K-point stimulation: triggering the jaw opening reflex for brain-damaged patients

뇌병변장애 환자의 개구 및 연하 촉진을 위한 K-point 자극법

  • Hyun, Hong-Keun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
  • 현홍근 (서울대학교 치의학대학원 소아치과학교실)
  • Published : 2018.07.31

Abstract

Patients with a wide range of cerebrovascular disease may have difficulty in opening their mouths, resulting in failing to swallow foods and maintain their oral hygiene. K-point was introduced as an effective trigger point to stimulate the jaw opening reflex for those patients. K-point stimulation may be useful as one of methods of helping open the jaw for dental examinations, or for placing foods onto the dorsum of the tongue and swallowing them effectively. Although this method cannot always guarantee the success of the jaw opening for every patient, it may still be considered to be an effective one to apply to patients having difficulty in jaw opening and swallowing disorder.

Keywords

References

  1. Tahara Y. Cardiopulmonary Resuscitation in a Super-Aging Society - Is There an Age Limit for Cardiopulmonary Resuscitation? Circulation Journal 2016; 80:1102-1103. https://doi.org/10.1253/circj.CJ-16-0307
  2. 통계청. 2017 고령자 통계. 대전, 2017. http://kostat.go.kr/portal/korea/kor_nw/2/6/5/index.board?bmode=read&aSeq=363362
  3. 현홍근. 섭식연하장애와 치과적 관리. 대한치과의사협회지 2015; 53:789-794.
  4. Martin RE, Sessle BJ. The role of the cerebral cortex in swallowing. Dysphagia 1993; 8:195-202. https://doi.org/10.1007/BF01354538
  5. Rogus-Pulia N, Robbins J. Approaches to the rehabilitation of dysphagia in acute poststroke patients. Seminars in Speech and Language 2013;34:154-169. https://doi.org/10.1055/s-0033-1358368
  6. Kojima C, Fujishima I, Ohkuma R, Maeda H, Shibamoto I, Hojo K, Arai M. Jaw opening and swallow triggering method for bilateral-brain-damaged patients: K-point stimulation. Dysphagia 2002; 17:273-277. https://doi.org/10.1007/s00455-002-0062-7
  7. 현홍근 역, 후지시마 이치로 저. 입으로 먹을 수 있다. 연하장애 Q&A. 제4판. 군자출판사, 서울, 2014.
  8. Shimotakahara R, Mine K, Ogata S. The sensory nerves that innervate the area near the K-point. Japanese Journal of Nursing and Health Sciences 2015; 13:30-34.
  9. https://www.amazon.co.jp/%E9%9D%92%E8%8A%B3-Aoyoshi-214-K%E3%82%B9%E3%83%97%E3%83%BC%E3%83%B3/dp/B00G7JUPQC
  10. Saitoh E, Pongpipatpaiboon K, Inamoto Y, Kagaya H. Dysphagia Evaluation and Treatment: From the Perspective of Rehabilitation Medicine. Springer, Singapore, 2018.
  11. Nakamura T, Fujishima I. Usefulness of ice massage in triggering the swallow reflex. Journal of Stroke and Cerebrovascular Diseases 2013;22:378-382. https://doi.org/10.1016/j.jstrokecerebrovasdis.2011.09.016