额头运动对甲状腺肌肉的直接影响:一个案例系列
Kazuya Hara1, Takashi Shigematsu1, Keishi Okamoto1
1Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Shizuoka, JPN.
Cureus
|August 6, 2025
概括
一次额头运动 (FESM) 的单个会话显著减少了透和吸收事件在患有食障碍的患者. 这种简单的练习可能是一种实际的准备技术,可以降低吞时气道入侵的风险.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 语音语言病理学 语音语言病理学
背景情况:
- 缺食症在老年人和神经病患者中很普遍,增加了吸入性肺炎的风险和生活质量的降低.
- 额头运动用于上腺肌肉 (FESM) 是一种强化上腺肌肉的非侵入性方法.
- FESM对吞功能的直接影响,特别是透和吸入,仍然不清楚.
研究的目的:
- 评估单个FESM会话对减少吞时透和吸入风险的直接影响.
- 在接受视频光镜吞研究 (VFSS) 的患者中,评估FESM后透-吸收量表 (PAS) 评分的变化.
主要方法:
- 一个回顾性病例系列12名患者 (平均年龄76.6岁) 基线PAS得分≥2接受VFSS.
- 患者在干预后吞之前,立即执行至少五次FESM (同度下巴) 的重复.
- 使用威尔科克森签名等级测试,比较了FESM前后的PAS分数.
主要成果:
- 在FESM后,PAS中位数从3.5显著下降到1.0 (p=0.025).
- 在12名患者中,有10名患者的PAS得分有所改善.
- 一名患者没有表现出任何变化,另一名患者的病情恶化.
结论:
- 一次FESM会话可以立即减少吞期间的透和吸入事件.
- FESM显示出作为一种实用,低功耗的准备练习,以减轻气道入侵风险的潜力.
- 需要进一步进行受控试验来验证这些发现并探索长期益处.
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