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최성희(Seong Hee Choi),김향희(HyangHee Kim),최철희(Chul-Hee Choi),서해니(Hae Ni Seo),박채림(Chae Rim Park) 한국청각언어재활학회 2018 Audiology and Speech Research Vol.14 No.3
Purpose: The purpose of this study was to investigate tongue pressures of the elderly as a function of oral swallowing in swallowing tasks and tongue bulb locations. Methods: Tongue pressures were compared between 2 locations (left vs. right) and also among 3 locations(anterior, medial, and posterior) of the tongue using the Digital Swallowing Workstation tongue bulb manometry system (KayPENTAX) in 20 young adults and 20 healthy older adults during dry swallow and 5 mL water swallow. Results: Swallowing pressures significantly differed by task with higher pressure in dry swallow than in 5 mL water swallow. Older adults demonstrated significantly reduced tongue pressures during dry swallow than did young adults, whereas no group differences were observed during 5 mL water swallow. While no differences were found between the left and right of the tongue in either group, significantly greater tongue pressures were noted in the anterior compared with the middle or posterior portions. Furthermore, a negative relationship between tongue pressure and the Dysphagia Handicap Index was seen in older adults during dry swallow. Conclusion: Age-related differences in terms of tongue pressures were evident only during dry swallow with a decline of the anterior tongue pressure amplitude. This study is significant in that it delineated the task and tongue bulb location-specific performance of swallowing in older adults.
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뒤통수밑근 근막이완기법이 전방머리자세 환자의 머리척추각과 상부 목 굽힘 각도에 미치는 영향
장예은(Ye-Eun Jang),전지형(Ji-Hyeong Jeon),문성욱(Seong-Wook Moon),서해니(Hae-Ni Seo),유일영(Il-Young Yu) 한국임상움직임치료학회 2023 한국임상움직임치료학회지 Vol.3 No.2
Background Forward head posture (FHP) is a representative disease of modern society, and it is closely related to the suboccipital muscle. However, there is little study that suboccipital myofascial release af-fect on the cranio-vertebral angle (CVA) and upper cervical flexion angle. Objectives The purpose of this study is to investigate the immediate effect of suboccipital myofascial release on the CVA and upper cervical flexion angle in patients with FHP Methods The subjects were 19 patients with FHP. The CVA and upper cervical flexion angle were measured before and after applying a 15-minute myofascial release to the suboccipital muscles. The CVA and upper cervical flexion angle were assessed using the Kinovea program. The difference before and after myofascial release was analyzed using a paired t-test. Results As a result of applying myofascial release on suboccipital muscles for 15 minutes to patients with a forward heard posture, there was a significant increase in the CVA and the upper cervical flexion angle (p < 0.05). Conclusions Myofascial release on suboccipital muscles is an effective treatment method for improv-ing FHP and restoring upper cervical movement in patients with FHP.
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