• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

A New Therapeutic Approach for Dysphagia : Modification of Deglutition Center in Cerebrum and Pons

Research Project

Project/Area Number 20500440
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionTokyo Medical and Dental University

Principal Investigator

YAMAWAKI Masanaga  Tokyo Medical and Dental University, 医学研究科, 教授 (30302855)

Co-Investigator(Kenkyū-buntansha) DAN Ippeita  自治医科大学, 医学部, 准教授 (20399380)
佐藤 勝重  東京医科歯科大学, 大学院・医歯学総合研究科, 講師 (80291342)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2010: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2009: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2008: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords嚥下運動 / 脳機能 / CPG / 嚥下障害 / NIRS / central pattern generator / 脳機能マッピング / リハビリテーション / 光トポグラフィ / 抑制シグナル / 口腔感覚 / 誤嚥性肺炎 / リスク管理 / 補足運動野
Research Abstract

There are subcortical and cortical centers above the brainstem that induce swallowing movement, however, their specific role and connections are not well understood.We applied functional near-infrared spectroscopy (fNIRS) for brain mapping in swallowing and swallow-related movements Twenty-five of volunteers were examined by fNIRS. Subjects sitting on the chair were put 34-channel holder of OMM-2000 (Shimadzu, Kyoto, Japan). Sensorimotor cortex and frontal lobe were set as the region of the interest. We performed, 1) blocked motor tasks (hand grip, tongue protrusion), 2) event-related tasks (command or non-command swallow). The statistical method used was a general linear model employing a two-level summary statistics approach for random effects analysis with a one-tailed t test. Activation areas in each blocked task were detected separately in SMI (p < o.o5 by Student t, one-tailed, FDR controlled). During bolus swallowing, activation was detected in tongue SMI and BA 6 (p < o.o5, one-tailed, FDR controlled). The haemodynamic pattern observed during swallowing was different during the command versus non-command tasks in BA 6 and BA 40 (p < o.o5, two-tailed, not corrected). In accordance with prior reports, BA 4, BA 3,1,2, BA 6 were activated both in command and non-command swallow in our study. The haemodynamic pattern during swallowing appeared different in command versus non-command tasks in BA 6 and BA 40. Our findings suggest that the sensory input is more important in non-commandthan in command swallow. These data show that cortical process to initiate swallowingmovements is altered by the triggers.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (34 results)

All 2011 2010 2009 2008

All Journal Article (10 results) (of which Peer Reviewed: 2 results) Presentation (9 results) Book (15 results)

  • [Journal Article] Process-specific prefrontal contributions to episodic encoding and retrieval of tastes : a functional NIRS study.2011

    • Author(s)
      Okamoto M, Wada Y, Yamaguchi Y, Kyutoku Y, Clowney L, Singh AK, Dan I.
    • Journal Title

      Neuroimage 54

      Pages: 1578-1588

    • Related Report
      2010 Final Research Report
  • [Journal Article] 構音障害の病巣と経過:嚥下障害との比較2010

    • Author(s)
      山脇正永
    • Journal Title

      高次脳機能研究 30

      Pages: 413-417

    • NAID

      10029833618

    • Related Report
      2010 Final Research Report
  • [Journal Article] Acute moderate exercise elicits increased dorsolateral prefrontal activation and improves cognitive performance with Stroop test.2010

    • Author(s)
      Yanagisawa H, Dan I, Tsuzuki D, Kato M, Okamoto M, Kyutoku Y, Soya H.
    • Journal Title

      Neuroimage 50

      Pages: 1702-1710

    • Related Report
      2010 Final Research Report
  • [Journal Article] Mapping of optical pathlength of human adult head at multi-wavelengths in near infrared spectroscopy.2010

    • Author(s)
      Katagiri A, Dan I, Tuzuki D, Okamoto M, Yokose N, Igarashi K, Hoshino T, Fujiwara T, Katayama Y, Yamaguchi Y, Sakatani K.
    • Journal Title

      Advances in Experimental Medicine & Biology 662

      Pages: 205-212

    • Related Report
      2010 Final Research Report
  • [Journal Article] Anatomical atlas-guided diffuse optical tomography of brain activation.2010

    • Author(s)
      Custo A, Boas DA, Tsuzuki D, Dan I, Mesquita R, Fischl B, Grimson WE, Wells W 3rd.
    • Journal Title

      Neuroimage. 49

      Pages: 561-567

    • Related Report
      2010 Final Research Report
  • [Journal Article] 構音障害の病巣と経過:嚥下障害との比較2010

    • Author(s)
      山脇正永
    • Journal Title

      高次脳機能研究

      Volume: 30 Pages: 413-417

    • NAID

      10029833618

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cortical activity during swallowing in the sitting position.2009

    • Author(s)
      Yamawaki M, Okamoto M, Dan I, Mizusawa H.
    • Journal Title

      Dysphagia 24

      Pages: 475-475

    • Related Report
      2010 Final Research Report
  • [Journal Article] Structural atlas-based spatial registration for functional near-infrared spectroscopy enabling inter-study data integration.2009

    • Author(s)
      Okamoto M, Tsuzuki D, Clowney L, Dan H, Singh AK, Dan I.
    • Journal Title

      Clinical Neurophysiology 120

      Pages: 1320-1328

    • Related Report
      2010 Final Research Report
  • [Journal Article] Cortical activity during swallowing in the sitting position.2009

    • Author(s)
      M.Yamawaki
    • Journal Title

      Dysphagia 47

      Pages: 475-475

    • Related Report
      2009 Annual Research Report
  • [Journal Article] Hemodymamic evoked response of swallowing cortex measured nonivasively with fNIRS.2008

    • Author(s)
      Yamawaki M, Okamoto M, Dan l, Mizusawa H.
    • Journal Title

      Dysphagia 23

      Pages: 423-424

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Presentation] Central mechanism in command vs.noncommand swallow.2011

    • Author(s)
      Yamawaki M.
    • Organizer
      Annual Meeting of Dysphagia Research Society 2011
    • Place of Presentation
      San Antonio, USA
    • Year and Date
      2011-03-05
    • Related Report
      2010 Annual Research Report
  • [Presentation] Central mechanism in command vs. noncommand swallow.2011

    • Author(s)
      Yamawaki M, Shibano S, Okamoto M, Dan I.
    • Organizer
      19th Annual Dysphagia Research Society Meeting in San Antonio
    • Place of Presentation
      Texas
    • Related Report
      2010 Final Research Report
  • [Presentation] HAZOP法を用いたリスクコミュニケーション2010

    • Author(s)
      山脇正永
    • Organizer
      ワークショップ「嚥下のリスクマネジメントとHazard analysis」第16回日本摂食嚥下リハビリテーション学会
    • Place of Presentation
      新潟
    • Related Report
      2010 Final Research Report
  • [Presentation] パーキンソン病の嚥下障害2009

    • Author(s)
      山脇正永
    • Organizer
      第15回日本摂食・嚥下リハビリテーション学会
    • Place of Presentation
      名古屋
    • Year and Date
      2009-08-28
    • Related Report
      2009 Annual Research Report
  • [Presentation]2009

    • Author(s)
      M. Yamawaki
    • Organizer
      Dysphagia Research Soc iety 2009
    • Place of Presentation
      New Orleans, USA
    • Year and Date
      2009-03-05
    • Related Report
      2008 Annual Research Report
  • [Presentation] Cortical activity during swallowing in the sitting position.2009

    • Author(s)
      Yamawaki M, Okamoto M, Dan I, Mizusawa H.
    • Organizer
      17th Annual Dysphagia Research Society Meeting
    • Place of Presentation
      New Orleans, USA
    • Related Report
      2010 Final Research Report
  • [Presentation] 構音障害の病巣部位と経過2009

    • Author(s)
      山脇正永
    • Organizer
      第33回日本高次脳機能障害学会学術総会 ワークショップ2「嚥下障害と構音障害:病巣部位と経過」
    • Place of Presentation
      札幌
    • Related Report
      2010 Final Research Report
  • [Presentation] パーキンソン病の嚥下障害:メカニズムと治療・リハビリテーション2009

    • Author(s)
      山脇正永
    • Organizer
      第15回日本摂食・嚥下リハビリテーション学会.指定テーマ講演2「パーキンソン病」
    • Place of Presentation
      名古屋
    • Related Report
      2010 Final Research Report
  • [Presentation] Cerebral activation patterns during swallowing : An fNIRS study2008

    • Author(s)
      M. Yamawaki
    • Organizer
      31^<st> Annual Meeting of the Japan Neuroscience Society
    • Place of Presentation
      Yokohama
    • Year and Date
      2008-07-10
    • Related Report
      2008 Annual Research Report
  • [Book] Risk management in swallowing movement.(In Risk Management for Dysphagia : Application of Hazard & Operability Study (HAZOP))(ed by Yamawaki M.)2010

    • Author(s)
      山脇正永
    • Publisher
      University Education Press, Okayama
    • Related Report
      2010 Final Research Report
  • [Book] HAZOP for swallowing disorders.(In Risk Management for Dysphagia : Application of Hazard & Operability Study (HAZOP))(ed by Yamawaki M.)2010

    • Author(s)
      山脇正永
    • Publisher
      University Education Press, Okayama
    • Related Report
      2010 Final Research Report
  • [Book] Application to basic research for dysphagia.(In Risk Management for Dysphagia : Application of Hazard & Operability Study (HAZOP))(ed by Yamawaki M.)2010

    • Author(s)
      山脇正永
    • Publisher
      University Education Press, Okayama
    • Related Report
      2010 Final Research Report
  • [Book] Risk Management for Dysphagia : Risk management in swallowing movement. Application of Hazard & Operability Study (HAZOP)(ed by Yamawaki M.)2010

    • Author(s)
      Yamawaki M.
    • Total Pages
      15
    • Publisher
      University Education Press
    • Related Report
      2010 Annual Research Report
  • [Book] HAZOP for swallowing disorders. Risk Management for Dysphagia : Application of Hazard & Operability Study (HAZOP)(ed by Yamawaki M.)2010

    • Author(s)
      Yamawaki M.
    • Total Pages
      8
    • Publisher
      University Education Press
    • Related Report
      2010 Annual Research Report
  • [Book] Application to basic research for dysphagia. Risk Management for Dysphagia : Application of Hazard & Operability Study (HAZOP)(ed by Yamawaki M.)2010

    • Author(s)
      Yamawaki M.
    • Total Pages
      11
    • Publisher
      University Education Press
    • Related Report
      2010 Annual Research Report
  • [Book] Risk Management for Dysphagia : Application of Hazard & Operability Study(HAZOP)2010

    • Author(s)
      Yamawaki M, ed.
    • Total Pages
      123
    • Publisher
      University Education Press
    • Related Report
      2009 Annual Research Report
  • [Book] 摂食嚥下のメカニズムとリスク(HAZOP誤嚥・嚥下障害のリスクマネジメント)(山脇正永,野村徹編)東京2009

    • Author(s)
      山脇正永
    • Publisher
      医歯薬出版
    • Related Report
      2010 Final Research Report
  • [Book] 嚥下HAZOPの実際(HAZOP誤嚥・嚥下障害のリスクマネジメント)(山脇正永,野村徹編)東京2009

    • Author(s)
      山脇正永
    • Publisher
      医歯薬出版
    • Related Report
      2010 Final Research Report
  • [Book] 嚥下HAZOPを用いた嚥下障害リスク管理への応用:嚥下研究・治療への応用.(HAZOP 誤嚥・嚥下障害のリスクマネジメント)(山脇正永,野村徹編)東京2009

    • Author(s)
      山脇正永
    • Publisher
      医歯薬出版
    • Related Report
      2010 Final Research Report
  • [Book] 誤嚥性肺炎の疫学 37(総合リハビリテーション)2009

    • Author(s)
      山脇正永
    • Related Report
      2010 Final Research Report
  • [Book] 神経診察の基本とピットフォール:嚥下障害(Clinical Neuroscience)2009

    • Author(s)
      山脇正永, 水澤英洋
    • Related Report
      2010 Final Research Report
  • [Book] HAZOP誤嚥・嚥下障害のリスクマネジメント2009

    • Author(s)
      山脇正永編
    • Total Pages
      178
    • Publisher
      医歯薬出版
    • Related Report
      2009 Annual Research Report
  • [Book] 病期・病態・重症度からみた疾患別看護過程2008

    • Author(s)
      山脇正永
    • Total Pages
      19
    • Publisher
      医学書院
    • Related Report
      2008 Annual Research Report
  • [Book] 摂食嘸下リハビリテーション症例から学ぶ実践的アプローチ2008

    • Author(s)
      山脇正永
    • Total Pages
      5
    • Publisher
      医歯薬出版
    • Related Report
      2008 Annual Research Report

URL: 

Published: 2008-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi