고유수용성신경근촉진법을 이용한 목근육 강화운동이 삼킴 장애환자에게 미치는 영향: 단일사례연구 = The Effect of Neck Strengthening Exercise Using Proprioceptive Neuromuscular Facilitation on Swallow ability of Patient with Dysphagia: A Single Case Study

다국어 초록 (Multilingual Abstract)

Purpose: The current study seeks to identify the effect of neck muscle strengthening exercise using proprioceptive neuromuscular facilitation (PNF) on the swallowing ability of patients diagnosed with dysphagia due to stroke. Methods: As a single case study, the current research conducted neck muscle strengthening exercise using PNF on the patient with dysphagia for 40 minutes, four times per week for a six-week period. At the same time, typical rehabilitation therapy for dysphagia was provided. This type of therapy included food-swallowing and the relation of the muscles surrounding the neck. The functional dysphagia scale and the penetration-aspiration scale were used to assess swallowing ability. Results: After the therapy, the functional dysphagia scale and the penetration-aspiration scale decreased by 18 points and 3 points, respectively, which proves the effectiveness of this type of therapy for dysphagia. Conclusion: The results of the current study indicate that neck muscle strengthening exercise using PNF reduces penetration-aspiration in patients with dysphagia, and that PNF can be clinically utilized to improve the swallowing ability of dysphagic patients.

참고문헌 (Reference)

1 Robbins JA, "The effects of lingual exercise in stroke patients with dysphagia" 88 (88): 150-158, 2007

2 Shaker R, "Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening" 122 (122): 1314-1321, 2002

3 Han TR, "Quantifying swallowing function after stroke: a functional dysphagia scale based on videofluoroscopic studies" 82 : 677-682, 2001

4 Voss D, "Proprioceptive neuromuscular facilitation: Patterns and techniques" Harper & Row 1985

5 Adler S, "PNF in Practice: An Illustrated Guide" Springer 2008

6 Roth EJ, "Medical complications encountered in stroke rehabilitation" 2 (2): 563-577, 1991

7 Kofotolis N, "Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain" 86 (86): 1001-1012, 2006

8 Shaker R, "Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise" 272 (272): 1518-1522, 1997

9 Easterling C, "Attaining and maintaining isometric and isokinetic goals of the shaker exercise" 20 (20): 133-138, 2005

10 Holas MA, "Aspiration and relative risk of medical complications following stroke" 51 (51): 1051-1053, 1994

11 Rosenbek JC, "A penetrationaspiration scale" 11 (11): 93-98, 1996

12 Logemann JA, "A Randomized study comparing the shaker exercise with traditional therapy: A preliminary study" 24 (24): 403-411, 2009