography in Swallowing Stages for Swallowing Function Evaluation in Older Adults: Systematic Review
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구에서는 체계적 고찰을 통해 노인의 삼킴 단계별 삼킴 기능을 평가하기 위해 표면 근전도 검사를 적용한 방법을 분석하여, 임상에서 노인의 삼킴 단계를 객관적으로 측정할 수 있도록 돕고자 하였다. 2011 ~ 2021년까지 Pubmed, Scopus, Web of Science (WoS)를 활용하여 선정기준에 부합하는 연구 7편을 선정하였다. 본 연구 결과, 노인과 성인을 실험군과 대조군으로 나누어서 분석하거나 노인만을 대상으로 삼킴단계를 표면근전도검사를 이용하여 분석하였다. 구강단계와 인두단계의 삼킴을 평가하기 위해 표면 근전도 검사를 사용하였으며, 표면 근전도 부착 부위는 각 단계별 관여하는 삼킴 근육에 부착하였다. 수집된 근전도 데이터는 대역통과필터와 노치필터를 사용하여 필터링되었고, 제곱평균제곱근, 진폭, 최대자발적 수축을 사용하여 분석하였다. 본 연구에서는 표면 근전도 검사가 단계별 삼킴 기능을 객관적이고 정량적으로 평가할 수 있는 도구로 사용될 수 있음을 알 수 있었다. 따라서 본 연구가 단계별 삼킴기능을 평가하기 위해 표면 근전도 검사를 융합한 다양한 연구를 활성화시킬 수 있기를 기대한다.
Abstract
In this study, a systematic review was conducted to analyze the method of applying sEMG to evaluate the swallowing function of the elderly at each stage of swallowing, and to help objectively measure the swallowing stage of the older adults in clinical practice. From 2011 to 2021, 7 studies that met the selection criteria were selected using Pubmed, Scopus, and Web of Science (WoS). As a result of this study, the older adults and adults were divided into an experimental group and a control group and the swallowing phase was analyzed using sEMG only for the older adults. sEMG was used to evaluate swallowing in the oral and pharyngeal stages, and the sEMG attachment site was attached to the swallowing muscle involved in each stage. The collected sEMG data were filtered using a bandpass-filter and a notch-filter, and were analyzed using RMS, amplitude, and maximum spontaneous contraction. In this study, it was found that sEMG can be used as a tool to objectively and quantitatively evaluate the swallowing function in stages. Therefore, it is expected that this study will activate various studies that incorporate sEMG to evaluate the swallowing function in stages.
참고문헌 (38)
- "Population Projections for Korea" (2019)[URL]
- L. Sura, "Dysphagia in the elderly: management and nutritional considerations", Clinical interventions in aging, 7, pp.287~ (2012)
- N. Machida, "Effects of aging and sarcopenia on tongue pressure and jaw‐opening force", Geriatrics, &gerontology international, 17(2), pp.295~301 (2017)
- 최현세, "지역사회 노인의 삼킴장애 실태 및 삼킴교육 후 삼킴관련 삶의 질 변화: 강동구 지역을 중심으로", 대한고령친화산업학회지, 11(1), pp.11~21 (2019), 대한고령친화산업학회[DOI]
- J. A. Logemann, "Swallowing disorders", Best practice & research Clinical gastroenterology, 21(4), pp.563~573 (2007)
- C. T. Mituuti, "Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke", Clinical interventions in aging, 10, pp.29~ (2015)
- 문종훈, "혀 근력 및 정확도 훈련이 삼킴장애가 있는 만성 뇌졸중 환자의 혀 근력, 삼킴기능, 삶의 질에 미치는 효과", 한국콘텐츠학회 논문지, 16(11), pp.605~613 (2016), 한국콘텐츠학회[DOI]
- M. Jungheim, "Swallowing and dysphagia in the elderly", Hno, 62(9), pp.644~651 (2014)
- S. O’Donoghue, "Videofluoroscopic evaluation in the assessment of swallowing disorders in paediatric and adult populations", Folia Phoniatrica et Logopaedica, 51(4-5), pp.158~171 (1999)
- I. P. Hong, "Systematic Review : Usefulness of Clinical Bedside Screening Test for Dysphagia in Stroke Patients", Korean Academy of Dysphagia, 2(2), pp.47~56 (2010)
- J. W. Lee, "Subjective assessment of videofluoroscopic swallow studies", Otolaryngology–Head and Neck Surgery, 156(5), pp.901~905 (2017)
- A. Y. Chen, "The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the MD Anderson dysphagia inventory", Archives of Otolaryngology–Head & Neck Surgery, 127(7), pp.870~876 (2001)
- P. C. Belafsky, "Validity and reliability of the Eating Assessment Tool (EAT-10)", Annals of Otology, Rhinology, & Laryngology, 117(12), pp.919~924 (2008)
- 김근희, "한국 정상 노인층의 삼킴장애지수와 후두 기능에 따른 삼킴 특성", 말소리와 음성과학, 6(3), pp.3~12 (2014), 한국음성학회[DOI]
- C. A. McHorney, "The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development", Dysphagia, 15(3), pp.115~121 (2000)
- 김향희, "노년층 삼킴 평가 프로토콜의 공인타당도", Communication Sciences and Disorders, 24(2), pp.507~517 (2019), 한국언어청각임상학회[DOI]
- H. Endo, "Effects of age and gender on swallowing activity assessed by electromyography and laryngeal elevation", Journal of Oral Rehabilitation, 47(11), pp.1358~1367 (2020)
- J. F. Alonso, "Coordination of respiratory muscles assessed by means of nonlinear forecasting of demodulated myographic signals", Journal of Electromyography and Kinesiology, 21(6), pp.1064~1073 (2011)
- C. Ertekin, "Neurophysiology of swallowing", Clinical Neurophysiology, 114(12), pp.2226~2244 (2003)
- H. J. Hong, "Viscosity Effects on Submental Muscle Acticity in Normal Swallow", Journal of Korean Academy of Dysphagia Rehabilitation, 3(2), pp.53~60 (2011)
- C. M. Wang, "Agingrelated changes in swallowing, and in the coordination of swallowing and respiration determined by novel non‐invasive measurement techniques", Geriatrics, & gerontology international, 15(6), pp.736~744 (2015)
- J. C. Oh, "Effect of the head extension swallowing exercise on suprahyoid muscle activity in elderly individuals", Experimental gerontology, 110, pp.133~138 (2018)
- 서상민, "뇌성마비 아동의 섭식 중재 결과를 측정하기 위해 사용된 임상평가도구에 관한 체계적 고찰", 디지털콘텐츠학회논문지, 20(3), pp.639~645 (2019), 한국디지털콘텐츠학회[DOI]
- D. Moher, "Preferred reporting items for systematic reviews and meta-analyses : The PRISMA statement", Journal of Clinical Epidemiology, 62(10), pp.1006~1012 (2009)
- S. Y. Kim, "NECA’s Guidance for Undertaking Systematic Reviews and Meta-analysis for Intervention", pp.1~287 (2011), National Evidence-based Healthcare Collaborating Agency
- M. Law, "Evidence-based rehabilitation : A guide to practice" (2008), Slack Inc
- J. C. Oh, "Systematic effortful swallowing exercise without external resistance does not increase swallowing-related muscle strength in the elderly", Dysphagia, 36(3), pp.465~473 (2021)
- J. Y. Ko, "Electromyographic activation patterns during swallowing in older adults", Scientific Reports, 11(1), pp.1~10 (2021)
- D. Brates, "The Influence of Age, Eating a Meal, and Systematic Fatigue on Swallowing and Mealtime Parameters", Dysphagia, pp.1~14 (2021)
- L. van den Engel-Hoek, "Biomechanical events of swallowing are determined more by bolus consistency than by age or gender", Physiology & behavior, 106(2), pp.285~290 (2012)
- T. Hiramatsu, "Effect of aging on oral and swallowing function after meal consumption", Clinical interventions in aging, 10, pp.229~ (2015)
- H. Endo, "Effects of age and gender on swallowing activity assessed by electromyography and laryngeal elevation", Journal of Oral Rehabilitation, 47(11), pp.1358~1367 (2020)
- C. M. Wang, "Aging‐related changes in swallowing, and in the coordination of swallowing and respiration determined by novel non‐invasive measurement techniques", Geriatrics, & gerontology international, 15(6), pp.736~744 (2015)
- 김향희, "노년층 삼킴 평가 프로토콜의 내용타당도", Communication Sciences and Disorders, 23(4), pp.1042~1054 (2018), 한국언어청각임상학회[DOI]
- 문종훈, "생체되먹임을 통한 삼킴훈련이 삼킴장애가 있는 급성기 뇌졸중 환자의 삼킴기능과 만족감에 미치는 효과", 한국콘텐츠학회 논문지, 17(4), pp.63~71 (2017), 한국콘텐츠학회[DOI]
- H. J. Hong, "Viscosity Effects on Submental Muscle Activity in Normal Swallow", The Journal of Korean Academy of Dysphagia Rehabilitation, 3(2), pp.53~60 (2011)
- 조은주, "뇌졸중 환자의 삼킴기능평가도구에 대한 체계적 고찰", 대한작업치료학회지, 24(4), pp.45~68 (2016), 대한작업치료학회
- 김창범, "Changes in Surface Electromyography Signal according to Severity in Patients with Carpal Tunnel Syndrome", 대한근전도 전기진단의학회지, 22(1), pp.15~22 (2020), 대한근전도전기진단의학회[DOI]