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New strategy to improve velopharyngeal incompetence using CPAP and speech appliances.

Research Project

Project/Area Number 07807179
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 補綴理工系歯学
Research InstitutionOsaka University

Principal Investigator

TACHIMURA Takashi  Faculty of Dentistry, Division for Oral-Facial Disorders, Osaka University, Associate professor, 歯学部・附属病院, 講師 (60188266)

Co-Investigator(Kenkyū-buntansha) HARA Hisanaga  Faculty of Dentistry, Division for Oral-Facial Disorders, Osaka University, Assi, 歯学部・附属病院, 助手 (80273697)
Project Period (FY) 1995 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1997: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1996: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1995: ¥900,000 (Direct Cost: ¥900,000)
KeywordsCleft palate / velopharynx / levator veli palatini / electromyography / speech appliance / CPAP / nasal air pressure / speech therapy / 鼻咽腔閉鎖 / スピーチェイド
Research Abstract

1. In the placement condition of a speech appliance including a palatal lift and speech, bulb, levator veli palatini muscle (LVP) activity decreased in both condition of speech and blowing. The differential activity in LVP between placement and removal of a speech appliance might generate reserve capacity for velopharyngeal function for speech.
2. Velopharyngeal function might be normally altered through placement of a speech appliance. Thus, continuous positive air pressure treatment for improvement of velopharyngeal function for speakers
3. with substantial velopharyngeal incompetence could be effective as well as speakers with borderline velopharyngeal incompetence.
4. The results of clinical application of CPAP for speakers wearing a speech appliance, a PLP or a speech bulb, showed that the efficacy for the CPAP is possible to dependent upon adaptation of a speech appliance to velopharyngeal. That is, in case of poor adapted speech appliance, the effect of CPAP to improve velopharyngeal function was not so clear as in case of a well adapted one.
5. Future study should be warranted to clarify whether a well adapted speech appliance in relation to the circumstance of the velopharynx can commonly be effective to improve substantial velopharyngeal incompetence.

Report

(4 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • 1995 Annual Research Report
  • Research Products

    (21 results)

All Other

All Publications (21 results)

  • [Publications] 舘村 卓, 高 英保, 米田 真弓, 他: "軟口蓋挙上装置による脳卒中症例における鼻咽腔閉鎖機能の改善-鼻咽腔内視鏡所見および口蓋帆挙筋筋電図による検討-" 音声言語医学. 39・1. 16-23 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 舘村 卓, 高 英保, 原 久永, 他: "スピーチエイド装着時における発音時口蓋帆挙筋活動に対する持続的鼻腔内陽圧負荷の効果" 大阪大学歯学雑誌. 42・2. 206-212 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 舘村 卓, 高 英保, 原 久永, 他: "スピーチエイド装着による鼻咽腔閉鎖機能の予備能形成" 音声言語医学. 38・4. 337-343 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takashi Tachimura, Hisanaga Hara, Hideyasu K: "Effect of Temporary closure of Oronasal fistula on levator veli palatini muscle activity" Cleft Palate-Cranio Facial Journal. 34・6. 505-511 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 舘村 卓, 高 英保, 原 久永, 他: "スピーチエイド装着にともなう発音時口蓋帆挙筋活動の変化" 日本口蓋裂学会雑誌. 22・1. 22-31 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 舘村 卓, 高 英保, 原 久永, 他: "スピーチエイド着脱にともなう鼻咽腔閉鎖機能の変化-blowing時口蓋帆挙筋活動の変化-" 日本口蓋裂学会雑誌. 21・1. 28-34 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tachimura, Takashi: "Effect of speech appliance in place on levator veli palatini muscle activity during blowing" J.Jpn.Cleft Palate Assoc.21. 28-34 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tachimura, Takashi: "Effect of a Speech Appliance in Place on Levator Veli Palatini Muscle Activity during Speech." J.Jpn.Cleft Palate Assoc.22. 22-31 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tachimura, Takashi: "Effect of temporary Closure of Oronasal Fistulae on Levator Veli Palatini Muscle Activity" Cleft Palate/Craniofac.J.34 (6). 505-511 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tachimura, Takashi: "Generation of functional reserve capacity for adequate velopharyngeal function in association with placement of a speech appliance" Jpn.J.Logoped.and Phoniatr.38 (4). 337-343 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tachimura, Takashi: "Effect of continuous positive air pressure on levator veli palatini muscle activity for speakers wearing a speech appliance." J.Osaka Univ.Dent.Soc.42 (2). 206-212 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tachimura, Takashi: "Change in velopharyngeal function of a stroke patient in association with continuous usage of a palatal lift prosthesis." Jpn.J.Logoped.and Phoniatr.39 (1). 16-23 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 舘村卓, 高英保, 米田真弓 他: "軟口蓋挙上装置による脳卒中症例における鼻咽腔閉鎖機能の改善-鼻咽腔内視鏡所見および口蓋帆挙筋筋電図による検討-" 音声言語医学. 39・1. 16-23 (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 舘村卓, 高英保, 原久永 他: "スピーチェイド装着時における発音時口蓋帆挙筋活動に対する持続的鼻腔内陽圧負荷の効果" 大阪大学歯学雑誌. 42・2. 206-212 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 舘村卓, 高英保, 原久永 他: "スピーチェイド装着による鼻咽腔閉鎖機能の予備能形成" 音声言語医学. 38・4. 337-343 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] T.TACHIMURA, H.HARA, HIKOH, et al.: "Effect of Temporary closure of Oronasal fistula on levator veli palatini muscle activity" Cleft Palate-Craniofac.J.34 6. 505-511 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 舘村卓, 高英保, 原久永 他: "スピーチェイド装着にともなう発音時口蓋帆挙筋活動の変化" 日本口蓋裂学会雑誌. 22・1. 22-31 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 舘村卓, 高英保, 原久永 他: "スピーチェイド着脱にともなう鼻咽腔閉鎖機能の変化-blowing時口蓋帆挙筋活動の変化-" 日本口蓋裂学会雑誌. 21・1. 28-34 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] 舘村卓,高英保,原久永他: "スピーチエイド装着にともなう発音時口蓋帆挙筋活動の変化" 日本口蓋裂学会雑誌. 22・1. 22-31 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 佐藤耕一,和田健,舘村卓他: "口蓋裂術後患者と健常者における鼻咽腔閉鎖位置についての比較検討21GC02:日本口蓋裂学会雑誌" 22・1. 16-21 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 舘村卓,高英保,原久永 他: "スピーチエイド着脱にともなう鼻咽腔閉鎖機能の変化-blowing時口蓋帆挙筋活動の変化-" 日本口蓋裂学会雑誌. 21. 28-34 (1996)

    • Related Report
      1995 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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