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Clinical research on new swallowing training method applying pharyngeal stimulation

Research Project

Project/Area Number 16K11904
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Social dentistry
Research InstitutionTokyo Medical and Dental University (2018)
Fujita Health University (2016-2017)

Principal Investigator

NAKAGAWA Kazuharu  東京医科歯科大学, 大学院医歯学総合研究科, 助教 (60585719)

Co-Investigator(Kenkyū-buntansha) 松尾 浩一郎  藤田医科大学, 医学部, 教授 (90507675)
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords摂食嚥下障害 / 嚥下訓練 / 咽頭刺激 / 咽頭微小電気刺激 / 嚥下訓練法 / 嚥下リハビリテーション / 高齢者歯科 / 微小電気刺激
Outline of Final Research Achievements

The stimulus conditions for pharyngeal stimulation implemented for patients hospitalized in acute hospital require reconsideration, as the perception, swallowing and pain thresholds all become difficult to detect in this situation, necessitating reconsideration of stimulus conditions. Therefore, we incorporated ice massage, which is an established dysphagia rehabilitation technique, together with electrical stimulation of the pharynx. The subjects had the conventional treatment and pharyngeal stimulation + conventional treatment on different days. The time to swallowing and the number of swallows prompted by a single stimulation was compared, and the results showed that pharyngeal stimulation shortened the time to swallowing and increased the number of swallows. This demonstrated that electrical stimulation of the pharynx may have additional effect on the previously established swallowing rehabilitation method.

Academic Significance and Societal Importance of the Research Achievements

咽頭への微小電気刺激が様々な基礎疾患や病態を有する摂食嚥下障害患者のリハビリ法に応用できる可能性を検証した。本研究は,近年増加の一途をたどる摂食嚥下障害患者に対して,科学的根拠に基づいた機能的訓練法を確立することに焦点をあてて実施された。摂食嚥下障害患者に対する咽頭電気刺激は,これまで確立されている嚥下リハに付加的な効果を及ぼし,嚥下を効果的に誘発する可能性が見い出された。本研究結果より,歯科領域の視点から摂食嚥下障害患者のQOL向上に寄与する可能性が示された。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (10 results)

All 2019 2018 2017 2016 2015

All Journal Article (5 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 5 results,  Open Access: 4 results) Presentation (5 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Assessment of oral function and proper diet level for frail elderly individuals in nursing homes using chewing training food.2019

    • Author(s)
      Nakagawa K, Matsuo K
    • Journal Title

      J Nutr Health Aging

      Volume: 23 Issue: 5 Pages: 483-489

    • DOI

      10.1007/s12603-019-1192-z

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Decline in tongue pressure during perioperative period in cancer patients without oral feeding.2019

    • Author(s)
      Taniguchi H, Matsuo K, Nakagawa K, Furuya J, Kanazawa M, Minakuchi S
    • Journal Title

      Clin Nutr ESPEN

      Volume: 29 Pages: 183-188

    • DOI

      10.1016/j.clnesp.2018.10.008

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relationship between jaw-opening force and neck circumference in healthy elderly individuals.2018

    • Author(s)
      Yoshida S, Tohara H, Nakagawa K, Hara K, Yamaguchi K, Nakane A, Yoshimi K, Ariya C, Kurosawa Y, Minakuchi S
    • Journal Title

      Geriat Gerontl Int.

      Volume: 19 Issue: 4 Pages: 330-334

    • DOI

      10.1111/ggi.13620

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Efficacy of a novel training food based on the process model of feeding for mastication and swallowing: A study among dysphagia patients.2017

    • Author(s)
      Shibata S, Kagaya H, Tanaka S, Fujii W, Nakagawa K, Matsuo K, Abe K. Ishibashi N, Inamoto Y, Saito E
    • Journal Title

      Jpn J Compr Rehabil Sci

      Volume: 8 Pages: 82-87

    • NAID

      130005865260

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of gum chewing exercises on saliva secretion and occlusal force in community-dwelling elderly individuals: A pilot study.2015

    • Author(s)
      Nakagawa K, Matsuo K, Takagi D, Morita Y, Ooka T, Hironaka S, Mukai Y
    • Journal Title

      Geriatr Gerontol Int.

      Volume: 21 Issue: 1 Pages: 1-6

    • DOI

      10.1111/ggi.12670

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 急性期病院NST患者の口腔状態と栄養,摂食嚥下機能との関連性2019

    • Author(s)
      中川量晴,古屋純一,戸原 玄,松原ちあき,杉原華織,瀬戸さやか,大庭優香,須賀洋子,磯部清志,中川正敏,井津井康浩,斎藤恵子,水口俊介,中島康晃
    • Organizer
      第34回静脈経腸栄養学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 咀嚼訓練食品の押しつぶし能力と舌圧,食形態の関連性2018

    • Author(s)
      中川量晴,松尾浩一郎,谷口裕重,岡本美英子,鬼頭紀恵,阪下雅基,安部和美
    • Organizer
      第29回日本老年歯科医学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 咀嚼訓練食品の押しつぶし能力,咀嚼回数と食形態の関連性2018

    • Author(s)
      中川量晴,松尾浩一郎,樋口和徳,吉川満喜子,安部和美,阪下雅基
    • Organizer
      第24回日本摂食嚥下リハビリテーション学会学術大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 併設する医学部附属病院の入院患者に対する口腔ケア・摂食嚥下リハ介入の実態調査2018

    • Author(s)
      中川量晴,戸原 玄,中根綾子,古屋純一,足達淑子,稲次基希,前原健寿,水口俊介
    • Organizer
      第24回日本摂食嚥下リハビリテーション学会学術大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] A case in palliative care unit who showed improvement of caloric intake and nutrition by wearing dentures.2016

    • Author(s)
      Nakagawa K, Taniguchi H, Matsuo K
    • Organizer
      3rd iADH Congress & SCDA 28th Annual Meeting
    • Place of Presentation
      Chicago, IL, USA
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2020-03-30  

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