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The physiology of swallowing during sleep in dysphagia patient

Research Project

Project/Area Number 16H06965
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Social dentistry
Research InstitutionOsaka Dental University (2017)
Osaka University (2016)

Principal Investigator

OKUNO Kentaro  大阪歯科大学, 歯学部, 助教 (50420451)

Project Period (FY) 2016-08-26 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords医療・福祉 / 歯学 / 生理学 / リハビリテーション / 嚥下障害 / 嚥下反射 / 睡眠 / 誤嚥
Outline of Final Research Achievements

We evaluated the coordination between respiration and swallowing by infusing water into the pharynx of healthy young adults during each sleep stage. Seven normal subjects participated in the study. During polysomnography recordings, to elicit a swallow we injected distilled water into the pharynx during the awake state and each sleep stage through a nasal catheter. A total number of 79 swallows were recorded. The median swallow latency was significantly higher in stage 2 (10.05 s) and stage 3 (44.17 s) when compared to awake state (4.99 s). There was no significant difference in the swallow apnea time between sleep stages. The presence of inspiration after swallowing, repetitive swallowing, and coughing after swallowing was more frequent during sleep than when awake. Our results supported physiologically the fact that healthy adult individuals aspirate pharyngeal secretions during sleep.

Report

(3 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • Research Products

    (18 results)

All 2018 2017 2016

All Journal Article (5 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 5 results,  Acknowledgement Compliant: 1 results) Presentation (13 results) (of which Int'l Joint Research: 2 results,  Invited: 5 results)

  • [Journal Article] Dental and skeletal changes associated with long-term oral appliance use for obstructive sleep apnea: A systematic review and meta-analysis2018

    • Author(s)
      Araie Takafumi、Okuno Kentaro、Minagi Hitomi Ono、Sakai Takayoshi
    • Journal Title

      Sleep Med Rev

      Volume: in press Pages: 161-172

    • DOI

      10.1016/j.smrv.2018.02.006

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Predictors of Side Effects With Long-Term Oral Appliance Therapy for Obstructive Sleep Apnea2018

    • Author(s)
      Minagi Hitomi Ono、Okuno Kentaro、Nohara Kanji、Sakai Takayoshi
    • Journal Title

      J Clin Sleep Med

      Volume: 14 Issue: 01 Pages: 119-125

    • DOI

      10.5664/jcsm.6896

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 閉塞性睡眠時無呼吸症の口腔内装置治療に関する多施設調査研究 - Japanese Multicenter Survey of Oral Appliance Therapy for Obstructive Sleep Apnea (JAMS) Study -2018

    • Author(s)
      奥野健太郎、古橋明文、中村周平、鈴木浩司、有坂岳大、田賀仁、田村仁孝、片平治人、古畑升、飯田知里
    • Journal Title

      睡眠口腔医学

      Volume: in press

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Titration technique using endoscopy for an oral appliance treatment of obstructive sleep apnea2017

    • Author(s)
      Okuno K, Ai E, Ikai K, Araie T
    • Journal Title

      Journal of Prosthetic Dentistry

      Volume: 印刷中

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] The efficacy of a titrated tongue stabilizing device on obstructive sleep apnea and the quality of life: a clinical trial study protocol2017

    • Author(s)
      Okuno K, Hamoda MM, Alshhrani WM, Fleetham JA, Ayas NT, Comey R, Lowe AA, Pliska BT, Almeida FR
    • Journal Title

      Journal of Dental Sleep Medicine

      Volume: 印刷中

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] なぜ高齢者の誤嚥性肺炎は夜つくられるのか?という謎の解明へ -睡眠中の嚥下動態について-2017

    • Author(s)
      奥野健太郎
    • Organizer
      第16回日本睡眠歯科学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 内視鏡実演 睡眠歯科領域への応用2017

    • Author(s)
      佐々生康宏,奥野健太郎
    • Organizer
      第16回日本睡眠歯科学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 睡眠時無呼吸症に対する歯科からのアプローチ2017

    • Author(s)
      奥野健太郎,阪井丘芳
    • Organizer
      第17回日本抗加齢医学会総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Success or Failure? What is the indication for the treatment of oral appliance2017

    • Author(s)
      Kentaro OKUNO
    • Organizer
      The 2017 congress of the Korean Academy of Dental Sleep Medicine
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 閉塞性睡眠時無呼吸症に対するナステント治療の効果と治療反応の予測2017

    • Author(s)
      奥野健太郎,皆木瞳,井階一樹,松村えりか,高井英月子,深津ひかり,内田悠理香,阪井丘芳
    • Organizer
      第16回日本睡眠歯科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 閉塞性睡眠時無呼吸症の口腔内装置治療に関する多施設調査研究 ─ Japanese Multicenter Survey for Oral Appliance Therapy(JAMS)Study ─2017

    • Author(s)
      奥野健太郎,古橋明文,中村周平,鈴木浩司,有坂岳大,田賀仁,田村仁孝,片平治人,古畑升,飯田知里
    • Organizer
      第16回日本睡眠歯科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 日本国内で使用されている口腔内装置の形態に関する調査 ─日本睡眠歯科学会会員を対象としたアンケート調査─2017

    • Author(s)
      佐藤一道,奥野健太郎,秀島雅之,松尾朗,植野芳和,古畑升
    • Organizer
      第16回日本睡眠歯科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 口腔内装置の長期使用による副作用に関与する因子の解析2017

    • Author(s)
      皆木瞳,奥野健太郎,野原幹司,阪井丘芳
    • Organizer
      第16回日本睡眠歯科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 閉塞性睡眠時無呼吸に対する口腔内装置長期使用による歯槽性および骨格性変化:系統的レビューおよびメタ分析2017

    • Author(s)
      新家敬史,奥野健太郎,小野瞳,阪井丘芳
    • Organizer
      第16回日本睡眠歯科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 閉塞性睡眠時無呼吸症に対する口腔内装置の長期使用における咬合への副作用について2017

    • Author(s)
      奥野健太郎,小野瞳,阪井丘芳
    • Organizer
      第42回日本睡眠学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 重症の閉塞性睡眠時無呼吸症患者に対し経鼻的持続陽圧呼吸と口腔内装置の併用治療を行った1症例2017

    • Author(s)
      奥野健太郎
    • Organizer
      日本老年歯科医学会 第28回学術大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] The Efficacy of TSD in OSA Patients - A Preliminary Report2017

    • Author(s)
      Alshhrani W, Okuno K, Kohzuka Y, Hamoda M, Peres B, Fleetham JA, Ayas NT, Comey R, Lowe AA, Almeida FR
    • Organizer
      The University of British Columbia Dentistry Research Day
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The change in coordination of swallowing and respiration during sleep2016

    • Author(s)
      Okuno K, Nohara K, Takai E, Sakai T
    • Organizer
      The Japanese Society of Dysphagia Rehabilitation
    • Place of Presentation
      朱鷺メッセ(新潟県 新潟市)
    • Year and Date
      2016-09-23
    • Related Report
      2016 Annual Research Report
    • Invited

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Published: 2016-09-02   Modified: 2019-03-29  

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