지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 197 - 205 (9page)
이용수
초록· 키워드
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Objective To investigate the usefulness of ultrasonographic measurement of hyoid bone movement during swallowing.Methods Fifty-two patients who had swallowing dysfunction were enrolled in this study. When a patient swallowed 5 mL of water while maintaining an upright sitting position, hyoid bone movement during swallowing was measured with ultrasonography. Recorded images were analyzed to measure the maximum change in hyoid bone displacement. Mandible was used as reference point to calculate hyoid bone displacement. The farthest distance from resting position and the nearest distance during swallowing were measured and their differences were recorded. Participants also underwent videofluoroscopic swallowing study (VFSS). Based on penetration-aspiration scale (PAS), they were grouped to non-aspirators (PAS 1), penetrators (PAS 2–5), or aspirators (PAS 6–8). Measured hyoid bone displacements by submental ultrasonography were compared among groups.Results The mean hyoid bone displacement in non-aspirators group (n=21, 15.9±2.7 mm) was significantly (p<0.05) greater than that in penetrators group (n=20, 11.5±2.8 mm) or aspirators group (n=11, 8.0±1.0 mm). Hyoid bone displacement below 13.5 mm as a cutoff point for detecting penetration or aspiration had a sensitivity and specificity of 83.9% and 81.0%, respectively.Conclusion Submental ultrasonographic evaluation was well correlated with PAS measured by VFSS. Therefore, submental ultrasonographic evaluation could be a useful screening tool for dysphagic patients.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Ishida R / 2002 / Hyoid motion during swallowing: factors affecting forward and upward displacement / Dysphagia 17:262~272
Logemann JA / 1992 / Closure mechanisms of laryngeal vestibule during swallow / Am J Physiol 262(2 Pt 1):G338~G344
Martino R / 2000 / Screening for oropharyngeal dysphagia in stroke: insufficient evidence for guidelines / Dysphagia 15:19~30
Yabunaka K / 2011 / Sonographic assessment of hyoid bone movement during swallowing: a study of normal adults with advancing age / Radiol Phys Technol 4:73~77
Hsiao MY / 2012 / Application of ultrasonography in assessing oropharyngeal dysphagia in stroke patients / Ultrasound Med Biol 38:1522~1528
Logemann JA / 1992 / Closure mechanisms of laryngeal vestibule during swallow / Am J Physiol 262(2 Pt 1):G338~G344
Martino R / 2000 / Screening for oropharyngeal dysphagia in stroke: insufficient evidence for guidelines / Dysphagia 15:19~30
Yabunaka K / 2011 / Sonographic assessment of hyoid bone movement during swallowing: a study of normal adults with advancing age / Radiol Phys Technol 4:73~77
Hsiao MY / 2012 / Application of ultrasonography in assessing oropharyngeal dysphagia in stroke patients / Ultrasound Med Biol 38:1522~1528
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