上呼吸道的功能能力在老年人的慢性中风
Esther Prados-Román1, Mónica Zapata-Soria1, Irene Cabrera-Martos1
1Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain.
Geriatrics (Basel, Switzerland)
|November 25, 2024
概括
慢性中风的老年人显示上呼吸道功能减弱,包括咳强度减弱,语音强度降低,吞受损. 这些发现突出了显著的功能缺陷,影响了这一群体的生活质量.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 语音和听力科学 语言和听力科学
背景情况:
- 老龄化和慢性中风可能会损害老年人上呼吸道功能.
- 与中风相关的神经变化可以影响呼吸,声声和吞机制.
- 了解这些功能缺陷对于有针对性的康复策略至关重要.
研究的目的:
- 评估慢性中风的老年人上呼吸道的功能能力.
- 为了比较慢性中风和没有慢性中风的老年人之间的呼吸,语音和吞功能.
- 为了确定与中风相关的特定缺陷,这些缺陷会影响呼吸道功能.
主要方法:
- 一项涉及44名老年人的比较研究 (22名慢性中风患者,22名对照).
- 通过强制生命能力,一秒内强制呼气体积,最大自发通风和咳峰值流量来评估呼吸功能.
- 语音功能通过独白的强度,频率,闪,和声比和噪声比,以及最大的发音时间 (/a/, /s/) 来评估.
- 使用食用评估工具-10和吞生活质量调查问卷评估吞功能.
主要成果:
- 与对照组相比,慢性中风患者的最大自愿通风和咳峰值流量显著减少.
- 语音评估显示,在中风组中,单口语的强度较低,波与噪声比较差, /s/的最大发音时间较短.
- 卒中组表现出明显较低的吞效率,安全性,以及与吞相关的生活质量较差.
结论:
- 患有慢性中风的老年人表现出明显损害的上呼吸道功能.
- 主要缺陷包括咳强度降低,语音产生受损,吞能力下降.
- 这些功能障碍可能会导致生活质量下降,需要专门的干预措施.
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