연하장애환자를 위한 연하재활치료

Abstract

Introduction: Specialists in a variety of field should make dysphagia patients who are damaged by CNS(Central nerve system) impairment or various factors intake foods and water safely through the most appropriate dyshpagia rehabilitation approach and a multi-faced approach. Body: Swallow maneuver is a kind of dyshpagia rehabilitation approach for dysphagia patients which is via Thermal tactile oral stimulation (TTOS) stimulating anterior faucial arch, Electrical stimulation using a surface electrode on the neck and induces physiological change, the flow of the bolus through viscosity and the size of the bolus, the active movement through tongue & lip exercise, Head-lifting exercise, a Postural technique which includes head rotation, head tilt, lying down, chin tuck to compensate a structural and physiological defect and supraglottic swallow, supersupraglottic swallow, effortful swallow, Mendelson maneuver which induce patients to swallow safely and effectively when eating the foods directly. Conclusion: We should verify the existing treatment approach afresh for the dysphagia patients and the systemic study according to symptom and disease would be necessary by establishing evidence respectively. (JKDS 2011;1:31-38)