咳和吞疗法及其对声道折和喉病变的影响
Can Doruk1,2, James A Curtis3, Avery E Dakin1
1Laboratory for the Study of Upper Airway Dysfunction, Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, New York, USA.
The Laryngoscope
|July 27, 2023
概括
呼吸道肌肉力量训练 (EMST) 和呼吸道保护的感觉运动训练 (smTAP) 在患有帕金森病 (PwPD) 的患者中没有显著改变声鞠躬. 发现EMST和smTAP都是PwPD的安全干预措施.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 帕金森病 (PwPD) 通常导致咳和吞功能受损.
- 呼吸道肌肉力量训练 (EMST) 和呼吸道保护的感觉运动训练 (smTAP) 是旨在改善PwPD中这些功能的干预措施.
- 这些疗法对声生物力学,特别是声鞠曲的影响及其安全性需要进一步调查.
研究的目的:
- 为了研究EMST和smTAP对帕金森病患者声带鞠躬的影响.
- 评估EMST和smTAP关于PwPD声病变的发展的安全性.
主要方法:
- 来自前性随机对照试验的数据的二次分析,涉及PwPD接受EMST或smTAP.
- 用灵活的内镜评估吞 (FEES) 和ImageJ软件评估了声鞠躬 (BI) 和喉病变.
- 使用线性回归和描述性统计数据来分析BI的变化以及治疗前后病变的发生率.
主要成果:
- 在EMST或smTAP后,没有观察到声鞠曲的统计学意义上的变化.
- 没有足够的证据表明治疗类型 (EMST与smTAP) 影响了声道折叠.
- 在任何治疗组中都没有检测到对声病变存在的显著影响.
结论:
- 声音曲的变化似乎不是驱动EMST和smTAP在PwPD中的治疗效果的主要机制.
- 已经证明EMST和smTAP是PwPD的安全干预措施,即使有强烈的呼气和咳练习.
- 这些发现支持继续使用EMST和smTAP来治疗帕金森病的咳和吞困难.
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