한국전자통신학회논문지 (The Journal of the Korea institute of electronic communication sciences)

한국전자통신학회 (Korea Institute of Electronic Communication Science)
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스마트폰을 사용한 구강안면 운동 프로그램이 삼킴장애가 있는 급성 뇌졸중 환자의 삼킴기능과 혀 근력에 미치는 효과

The Effects of Orofacial Exercises Program using Smart Phone on Swallowing Function and Tongue Strength in Acute Stroke Patients with Dysphagia

  • 문종훈 (가천대학교 보건대학원 작업치료학 전공) ;
  • 원영식 (신성대학교 작업치료과)
  • 투고 : 2016.08.31
  • 심사 : 2016.10.24
  • 발행 : 2016.10.31
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초록

본 연구의 목적은 스마트폰을 사용한 구강안면 운동 프로그램이 삼킴장애가 있는 급성 뇌졸중 환자의 삼킴기능과 혀 근력에 미치는 효과를 알고자 하였다. 본 연구는 삼킴장애가 있는 급성 뇌졸중 환자 16명을 대상으로 하였다. 연구에 참가한 모든 대상자들은 실험군과 대조군으로 8명씩 무작위 배정되었다. 두 그룹의 대상자들은 4주간 주 5회, 하루 30분의 보편적인 삼킴장애 치료를 받았다. 실험군은 스마트폰을 사용한 구강안면 운동 프로그램을 보호자의 감독 하에 추가적으로 30분씩 더 수행하였다. 결과측정은 흡인-침습 척도, 후두계곡 잔여물, 조롱박오목 잔여물, 혀의 최대 등척성 압력을 측정하였다. 연구 결과, 두 그룹은 중재 전과 후에 모든 평가에서 유의한 향상을 보였다(p<.05). 두 그룹 간 변화량 비교에서 실험군은 대조군보다 후두계곡 잔여물과 혀의 최대 등척성 압력에서 유의한 향상을 보였다(p<.05). 스마트폰을 사용한 구강안면 운동 프로그램은 삼킴장애가 있는 급성 뇌졸중 환자의 인두 내 잔여물 감소와 혀 근력 향상에 긍정적인 효과를 기대할 수 있는 중재방법으로 사료된다.

The aim of this study was investigated the effect of orofacial exercise program using smart phone on swallowing function and tongue strength in acute stroke patients with dysphagia. This study participated in sixteen acute stroke patients with dysphagia. All subjects allocated that randomized each eight patients in experimental and control groups. Subjects of both group received to conventional dysphagia therapy during 30 min/day, 5 times per week, for 4 weeks. Experimental group performed additionally that orofacial exercise program using smart phone, supervised under caregivers, during 30 min/day. The outcome measures were the IOPI(: Iowa Oral Performance Instrument), VR(: Vellecula Residue), PSR(: Pyriform Sinuses Residue), MIP(: Maximum Isometric Pressures). In results of study. Both group showed significant improvements after intervention in all assessments(p<.05). In comparison of change score between two groups, experimental group showed significant improvements than control group in PSR and MIP(p<.05). Orofacial exercise program using smart phone suggested that expected to positive effects the reduction of residue in pharynx and improvements of tongue strength in acute stroke patients with dysphagia.

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