[재활의학] 연하 장애 환자의 재활(Rehabilitation of patients with Swallowing disorders)

소개

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목차

I. The swallowing process
II. Clinical assessment
III. Technical assessment of dysphagia
IV. Complications of dysphagia
V. Treatment menu for dysphagia
VI. References

본문내용

1) Oral phase
A. Oral preparatory phase
Involves movement of the mandibular and labial musculature in the process of mastication with the food formed into a bolus and held anterolaterally against the hard palate by the tongue.
Requires the taste, temperature, touch, and proprioception senses for formation of a bolus of the right size and consistency.
B. Oral transit phase
Involves manipulation of the bolus formed in the preparatory stage in the central portion of the tongue and then pushing it toward the pharynx posteriorly with a sequential anterior-to-posterior tongue elevation to trigger the pharyngeal reflex as the bolus enters the pharyngeal phase.
Requires that a labial seal be maintained to prevent food from leaking from the mouth and a buccal musculature tension to prevent food from getting into the recess between the mandible and cheek.
A voluntary phase controlled by the cerebral cortex through the corticobulbar tracts.

참고자료

· Physical medicine and rehabilitation, Saunders, p.535-557