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The Effects of Eight-week Tongue-holding Maneuver Program on Activation of Swallowing-related Muscles
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Abstract
¸ñÀû : º» ¿¬±¸´Â ÀúÇ× ¿îµ¿À¸·Î 8ÁÖ°£ Àû¿ëµÈ Çô-À¯Áö ¸Þ´º¹ö ÇÁ·Î±×·¥ÀÌ »ïÅ´ ±ÙÀ°ÀÇ È°¼ºµµ¿¡ ¹ÌÄ¡´Â¿µÇâÀ» ÃøÁ¤ÇÏ°íÀÚ ÇÏ¿´´Ù.
¿¬±¸¹æ¹ý : 2012³â 1¿ùºÎÅÍ 3¿ù±îÁö °Ç°ÇÑ ¼ºÀÎ 27¸íÀ» ´ë»óÀ¸·Î ½ÇÇ豺°ú ´ëÁ¶±ºÀ¸·Î ³ª´©¾î Çô-À¯Áö¸Þ´º¹ö¸¦ 8ÁÖ°£ Àû¿ëÇÏ¿´´Ù. ½ÇÇ豺Àº Çô-À¯Áö ¸Þ´º¹ö¸¦ ÇÏ·ç 3ȸ, 20ºÐ ¾¿ ¼öÇàÇÏ¿´À¸¸ç ´ëÁ¶±ºÀº Çô-À¯Áö ¸Þ´º¹ö°¡ ¾Æ´Ñ ÀÏ¹Ý »ïÅ´À» ÇÏ·ç 3ȸ, 20ºÐ¾¿ Àû¿ë ÇÏ¿´´Ù. 8ÁÖ°£ÀÇ ½ÇÇè È¿°ú´Â »ïÅ´¿¡ ÁÖ·Î °ü¿©ÇÏ´Â ¼³°ñ»ó±Ù(suprahyoid muscle)°ú ¼³°ñÇϱÙ(infrahyoid muscle)¿¡ ´ëÇÑ Ç¥¸é±ÙÀüµµ ¹× ½Ã°¢Àû ºñÀ² ôµµ(Visual Analog Scale; VAS)¸¦ ÅëÇÏ¿© ÃøÁ¤µÇ¾ú´Ù.
°á°ú : °¢ ±×·ìº° ÈÆ·Ã Àü¡¤ÈÄ ºñ±³ °á°ú ½ÇÇ豺Àº ¼³°ñ»ó±Ù(suprahyoid muscle)°ú ¼³°ñ ÇϱÙ(infrahyoidmuscle) ¸ðµÎ¿¡¼ ±Ù È°¼ºµµ°¡ Åë°èÇÐÀûÀ¸·Î À¯ÀÇÇÏ°Ô ³ªÅ¸³µÀ¸³ª ´ë Á¶±ºÀº Åë°èÇÐÀûÀ¸·Î À¯ÀÇÇÏÁö ¾ÊÀº º¯È¸¦ º¸¿´´Ù. VAS °ªÀÇ ÈÆ·Ã Àü¡¤ÈÄ ºñ±³¿¡¼µµ ½ÇÇ豺Àº À¯ÀÇÇÑ Â÷À̸¦ º¸¿´À¸³ª ´ëÁ¶±ºÀº Åë°èÇÐÀûÀ¸·Î À¯ÀÇÇÏÁö ¾Ê¾Ò´Ù.
°á·Ð : °Ç°ÇÑ ¼ºÀÎÀ» ´ë»óÀ¸·Î 8ÁÖ°£ÀÇ ÀúÇ× ¿îµ¿À¸·Î¼ Çô-À¯Áö ¸Þ´º¹ö¸¦ Àû¿ëÇÏ¿´À» ¶§, »ïÅ´±ÙÀ°ÀÇ ±ÙÈ°¼ºµµÀÇ º¯È¿Í VAS °ªÀÇ º¯È¸¦ ÀÏÀ¸Å²´Ù´Â °ÍÀ» ¾Ë ¼ö ÀÖ¾ú´Ù. Çâ ÈÄ ¿¬±¸¿¡¼´Â »ïÅ´Àå¾Ö¸¦ °¡ÁøȯÀÚµéÀ» ´ë»óÀ¸·Î Á÷Á¢ÀûÀÎ °ü¸® ÇÏ¿¡ 8ÁÖ°£ÀÇ Çô-À¯ Áö ¸Þ´º¹ö ÀúÇ× ¿îµ¿ ÇÁ·Î±×·¥ Àû¿ëÀÇ È¿°ú¸¦ °ËÁõÇÑ´Ù¸é, Çô-À¯Áö ¸Þ´º¹ö¸¦ ±³Á¤Àû Á¢ ±Ù¹ýÀ¸·Î Àû¿ëÇÒ ¼ö ÀÖ´Ù´Â ¸íÈ®ÇÑ ÀÌ·ÐÀû ±Ù°Å°¡ µÉ °ÍÀÌ´Ù.
Objective : This study aims to measure the effects of an eight-week tongue-holding maneuver program as aresistive exercise on the activation of swallowing-related muscles.
Methods : The tongue-holding maneuver was applied to twenty-seven healthy adults divided into experimental andcontrol groups. The experimental group performed the tongue-holding maneuver three times per day for 20minutes. The control group performed normal swallowing three times per day for 20 minutes. The effects of theweek-week experiment on the suprahyoid and infrahyoid muscles were measured using sEMG and a VisualAnalog Scale.
Results : The experimental group showed a statistical significant difference in both suprahyoid and infrahyoid muscleactivities. The control group did not show a statistical significant difference. In addition, in the results of the VAScomparison of the pre- and post-training groups, the experimental group showed a statistical significantdifference but the control group did not.
Conclusion : Applying a tongue-holding maneuver over an eight-week period as a resistive exercise for healthyadults showed changes in swallowing muscle activity and VAS.
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»ïÅ´ ±ÙÀ°, ½Ã°¢Àû ºñÀ² ôµµ, Ç¥¸é ±ÙÀüµµ, Çô-À¯Áö ¸Þ´º¹ö
Surface-EMG, Swallowing muscle, Tongue-holding maneuver, Visual analog scale
KMID :
0603920140220010053
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