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Development of Evaluating Method at Bedside for Swallowing Function

Research Project

Project/Area Number 17592187
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Social dentistry
Research InstitutionHEALTH SCIENCES UNIVERSITY OF HOKKAIDO

Principal Investigator

KINOSHITA Kenji  HELTH SCIENCES UNIVERSITY OF HOKKAIDO, INSTITUTE OF PERSONALIZED MEDICAL SCIENCE, ASSOCIATE PROFESSOR, 個体差医療科学センター, 准教授 (50211199)

Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 2006: ¥1,600,000 (Direct Cost: ¥1,600,000)
Fiscal Year 2005: ¥1,300,000 (Direct Cost: ¥1,300,000)
KeywordsSwallowing Function / Bedside / Evaluating Method
Research Abstract

Objectives:
The purpose of this study was to develop an objective evaluation method at bedside for swallowing:
The ultra-sound diagnostic equipment (US) with a 5 MHz electronic convex sector scanning probe, videofluorography (VF) and endoscope (VE) were used to observe tongue movements in swallowing the test food. To record the swallowing sounds, a heart sound microphone was connected to the ultra-sound diagnostic equipment through a physiologic signal unit. The tongue movements and swallowing sounds were simultaneously recorded on DVD and analyzed by plotting five inflection points (T1, T2, T3, T4 and T5) of the movement curve and two beginning points of swallowing sounds (S1 and S2). Subjects were directed to swallow the test food (a starch compound mixed with water or pudding)
Results:
In healthy fully dentate subjects from the US-image and VE image, S1 coincided with the white-out in VE-image at swallowing. After the white-out in VE-image, S2 was observed in US-image. In the empty swallowing, S2 was not observed.
In two subjects with swallowing disorder, S2 was not observed when there ware residues of bolus in vallecula and aryepiglottic fold.
Conclusion:
It is suggested that the appearance of S2 indicate the normal swallowing.

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (10 results)

All 2006 2005

All Journal Article (9 results) Book (1 results)

  • [Journal Article] 地域口腔保健センターにおける摂食・嚥下リハビリテーションに対する取り組み 第2報 : 摂食りハ時に嘔気を伴った症例2006

    • Author(s)
      藪下吉則, 藤田浩孝, 木下憲治
    • Journal Title

      北海道歯科医師会誌 61号

      Pages: 151-153

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 嚥下障害を伴う脳性麻痺患者の全身麻酔下抜歯後に発症した誤嚥性肺炎2006

    • Author(s)
      國分正廣, 木下憲治, 三浦義英
    • Journal Title

      障害者歯科 27・4

      Pages: 594-598

    • NAID

      10018348860

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 「口腔内科相談外来」と「心療内科・医療心理室」との連携による口腔心身症患者へのアプローチ2006

    • Author(s)
      齋藤正人, 安彦善裕, 木下憲治
    • Journal Title

      日本歯科医療管理学会雑誌 41・3

      Pages: 175-179

    • NAID

      10019266767

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] A Case of Aspiration Pneumonia after Impacted Tooth Extraction under General Anesthesia in a Patient with Cerebral Palsy and Dysphagia2006

    • Author(s)
      KOKUBU Masahiro, KINOSHITA Kenji, MIURA Yoshihide
    • Journal Title

      Journal of the Japanese Society for Disability and Oral Health, 27

      Pages: 594-598

    • NAID

      10018348860

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Management of Oral Psychosomatic Disorders in Oral Medicine Consultation Clinic in Cooperation with Psychosomatic Medicine and Medical Psychology Clinics2006

    • Author(s)
      SAITOH Masato, ABIKO Yoshihiro, KAWAKAMI Tomofumi, IKEDAYasuhiro, NAGAYASU Hiroki, KINOSHITA Kenji, MIYAZAKI Yuka, SHIGA Mitsue, SASAKI Tadashi, SAKANO Yuji
    • Journal Title

      Japanese Journal of Dental Practice Administration 41

      Pages: 175-179

    • NAID

      10019266767

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 地域口腔保健センターにおける摂食・嚥下リハビリテーションに対する取り組み 第2報 : 摂食リハ時に嘔気を伴った症例2006

    • Author(s)
      藪下吉則, 藤田浩孝, 木下憲治
    • Journal Title

      北海道歯科医師会誌 61号

      Pages: 151-153

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 嚥下障害を伴う脳性麻痺患者の全身麻酔下抜歯後に発症した誤嚥性肺炎2006

    • Author(s)
      國分正廣, 木下賢治, 三浦義英
    • Journal Title

      障害者歯科 27・4

      Pages: 594-598

    • NAID

      10018348860

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 摂食リハにおいて構音障害のみられる患者にCastillo-Moralesのパラタルプレートを使用した症例2005

    • Author(s)
      藤田浩孝, 藪下吉則, 木下憲治
    • Journal Title

      北海道歯科医師会誌 60号

      Pages: 59-62

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 札幌歯科医師会口腔医療センターにおける摂食・嚥下機能障害への取り組み-第4報-独自の研修システムと委託実技研修2005

    • Author(s)
      三好雅樹, 鈴木史彦, 木下憲治
    • Journal Title

      北海道歯科医師会誌 60号

      Pages: 63-65

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Book] 小児の摂食・嚥下リハビリテーション(分担の題名 : 知的障害(精神発達遅滞)を伴う摂食・嚥下障害2006

    • Author(s)
      木下憲治(分担)
    • Publisher
      医歯薬出版
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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