Oropharyngeal assessment for decision of best liquid thickness in dysphagia patients

2013 Fiscal Year Final Research Report

• Project/Area Number: 23592849
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Prosthetic dentistry
• Research Institution: Hiroshima University
• Principal Investigator: YOSHIKAWA Mineka 広島大学, 医歯薬保健学研究院, 准教授 (00444688)
• Co-Investigator(Kenkyū-buntansha): TSUGA Kazuhiro 広島大学, 大学院医歯薬保健学研究院, 准教授 (60217289) ; NAGASAKI Toshikazu 広島大学, 大学院医歯薬保健学研究院, 助教 (10263724) ; KAYASHITA Jyun 県立広島大学, 人間文化学部, 教授 (40312178)
• Project Period (FY): 2011 – 2013
• Keywords: 高齢者 / 嚥下 / 舌圧 / 歯科補綴

Research Abstract

Healthy young people(21M, 7F, 22-26y) and ALS patients(9M, 9F, 38-70y)were participated. Liquid(0%), thin liquid(1%; same as Japanese cooking chu-no sauce), thick liquid (3% same as thousand island dressing) were used for VE in young people(5ml) and for VF in ALS(3ml). As liquid became thicker, the more the pharyngeal residue remained in young people. Maximum tongue pressure could be the assessment to decide the thickness of liquid through the relationship between oral residue and maximum tongue pressure and 3% was better to protect from aspiration risk in the ALS patients with less than 10kPa maximum tongue pressure (severe dysphagic level).

Research Products

• [Presentation] Relationship between swallowing function and maximum tongue pressure in ALS patients (2014)
  • Author(s): Sonoda-Yoshikawa Mineka
  • Organizer: 22^<nd> Annual Meeting of the Dysphagia Research Society
  • Place of Presentation: Nashville, USA
  • Year and Date: 20140506-08
• [Presentation] 健常若年者における口腔・咽頭機能ととろみ濃度との関連の検討 (2013)
  • Author(s): 比嘉千亜己, 平岡綾, 森隆浩, 長﨑信一, 吉川峰加, 津賀一弘, 谷本啓二
  • Organizer: 第19回日本摂食・嚥下リハビリテーション学会学術大会
  • Place of Presentation: 倉敷市
  • Year and Date: 20130922-23
• [Presentation] Relationship between swallowing function and maximum tongue pressure in ALS patients (2013)
  • Author(s): Yoshikawa Mineka, Hesaka Aya, Takaki Sachiko, Nakamori Masahiro, Nagasaki Toshikazu, Hosomi Naohisa, Tsuga Kazuhiro, Tanimoto Keiji, Matsumoto Masayasu, Izumi Yuishin
  • Organizer: 3^<rd> Congress European Society for Swallowing Disorders
  • Place of Presentation: Malmo, Sweden
  • Year and Date: 20130912-14
• [Presentation] ALS患者における嚥下動態と最大舌圧の検討 (2013)
  • Author(s): 吉川峰加, 部坂綾, 高木幸子, 中森正博, 日地正典, 織田雅也, 伊藤聖, 長﨑信一, 細見直永, 比嘉千亜己, 森隆浩, 津賀一弘, 谷本啓二, 松本昌泰, 和泉唯信
  • Organizer: 日本摂食嚥下障害臨床研究会
  • Place of Presentation: 由布市
  • Year and Date: 20130706-07
• [Presentation] Relationship between swallowing function and maximum tongue pressure in ALS patients (2013)
  • Author(s): Yoshikawa Mineka , Hesaka Aya, Takaki Sachiko, Nakamori Masahiro, Nagasaki Toshikazu, Hosomi Naohisa, Tsuga Kazuhiro, Tanimoto Keiji, Matsumoto Masayasu, Izumi Yuishin
  • Organizer: 広島大学歯学会
  • Place of Presentation: 広島市
  • Year and Date: 2013-06-29
• [Presentation] 補綴治療のための検査法の新たな展開―超高齢社会における補綴治療を支える舌圧検査法 (2012)
  • Author(s): 吉川峰加
  • Organizer: 社団法人日本補綴歯科学会第121回学術大会
  • Place of Presentation: 横浜市
  • Year and Date: 20120526-27
• [Book] イチからよくわかる摂食・嚥下障害と嚥下調整食 (2014)
  • Author(s): 栢下淳, 吉川峰加, 和田房子, 渡辺光子, 若林秀隆, 吉田光由, 山縣誉志江, 安江友世, 宮本寛, 三原千惠, 松本昌泰, 松本史織, 細見直永, 藤﨑亨, 西川みか, 中森正博, 永見慎輔, 長尾晶子, 戸原玄, 田中陽子, ほか
  • Total Pages: 239
  • Publisher: メディカ出版