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脑卒中后的语言功能和吞生理学

Brittany N Krekeler1,2,3, Anna Hopkins1, Melissa Cooke4

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此摘要是机器生成的。

舌头的耐力,而不仅仅是压力,与中风后的吞困难有关. 这一发现表明,评估舌头耐力可能会改善中风后食障碍的临床评估.

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科学领域:

  • 神经学 神经学
  • 语音语言病理学 语音语言病理学
  • 吞障碍 吞障碍 吞障碍

背景情况:

  • 脑卒中后食症往往涉及到语言功能受损.
  • 舌头强度和口腔/喉吞缺陷之间的关系需要进一步定义.

研究的目的:

  • 调查舌头压力生成能力与缺血性中风幸存者的口腔喉吞障碍之间的关联.

主要方法:

  • 一项涉及39名缺血性中风患者的横截面研究.
  • 使用视频光镜吞研究 (VFSS) 和舌力测量仪 (Tongueometer, IOPI) 来测量舌头压力,最大同位压力 (MIP) 和耐力 (ISO-M,ISO-T).
  • 使用修改的巴吞障碍概况 (MBSImP) 来得分VFSS数据,并使用斯皮尔曼系数分析相关性.

主要成果:

  • 在最大同位素耐力 (ISO-M) 和MBSImP口服总分 (r = -0.41,p = 0.0082) 之间发现了显著的中等相关性.
  • 在闭嘴 (r = -0.46,p = 0.0026) 和舌头控制 (r = -0.48,p = 0.0016) 的ISO-M和MBSImP组件之间观察到特定的相关性.
  • 对于其他语言压力指标,没有发现显著的相关性.

结论:

  • 同度性舌头耐力与中风后患者口腔吞功能的生理测量相关.
  • 纳入舌头耐力测试可以增强对这一群体的临床评估.
  • 建议进行进一步的研究,以探索语言功能测量对吞功能障碍的预测价值.