Shaker씨 두부거상운동에 의한 윤상인두 연하장애 환자의 치료

조승호; 박영학; 송창은; 김주환; 조정해

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자료유형: 학술저널

저자정보: 조승호 박영학 송창은 김주환 조정해

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제7호

발행연도: 2005.1

수록면: 907 - 912 (6page)

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연구주제

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연구배경

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연구방법

🏆

연구결과

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Background and Objectives：Cricopharyngeal dysphagia refers to the dysfunction of the upper esophageal sphincter complex, which is composed of the cricopharyngeus, inferior pharyngeal constrictor and the upper segment of the cervical esophagus. Adequate relaxation of the cricopharyngeal muscle in conjunction with anterosuperior excursion of the larynx by suprahyoid muscles and propulsion of food bolus are prerequisite for normal swallow, mechanisms of which, if altered, may result in cricopharyngeal dysfunction. Head lift exercise, first described by Shaker, can be utilized in patients with cricopharyngeal dysphagia by strengthening the suprahyoid musculature and reducing the intrabolus pressure. The objective of this study was to introduce Shaker’s head lift exercise in the treatment of cricopharyngeal dysphagia patients. Subjects and Method：Two patients suffering from cricopharyneal dysphagia after receiving skull base surgery were managed with Shaker’s head lift exercise and the swallowing function was evaluated with videofluoroscopy. Results：Both patients who had been taught how to perform head lift exercise showed improvement in swallowing function as observed with videofluoroscopy. Aspiration disappeared and both patients were able to take oral diet without the aid of gastrostomy tubes. Conclusion：Shaker’s head lift exercise enabled oral feeding without aspiration in two patients. This demonstrates that Shaker’s head lift exercise can be a promising noninvasive treatment modality in the treatment of cricopharyngeal dysphagia.

#윤상인두근·연하·투시검사. #Cricopharyngeus muscle·Deglutition·Fluoroscopy.

참고문헌 (16)

참고문헌 신청

/ / Gabb RH. Effect of aging on the deglutitiveoral : 221 ~ 8

/ / Kern IM.Opening mechanism of the human upper esophageal sphincter. Am JPhysiol 1989

/ / Paralysis of deglutition. A post-polimyelitis complicationtreated by section of the cricopharyngeus muscle. Ann Surg 1951 : 572 ~ 3

/ / Wilian P. A quantitative study of the histochemicaland morphometric characteristics of the human cricopharyngeusmuscle. J Anat 1989 : 67 ~ 75

/ / Zboralske FF. Upper esophageal responsesto intraluminal distension in man. Gastroenterol 1977 : 1292 ~ 8

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