The Journal of the Korea institute of electronic communication sciences (한국전자통신학회논문지)

Korea Institute of Electronic Communication Science (한국전자통신학회)
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Effects of swallowing training of high viscosity bolus on swallow function based on videofluoroscopic swallowing examination in stroke patients with dysphagia

비디오 투시조영 검사를 통한 높은 점도의 음식 삼킴 훈련이 삼킴 장애가 있는 뇌졸중 환자의 삼킴 기능에 미치는 효과

  • 문종훈 (가천대학교 보건대학원 작업치료학 전공) ;
  • 김희진 (가천대학교 보건대학원 작업치료학 전공) ;
  • 서진영 (양평교통 재활병원 작업치료실) ;
  • 홍덕기 (신성대학교 작업치료과)
  • Received : 2016.08.01
  • Accepted : 2016.09.24
  • Published : 2016.09.30
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Abstract

The purpose of this study is to investigate the effect of swallowing training of high viscosity bolus for swallow function of stroke patients with dysphagia. This study subjects, acute stroke 18 patients, which were recruited to receive treatment in inpatient at general hospital, located in Kyunggido. Subjects were randomly allocated in experimental group and control group. Experimental group performed swallowing training of high viscosity bolus, while control group conducted Traditional dysphagia therapy. Both groups received treatment 30 minutes a day five times a week for four weeks. The assessment was conducted FDS(: Functional Dysphagia Scale), PAS(: Penetration Aspiration Scale), ASHA NOMS(: American Speech-language-hearing Association National Outcomes Measurements System Swallowing Scale) to compare swallow function for both group. Both groups showed significant improvements after intervention in all measures(p<.05). Change score between the two groups showed a significant improvement on experimental group than control group in FDS(p<.05). Swallowing training of high viscosity bolus could have a positive impact on swallow function for acute stroke patients with dysphagia.

본 연구는 높은 점도의 음식을 삼키는 훈련이 뇌졸중 후 삼킴장애 환자의 삼킴기능에 미치는 영향을 알고자 하였다. 본 연구는 경기도에 위치한 종합병원에 입원 중인 삼킴장애가 있는 뇌졸중 환자 18명을 대상으로 하였다. 대상자들은 실험군과 대조군으로 9명씩 무작위 배치되었다. 실험군은 높은 점도의 음식을 반복해서 삼키는 훈련을 받았고, 대조군은 전통적 삼킴치료를 받았다. 평가는 기능적 삼킴장애 척도, 침습흡인척도, 미국 언어 청각협회 삼킴척도를 측정하였다. 두 그룹 모두 중재 전과 후로 유의한 향상을 보였다(p<.05). 두 그룹 간의 변화량에서 실험군은 대조군보다 기능적 삼킴장애 척도에서 유의하게 더 큰 향상을 보였다(p<.05). 높은 점도의 음식을 삼키는 훈련은 뇌졸중 후 삼킴장애 환자의 삼킴기능에 긍정적인 영향을 줄 수 있을 것으로 사료된다.

Keywords

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