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脑卒中后食症患者的头部和部肌肉活动:肌肉动力学和康复的影响

Yingying Zhang¹, Mingyuan Wu², Weixia Yu³

¹Department of Radiotherapy, The First Affiliated Hospital of Soochow University, Suzhou, China.

Journal of oral rehabilitation

|August 20, 2025

概括

表面电肌图 (sEMG) 显示在脑电失调 (PSD) 后患者的头部和部肌肉活化不同. 针对性炼,如唇,可以改善PSD康复中的肌肉功能.

科学领域:

神经学
康复医学
生物医学工程

背景情况:

脑卒中后的消化不良显著影响吞功能.
了解头部和部肌肉活动对于PSD康复至关重要.
表面电肌图 (sEMG) 提供了一种定量方法来评估肌肉功能.

研究的目的:

用sEMG评估PSD患者的头部和部肌肉活动模式.
为开发针对PSD的肌肉功能康复策略建立科学基础.
为了比较PSD患者和健康对照者在吞和发声任务中的肌肉激活.

主要方法:

一项涉及60名PSD患者和60名健康志愿者的病例对照研究.
在干燥吞和各种声学任务 (PLB, EIBH,唇, /a/, /n/, /m/) 中记录了头部和部肌肉的sEMG信号.
平均sEMG振幅的分析和吞和发声任务中的肌肉活动之间的相关性.

主要成果:

在PSD患者中,在干性吞和大多数语音任务中,按摩器 (MS) 肌肉活动之间表现出显著的相关性.
与对照组不同的是,PSD患者的脑下肌肉活动与所有测试任务相关.
在PSD患者中,唇声,/a/和/n/声调任务特别影响了MS,SUB,SCM和OO肌肉激活,与对照组不同.

结论:

在PSD患者中,头部和部肌肉在各种发声任务中表现出不同的激活模式.
像唇和特定的声音发音这样的声学任务可以调节与PSD相关的肌肉活动.
精心挑选的语音任务有助于制定有效的,有针对性的PSD康复策略.

关键词:

肌肉功能语音任务中风后的消化不良整治工作表面电肌图

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