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NEW DEVELOPMENT OF ASSESSMENT AND MANAGEMENT FOR SPEECH, MASTICATION AND SWALLOING DISORDERS

Research Project

Project/Area Number 08407067
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Surgical dentistry
Research InstitutionShowa University

Principal Investigator

MICHI Ken-ichi  Showa University, School of Dentistry, Professor, 歯学部, 教授 (40013891)

Co-Investigator(Kenkyū-buntansha) TAKAHASHI Kohji  Showa University, School of Dentistry, Assist. Professor, 歯学部, 講師 (40197140)
YAMASHITA Yukari  Showa University, School of Dentistry, Assist. Professor, 歯学部, 講師 (50260906)
MICHIWAKI Yukihiro  Showa University, School of Dentistry, Assist. Professor, 歯学部, 講師 (40157540)
YAMAMOTO Reiko  Showa University, School of Dentistry, Assist. Professor, 歯学部, 助手 (50297040)
MATSUI Yoshirou  Showa University, School of Dentistry, Assist. Professor, 歯学部, 講師 (10181687)
今井 智子  昭和大学, 歯学部, 講師 (60260907)
Project Period (FY) 1996 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥20,100,000 (Direct Cost: ¥20,100,000)
Fiscal Year 1999: ¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 1998: ¥4,500,000 (Direct Cost: ¥4,500,000)
Fiscal Year 1997: ¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 1996: ¥7,600,000 (Direct Cost: ¥7,600,000)
KeywordsVIDEOFLUOROGRAPHY / SPEECH DISORDERS / SWALLOWING DISORDERS / TEXTURE OF FOOD / NEAR-INFRARED LIGHT / 誤嚥診断 / 摂食・嚥下障害 / 検査食 / ケアアセスメント票 / 嚥下検査用試薬 / X線造視ビデオ法 / 舌圧センサー / 要介護度認定 / 口腔癌 / 再建手術 / 咀嚼機能 / 構音機能
Research Abstract

1) New equipment for detecting aspiration pneumonia
A experimental study was performed to develop a new diagnostic equipment with light emitted diode (LED). The new system used 9 LEDs with 880nm of wavelength, 900mA of light source and photo diode (PD), including Indocyanine green as dye solution. The Indocyanine solution diluted 20 times than usual was also useful to reduce the electric intensity at the PD. Further improvement of combination of LED and PD would enable to develop a new diagnostic aid for aspiration.
2) Influence of hardness of food on dysphagia
To clarify relationship between texture of the food and swallowing function, the influence of hardness of the test material on the severity of dysphagia was examined. Four test materials with different level of hardness were used for the study, which was made by mixture of agar and iopamidol. The subjects were 24 patients diagnosed as aspiration or penetration using videofluorography. As a result, the softest diet had significantly the highest risk of aspiration, while the hardest material had definitely safer than others. These results revealed that the hardness of diet affected the severity of dysphagia. To divide diets based on easiness of swallow would help patients with dysphagia to eat more safely and satisfactory.

Report

(5 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • 1996 Annual Research Report
  • Research Products

    (26 results)

All Other

All Publications (26 results)

  • [Publications] 山下夕香里他: "口蓋裂術後構音障害症例の構音訓練における発生発話訓練システムの有効性について"日本口蓋裂学会雑誌. 24・1. 52-60 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 横山美加、道脇幸博他: "X線ビデオ透視画像による嚥下動態の解析 第一報・評価法に関する検討"日本口腔科学会雑誌. 49・1. 16-24 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 道脇幸博他: "近赤外線による誤嚥診断法に関する基礎的検討"日本口腔科学会雑誌. 49・1. 7-10 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 道脇幸博他: "検査食の硬さによる誤嚥の危険性"日本口腔科学会雑誌. 49・1. 11-15 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 横山美加、道脇幸博他: "X線ビデオ透視画像による嚥下動態の解析 第二報・舌半側切除症例"日本口腔科学会雑誌. 49・2(印刷中). (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 道脇幸博他: "摂食・嚥下障害に対するケアアセスメントの必要性-介護保険のために-"日本歯科医療福祉学会雑誌. 4・1. 1-7 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y.Yamashita, et al.: "The Efficacy of the speeccch training system for the treatment of articulation disorders in patients with cleft palate"J. Jpn. Cleft Palate Assoc.. 24. 52-60 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y.Michiwaki, et al.: "New test materials produced with iopamidol and agar for videofluorography in patients with dysphagia"Jpn. J. Dysphagia Rehablitation. 3. 34-39 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y.Michiwaki, et al.: "Changes of Food Texture at Various Compression Speed"Jpn. J. Dysphagia Rehablitation. 3. 16-20 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y.Michiwaki, et al.: "Necessity of Care Assessment for Eating Disorders"Jpn. J. D. W.. 4. 1-7 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y.Michiwaki, et al.: "Influence of Hardness of the Test Materials"J. Jpn. Stomatol. Soc.. 49. 7-10 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] "An Experimental Study to Develop a New Device Using Near-infrared Light for Detecting Aspiration"J. Jpn. Stomatol. Soc.. 49. 11-15 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] "Analysis of Swallowing Function Using Videofluorographic Images-Basic Study for the Timing Analysis"J. Jpn. Stomatol. Soc.. 49. 16-24 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 山下夕香里 他: "口蓋裂術後構音障害症例の構音訓練における発声発語訓練システムの有効性について"日本口蓋裂学会雑誌. 24・1. 52-60 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 横山美加、道脇幸博 他: "X線ビデオ透視画像による嚥下動態の解析 第一報:評価法に関する検討"日本口蓋科学会雑誌. 49・1. 16-24 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 道脇幸博 他: "近赤外線による誤嚥診断法に関する基礎的検討"日本口蓋科学会雑誌. 49・1. 7-10 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 道脇幸博 他: "検査食の硬さによる誤嚥の危険性"日本口蓋科学会雑誌. 49・1. 11-15 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 横山美加、道脇幸博 他: "X線ビデオ透視画像による嚥下動態の解析 第2報:*****"日本口蓋科学会雑誌. 49・2. 印刷中 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 道脇幸博 他: "摂食・嚥下障害に対するケアアセスメントの必要性-介護保険のために-"日本歯科医療福祉学会雑誌. 4・1. 1-7 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 道脇幸博 他: "中枢性口腔機能障害の歯科医学的治療に関する臨床的研究" 日本歯科医学会雑誌.

    • Related Report
      1998 Annual Research Report
  • [Publications] 宇山理紗, 高橋浩二 他: "嚥下音,呼気音の音響特性を利用した嚥下障害の客観的評価の試み" 日本口腔科学会雑誌. 46・2. 147-156 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 道脇幸博, 道健一 他: "舌癌再建症例の術後の構音機能に関する多施設共同研究" 日本口腔腫瘍学会雑誌. 9・4. 269-275 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 道脇幸博, 道健一 他: "口底癌再建症例の術後の構音機能に関する多施設共同研究" 日本口腔腫瘍学会雑誌. 10・1 (掲載予定). (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 道脇幸博,道健一他: "中枢性口腔機能障害の歯科医学的治療" 歯科医師会雑誌. 49-6. 4-14 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 遠藤由美子,道健一他: "著しい舌癖を有する口蓋化構音の1治験例" 音声言語医学. 38・1. 11-19 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 道脇幸博,道健一他: "中枢性嚥下機能障害の評価法について-X線ビデオ法による検討-" 音声言語医学. 38・1. 53-53 (1997)

    • Related Report
      1996 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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