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RISS 인기검색어
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- 저자 : 한상형 ( Sang Hyoung Han ) (검색결과 1 건)
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한상형 ( Sang Hyoung Han ),서정환 ( Jeong Hwan Seo ),고명환 ( Myoung Hwan Ko ),박성희 ( Sung Hee Park ),송경진 ( Kyung Jin Song ) 전북대학교 의과학연구소 2008 全北醫大論文集 Vol.32 No.1
Objective: To evaluate the characteristics of dysphagia by using the videofluoroscopic swallowing study (VFSS) and the clinical dysphagia scale in patients with cervical spinal cord injury. Method: Twelve patients with cervical spinal cord injury and six normal adults were included in this study. Physical examination and clinical dysphagia scale were checked before VFSS. The parameters observed were penetration, aspiration, oral transit time (OTT), pharyngeal transit time (PTT), and pharyngeal delay time (PDT) during VFSS. Results: Five (41.7%) cervical spinal cord injury patients showed penetration or aspiration in VFSS. The duration of each phases in swallowing (OTT, PTT, PDT) was longer in cervical spinal cord injury patients than normal adults in VFSS (p<0.05). The score of clinical dysphagia scale was higher in patients with cervical spinal cord injury than normal adults. Tracheostomy and mechanical ventilation history seemed to be the predictor of dysphagia in cervical spinal cord injury patients. Conclusion: Swallowing abnormalities were very frequent (41.7%) in cervical spinal cord injury patients. We suggest that the risk of dysphagia should be evaluated for all of the cervical spinal cord injury patients to increase the quality of life via VFSS and clinical dysphagia scale.
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