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논문 기본 정보

자료유형
학술저널
저자정보
Taeok Park (Illinois State University) Youngsun Kim (Ohio University) Madelyn Thomas (Illinois State University) Byung-Mo Oh (Seoul National University Hospital)
저널정보
한국언어치료학회 언어치료연구 언어치료연구 제34권 제1호
발행연도
2025.1
수록면
87 - 94 (8page)
DOI
10.15724/jslhd.2025.34.1.087

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초록· 키워드

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Purpose : The relationship between the stroke site of the lesion and swallowing pathophysiology was not well understood. The swallowing pathophysiology such as airway protection, may be related to the hemispheric lesion. To understand the hemispheric effects on airway protection after middle cerebral artery (MCA) infarction, the purpose of this study was to examine whether there is a difference in two temporal measurements of laryngeal vestibule closure: initiation of laryngeal closure (ILC) and laryngeal closure duration (LCD) between left and right MCA hemispheric stroke.
Methods : This study examined the ILC and LCD between 30 stroke survivors with left or right MCA hemispheric lesions. Means and standard deviations of ILC and LCD were analyzed on 2 ml and 5 ml thin liquid boluses. Statistical comparisons were used by repeated analysis of variance. A significant level was set at p<.05.
Results : Stroke survivors with left MCA lesions displayed significantly delayed initiation of laryngeal closure than those with right MCA lesions. There was a volume difference in ILC. However, there were no differences in LCD for both the location of the lesion and bolus volume.
Conclusions : The differences observed in hemispheric involvement in ILC indicate that stroke survivors with left MCA hemispheric lesions have a slower swallow response which puts them at higher risk of aspiration. Reduced oral movement and sensation in stroke survivors with left MCA hemispheric lesions may influence delayed initiation of laryngeal closure.

목차

Ⅰ. Introduction
Ⅱ. Methods
Ⅲ. Results
Ⅳ. Discussion and Conclusion
Reference

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