• 제목/요약/키워드: swallowing disorder

검색결과 69건 처리시간 0.03초

뇌졸중 환자의 인두기능 회복을 위한 전기자극기 설계 (Electrical Stimulation System Design for Pharyngeal Dysfunction of Stroke Patients)

  • 김성민;배하석
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2004년도 추계학술대회 논문집
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    • pp.1232-1235
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    • 2004
  • The purpose of this study is to design electrical stimulation system for pharyngeal dysfunction(dysphagia) in stroke patients. Pharyngeal muscle group activity is important, because contracting muscles provide the driving force at the initiation of the swallow and generate the pressure gradients necessary for bolus movement into the esophagus. Although we have many treatment methods for dysphagia, electrical stimulation system will be useful for stroke patients having dysphagia. Electrical stimulation can be divided into the body stimulation and electrodes. The body stimulation is divided again into frequency counter, time control and current measurement part. These parts are to control the current intensity, frequency and stimulating time. And they can be variable according to the patient's clinical assessment. The electrode plays a role to deliver the current from the system to the muscle. Also the position of the electrode can be variable according to the treatment method. We performed the clinical experiment with the stroke patient who has swallowing disorder. The videofluoroscopy was used for the observation. From the result of clinical experiment based on electrical stimulation, we expected that the dysfunction(in pharynx) level of the patient can be improved. However we could not have enough effectiveness of the treatment because of the number of patients, patient's adaptation and treatment period. We will design the optimized electrical stimulation system based on enough clinical experiment in the future.

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두경부암 치료에 따라 발생한 흡인 환자에 대한 다각적 재활운동 치료 (Multidimensional Rehabilitation in Patients with Aspiration Following Head and Neck Cancer Treatment)

  • 정영호;진영주
    • 대한후두음성언어의학회지
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    • 제29권1호
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    • pp.5-8
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    • 2018
  • Patients who have the head and neck cancer are usually treated by surgery, radiation therapy, chemotherapy, or combinations of them. These treatments can induce variable degree of aspiration with dysphagia. The type and severity of aspiration depends on the size and location of the original tumor, the structures involved, and the treatment modality used for treatment. The management of aspiration after the head and neck cancer's treatment begins with an accurate evaluation for the cause and mechanism of aspiration through modified barium swallow (MBS) and fiberoptic endoscopic examination of swallowing (FEES). Then, the clinician can use postures, maneuvers, and exercises to treat the swallow disorder and to help the patient achieve optimal function. To achieve optimal swallowing without aspiration, multidimensional rehabilitation by various medical personnel is definitely necessary.

설유착증 환자에서의 Z-Plasty를 이용한 치료증례 (TREATIMENT OF ANKYLOGLOSSIA USING Z-PLASTY TECHNIQUE: A CASE REPORT)

  • 이지영;김대업;이광희
    • 대한소아치과학회지
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    • 제23권3호
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    • pp.697-705
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    • 1996
  • Ankyloglossia, or tongue-tie, is a congenital condition which occurs as a result of fusion between the tongue and the floor of the mouth. Ankyloglossia often results in malocclusion with an anterior "open bite" deformity, early prognathism, swallowing problem, speech disorder, and periodontal problem. Generally lingual frenectomy is used for treatment of ankyloglossia, but incomplete operation and simple frenectomy may produce a scar contracture resulting in a more deformed ankyloglossia than was present initially. The Z-plasty is used for the correction of scar contractures and the replacement of missing tissue and this procedure is ideally suited for the treatment of an ankylosed frenum. Most authors advise postponement of any decision for surgical correction of tongue-tie until the age of 4 years, unless the child is having much difficulty with sucking or swallowing. We treated 4 patients with ankyloglossia using Z-plasty technique. As a result, we found out that it was effective for correction of movement limitation of tongue, prevention of relapse. Further, periodic check ups are needed for evaluation of relapse, improvement of speech, and other functions of the tongue.

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재활치료와 한방치료를 병행한 다발성 뇌신경계 위축증 1례 (Case of Multiple Systemic Atrophy Treated with Korean Medical Treatment and Rehabilitation Therapy)

  • 박장경;맹유숙;이승복;김동일
    • 대한한의학회지
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    • 제32권2호
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    • pp.118-125
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    • 2011
  • 난치성 질환인 다발성 뇌신경계 위축증으로 진단 받은 환자를 신음허, 비기허, 중풍으로 변증하고 한약 치료, 침구 치료 및 재활 치료를 시행한 결과 근력 및 연하기능이 호전된 경과를 관찰하였기에 보고하는 바이다. 향후 다발성 뇌신경계 위축증에 대한 한방치료 효과를 증명하기 위해 추가적인 증례 보고와 다양한 실험 및 임상연구가 필요할 것으로 사료된다.

뇌졸중 환자의 인두기능 회복을 위한 전기자극기 설계 (Electrical Stimulation System Design for Pharyngeal Dysfunction of Stroke Patients)

  • 유지혜;배하석;최병철;김성민
    • 한국정밀공학회지
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    • 제22권7호
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    • pp.185-190
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    • 2005
  • The purpose of this study is to design electrical stimulation system fur stroke patients with pharyngeal dysfunction(dysphagia). Dysphagia is that the food has trouble in passing to the mouth from the stomach. Although we have many treatment methods for dysphagia, electrical stimulation system will be useful for stroke patients having dysphagia. Electrical stimulation system can be divided into body and electrodes. The body stimulation is composed to frequency counter, time control and current measurement part. These parts are to control the frequency, stimulating time and current intensity And they can be variable according to the patient's clinical assessment. The electrode plays a role to deliver the current from the system to the muscle. Also the position of the electrode can be variable according to the treatment method. We performed the clinical experiment with stroke patients who had swallowing disorder. The videofluoroscopy was used fur the observation. From the result of clinical experiment based on electrical stimulation, we expected that the dysfunction(in pharynx) level of the patient could be improved. However we could not have enough effectiveness of the treatment because of the number of patients, patient's adaptation and treatment period. We will design the optimized electrical stimulation system based on enough clinical experiment in the future.

Immunoglobulin으로 호전된 POEMS 증후군의 다발성 신경병증 1예 (A Case of Polyneuropathy of the POEMS Syndrome Responsive to Intravenous Immunoglobulin)

  • 배상우;권준우;윤숙;장윤정;이창민;이근호;김재일
    • Annals of Clinical Neurophysiology
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    • 제5권2호
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    • pp.210-213
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    • 2003
  • POEMS syndrome is a multisystem disorder associated with polyneuropathy, organomegaly, endocrinopathy, a monoclonal protein(M-protein), and skin change. Recently we have had the opportunity to attend one patient with clinical features similar to this syndrome. He was a 46-year-old man who had a progressive polyneuropathy, swallowing difficulty, hepatosplenomegaly, hypothyroidism, IgA ${\lambda}type$ monoclonal gammapathy, specific skin change and ascites. His symptoms such as low extrimity pain and weakness, swallowing difficulty were improved by high-dose 7S-IgG. Thus, we report a case with a review of the literature.

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부분 혀 절제술로 인해 연하 장애가 있는 환자에서 상악 구개 증대 총의치 제작 증례 (Case of making maxillary palatal augmentation complete denture for patient with dysphagia after partial glossectomy)

  • 김형석;박지영;임선영;허유리;손미경
    • 구강회복응용과학지
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    • 제34권3호
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    • pp.239-245
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    • 2018
  • 만약 혀 절제술로 인해 식괴의 형성 및 이동에 장애가 생기는 경우, 식괴가 기도를 막거나 기도로 흡인되는 연하장애가 발생할 수 있으며, 이런 경우에 구개 증대 보철물은 도움이 될 수 있다. 구강암으로 인해 부분 혀 절제술을 받은 후 음식물을 삼키기 어렵다는 주소로 내원한 환자에게 혀의 기능 운동을 인기한 상악의 연마면 인상채득을 통해 구개 증대 보철개념을 활용한 상악 총의치를 제작하여, 구개-혀 접촉 압력을 증가시켜서 연하 및 발음에 양호한 결과를 얻을 수 있었다.

뇌성마비 장애인의 구강보건 실태 (THE ORAL HEALTH STATUS OF DISABLED PEOPLE WITH CEREBRAL PALSY)

  • 성민지;김선미;양규호;최남기
    • 대한장애인치과학회지
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    • 제5권1호
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    • pp.5-11
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    • 2009
  • The objective of this study was to assess oral health status such as prevalence of dental caries, gingivitis and other combined disorder, orofacial dysfunction in patients with cerebral palsy(CP), as well as the state of tooth brushing, possibility of dental treatment. Sixty-six subjects with CP aged 9 to 37 years were included in the study. Clinical caries status(DMFT index) and other data were evaluated and statistically analyzed using SPSS program (SPSS 17.0). The results were as follows: The DMFT index and prevalence of gingivitis of study subjects were 2.82(male), 3.33(female) and 89%, respectively. DMFT index classified into four groups according to age as follows: DMFT index were 1.14(ages 6-11), 1.40(ages 12-14), 2.16(ages 15-24), 4.15(ages 25-37). In addition to the physical disorder, speech difficulty(86%), epilepsy(35%) and visual impairment(14%) were associated and the epilepsy medication was the most common medication. And orofacial dysfunction such as the eating difficulties(79%), drooling(36%), swallowing disorder(30%), breathing difficulty(15%), bruxism(30%) and snoring(33%) was shown. Most people with cerebral palsy can't brush alone and didn't use oral care adjunctive supplies. Moreover, Fifty-nine percent of them were noncooperative to dental treatment.

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Angelman syndrome 환자의 치과치료 : 증례보고 (DENTAL TREATMENT OF CHILDREN WITH ANGELMAN SYNDROME : CASE REPORTS)

  • 박소연;김종철;이상훈;장기택;김정욱;김영재;신터전;현홍근
    • 대한장애인치과학회지
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    • 제7권2호
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    • pp.115-118
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    • 2011
  • Angelman syndrome(AS) is a rare genetic neurological disorder. The main clinical characteristics of this syndrome are delayed neuropsychological development, intellectual disability, speech impairment, jerky movements especially hand-lapping, frequent laughter or smiling. AS is a classic example of genetic imprinting in that it is usually caused by deletion or inactivation of genes on the maternally inherited chromosome 15. The syndrome has oral manifestations such as diastemas, tongue thrusting, sucking/swallowing disorder, mandibular prognathism, frequent drooling, and excessive chewing behavior. The purpose of this paper is to describe the interesting aspects of the dental treatment of a childe with AS.