• 대한중풍순환신경학회지
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• 제15권1호
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• pp.90-96
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• 2014

Drooling causes inconvenience and develops complications, therefore it can be very stressful to patients and caregivers. Drooling caused by neurological disabilities appears to be the consequence of dysfunction in the coordination of the swallowing mechanism. However, there is no explanation about drooling by brain injury in oriental medicine literature. This is the case report about a stroke patient with drooling improved by electro-acupuncture therapy. The patient already applied scopolamine patch, and improved drooling before admission. However, caregiver concerned about side effects, so we stopped using scopolamine patch and applied electro-acupuncture for drooling treatment. The patient was treated by 4 acupuncture points on either side of Yeomcheon(CV 23), and Jichang(ST 4), Hyeopgeo(ST 6) with mixed low frequency electro stimulation. Although we stopped using scopolamine patch, drooling maintained improved state without a change, futhermore after 16 days later, drooling had disappeared until the patient discharged. This result showed electro-acupuncture is useful method to improve drooling caused by brain injury.

• 대한감각통합치료학회지
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• 제21권1호
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• pp.11-22
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• 2023

목적 : 본 연구는 비정상적 침흘림으로 어려움을 겪는 뇌성마비 아동을 대상으로 키네시올로지 테이프(Kinesiology Tape; KT)를 적용한 사례연구로써 입 둘레근에 KT를 부착하여 침흘림의 변화를 확인하고자 하였다. 연구방법 : 본 연구대상자는 선정기준과 제외기준을 충족하는 뇌성마비 아동 2명을 선정하였으며, 연구 설계는 단일실험연구 ABA를 적용하였다. 기초선(A) 3회기, 중재(B) 40회기, 재기초선(A') 3회기로 구성하였다. KT 부착 중재 전, 후로 침흘림 척도(Drooling Impact Scale; DIS)와 입술 사이 간격(Interlabial Gab; IG)을 시행하였으며, 매회기 목표 활동에 대한 변화 여부를 확인하기 위해 목표 달성 척도를 실시하였다. KT 부착 방법은 선행 연구를 참고하여 입둘레근 부위에 위, 아래로 연결하여 부착하였으며, 부착 시간은 연하 치료 시간과 실제 식사 시간으로 정하여 하루에 최대 1시간, 총 8주간 시행하였다. 결과 : 본 연구 결과 DIS와 IG에서 대상자 모두 중재 후 효과가 나타났으며, 회기별 목표 활동의 GAS 척도가 증가한 것을 확인할 수 있었다. 결론 : 본 연구가 임상에서 침흘림으로 어려움을 겪는 뇌성마비 환아에게 치료사뿐만 아니라 보호자도 손쉽게 적용하고 다양한 목적으로 활용될 수 있을 것으로 기대한다.

• 대한감각통합치료학회지
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• 제21권3호
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• pp.54-64
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• 2023

목적 : 본 연구는 구강감각의 감각조절장애가 있는 발달지연 아동을 대상으로 구강활동을 포함한 감각통합 치료를 적용하여 침 흘림과 구강장난감을 활용한 놀이에 대한 효과를 알아보고자 하였다. 연구방법 : 연구대상은 2세 8개월의 구강감각의 감각조절장애가 있는 발달지연 남아 2명이었다. 단일대상연구 ABA' 중 대상자간 중다기초설계(multiple-baseline design across subjects)를 사용하였다. 목표행동은 목표성취도 척도(Goal Attainment Scale; GAS)를 사용하여 침 흘림과 구강 장난감을 활용한 놀이 대한 관심과 집중으로 측정하였다. 중재기(B) 10회기 동안 구강활동과 고유-전정 중심의 감각통합치료를 아동에게 적용하였다. 결과 : 침 흘림은 기초선 기간에 평균 목표행동 값(GAS)이 A 아동 0.25점, B 아동-0.5점에서 중재 기간에는 A 아동 1.88점, B 아동 1.4점으로 향상했고 유지기 동안 평균은 A, B 아동 모두 3점이었다. 놀이에 대한 기초선 기간에 평균 목표행동 값은 A 아동은 -0.75점, B 아동은 0.75점에서 중재 기간 A 아동은 1.9점, B 아동은 1.1점이었고 유지기 동안 평균은 A 아동 1.33점, B 아동 2점이었다. 결론 : 구강활동을 포함한 고유-전정감각 중심의 감각통합치료는 구강감각의 감각조절문제가 있는 아동에게 침 흘림과 구강장난감을 활용한 놀이에 효과가 있는 것으로 보인다.

• 한국임상수의학회지
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• 제18권1호
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• pp.67-69
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• 2001

A 3 years-old male Tosa dog was referred to Seoul National University Veterinary Medical Teaching Hospital with a history of difficulty in mastication. Clinical signs of dropped jaw, drooling, mild depression and dehydration were observed. According to history taking, physical examination, neurologic examination, complete blood count (CBC), serum chemical profile and radiography, the dog was diagnosed as idiopathic trigeminal nerve paralysis. Electroacupuncture treatment was applied to the dog on local and distal point at an interval of 7 days. Local points were GB-1 (Tong Zi Liao) of gall bladder meridian and ST-7 (Xia Guan) of stomach meridian. Distal points were PC-4 (Xi Men), PC-6 (Nei Guan) of pericardium meridian. Electrical stimulus was performed for 20 minutes at the frequency of 3 Hz, 3 Volts on ST-7. Ten days after the initial electroacupuncture treatment, clinical signs related to trigeminal nerve paralysis were almost disappeared.

• 융합정보논문지
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• 제11권4호
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• pp.153-160
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• 2021

본 연구는 새로 개발된 구강운동치료 접근법인 구강운동촉진기술(OMFT) 치료법을 소개하고, 다운증후군 아동 사례를 통해 구강감각운동 치료 접근이 구강실행기능 및 구강기능에 미치는 효과를 확인하고자 한다. 구강운동촉진기술은 치료사의 직접적인 치료 접근을 통해 얼굴 구강 구조물들의 감각, 근력, 근긴장도, 구강운동 협응증진을 통한 섭식 및 구강실행 기능 향상을 목적으로 하는 구강운동 치료법이다. 대상 아동은 다운증후군 남자 1명(10세)으로, 2020년 5월~7월, 주 1회, 15분의 구강운동촉진기술 치료(8회)를 하였으며, 치료 전 후 구강실행기능, 침흘림, 씹기 기능을 비교하였다. 치료 결과 구강실행기능의 모든 항목에서 수행이 증진되었다. 침 흘림의 양과 빈도가 감소하였고 씹기 기능의 질적인 증진을 보였다. 본 연구를 통해 구강운동촉진기술을 적용한 구강운동치료 접근이 다운증후군 아동의 구강실행기능 및 씹기 기능 증진과 침 흘림 감소에 미치는 효과를 확인하였다.

• 재활치료과학
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• 제10권2호
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• pp.37-51
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• 2021

목적 : 본 연구는 주로 침흘림을 보이는 뇌성마비 아동에게 비침습적인 치료적 중재와 침흘림 측정방법의 경향 분석 등에 대한 국외 문헌들을 중심으로 종합적으로 분석하고자 하였다. 연구방법 : 본 연구는 최근 15년 간(2005-2019) 국외 논문을 검색하여 총 265편의 논문이 검색되었다. 1차 제목 및 초록을 중심으로 44편의 논문이 선정되었고, 2차 원문 검색을 통해 10편의 논문이 최종적으로 선정되었다. 결과 : 선정된 논문의 PEDro Scale은 평균 6점으로 높은 편이었다. 전반적인 동향을 분석한 결과 연구대상자는 뇌성마비가 주를 이루었고, 행동수정에 비해 구강감각운동의 치료적 중재가 최근에 활발하게 연구되고 있었다. 행동수정과 구강감각운동 중재방법은 대상자의 나이, 인지수준, 대상자 수, 연구설계, 치료시간과 기간에서 차이가 있음을 확인하였다. 침흘림 측정방법은 빈도와 심각성을 동시에 확인하는 연구가 주를 이루는 것으로 나타났다. 결론 : 본 연구에서는 침흘림을 보이는 뇌성마비 아동에게 실시한 비침습적인 중재 중 대표적인 행동수정과 구강감각운동 중재에 대해서 분석하였고, 이러한 자료를 통해 행동수정과 구강감각운동치료를 통한 침흘림 프로그램 계획 시 적절한 치료적 중재방법을 선택하는데 도움이 될 수 있는 정보제공 및 근거를 마련하였다.

• 대한두개안면성형외과학회지
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• 제21권2호
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• pp.127-131
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• 2020

A 60-year-old woman with a history of diabetes mellitus and chronic renal failure was admitted to the hospital with severe pain in the upper lip, which began 4 days prior to admission, accompanied by a bullous lesion and suspected cellulitis in the upper lip. Immediately after admission, as the patient's general condition worsened, tests revealed a non-ST elevated myocardial infarction, septic embolism of the lung, as well as septic shock. Her upper lip suddenly presented a gangrenous and necrotic change, which the tissue and blood culture confirmed to be a Klebsiella pneumoniae infection. After a quick response, the patient's general condition improved. Subsequently, serial debridement was performed to effectively clear away the purulent discharge. While under general anesthesia, the process confirmed full-layer necrosis of the upper lip including the orbicularis oris muscle. Almost half of the entire upper lip sustained a full-layer skin and soft tissue defect, with scar contracture. Six months later, to correct the drooling and lip sealing following the defects, a scar release and an Abbe flap coverage were performed considering both functional and aesthetic aspects. The follow-up revealed a favorable corrective result of the upper lip drooling, and the patient was satisfied from a functional perspective.

• 한국동물위생학회지
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• 제35권1호
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• pp.53-57
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• 2012

This is a case report about rape poisoning in a Hanwoo. Non-protein nitrogen (NPN) compound in rape may cause poisoning in domestic animals. Rape poisoned cattle may show big and rapid breath with opening its mouth, edema and erosion of skin with itching, drooling, dyspnea and indigestion. Besides there can be shown neurological (blindness) and urological (red water) symptoms in some cases. There is no effective therapy for rape poisoning, therefore stopping the rape supplying is basically important. Clinical symptoms and history taking are very important factors in diagnosis of rape poisoning, due to the absence of diagnostic standard of judgment for rape poisoning. A Hanwoo 38 months old cow, in a farm located in Gyeoungbuk province showed typical rape poisoning symptoms such as breath with opening its mouth, drooling, dyspnea and hyperphotosensitivity, and dramatical recovery were occurred after stopping supplying of rape. The cow were diagnosed as the rape poisoning based on observation of clinical symptoms and history taking.

• 대한간호학회지
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• 제40권3호
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• pp.359-366
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• 2010

Purpose: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool. Methods: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis. Results: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy. Conclusion: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.

• Journal of Chest Surgery
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• 제6권1호
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• pp.89-94
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• 1973

Esophagel atresia and tracheoesophageal fistula may occur as separate entities but usually occur in combination. First described by Durston in 1670, esophageal atresia was not successfully treated until 1939 when Ladd in Boston and Leven in St. Paul obtained the first survivors utilizing the methods of gastrostomy, esophagostomy and extrapleural ligation of the tracheoesophageal fistula as multiple operations which required months of hospitalization. Two years later Cameron Haight performed the first successful primary repair and afterward about 2000 cases of esophageal atresia with distal tracheoesophageal fistula reported in the world. In Korea, there appeared about 27 cases in the literature and 8 successful repaired cases noted in these year. Anther report two cases of esophageal atresia, of which one case was successfully treated with Haight`s method. Case 1.: Normal full term delivered boy with chief complaints of respiratory difficulty and persistent drooling with chocking, 3. lkg, was admitted with emergency 5 hours after delivery. Physical findings revealed no specific abnormal signs except distended abdomen and grunting respiration. Esophagograrn and bronchogram revealed proximal esophageal atresia and distal tracheoesophageal fistula proximal to the carina. Parent refused operative therapy and patient died 24 hours after discharge. Case 2. :3. lkg. normal full term delivered girl was admitted 4 days after delivery with chief complaints of regurgitation after feeding, chocking, cyanotic spell and fever since the day after delivery. Physical examination revealed persistent drooling, grunting respiration, and fever with moderate dehydration. Tracheoesophageal suction and fluid therapy with antibiotics improved her condition and subsided ]pneumonic condition. Esophagogram revealed markedly dilated proximal esophagus as blind loop and stomach distended with gas, and repairing operation as Haight`s method was performed on the 7th day after delivery. Patient tolerated all the operative procedure well and recovered uneventfully. Esophagogram on the 7th postoperative day showed passage of the lipiodol through the anastomotic side with moderate stricture,and feeding permitted. Patient tolerated all the feeding amount well and discharged on the 11th postoperative day. Followup revealed intermittent regurgitation after feeding and corrected with bougination.