廃用症候群患者の摂食嚥下障害に対する摂食嚥下訓練の効果とその効果に影響する因子

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  • Effectiveness of Dysphagia Therapy in Patients with Disuse Syndrome, and Factors Influencing its Effectiveness

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We investigated the effectiveness of feeding and swallowing therapy, and analyzed factors that potentially influence its effectiveness. The subjects were 30 disuse syndrome patients with dysphagia who received treatment at Tonami General Hospital during the three-year period between April 2004 and March 2007. The patients underwent therapy for muscular strength and swallowing function improvement.<BR>Therapeutic value was generally favorable: 23 cases achieved ingestion, and only 7 cases were in a fasting state. Although all patients were fasting before therapy, 23 of the 30 patients (76.7%) began to feed after therapy.<BR>We analyzed nine factors for their potential influence on effectiveness: sex, age, period from onset or operation to beginning of therapy, therapy period, presence of dementia, bodily function before admission, bodily function on discharge, change in bodily function between admission and discharge, and level of dry swallowing. Only the level of dry swallowing was found to influence effectiveness (p=0.015), because more than half of the patients without dry swallowing were unable to feed at all. It is thus useful to introduce therapy before dry swallowing is lost.

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