구강과 인두의 감각 운동 훈련이 뇌졸중자의 연하와 조음에 미치는 효과

다국어 초록 (Multilingual Abstract)

The purpose of this study was to facilitate funcations of oral and pharyngeal structures and to improve swallowing and articulation for stroke patients with dysphagia.
This program was consist of 7 steps according to process swallowing, lips, jaw, cheek, tongue, palate, pharynx and oropharynx.
Each step progressed sensory traingings at first and next to motor traingings.
Sensory traingings were relex with massages and stimulation with thermal to suborgans in oral and pharnyx, and motor traingings were movement to left, right, up, down, and reflex.
Method of trainging was to follow of visual modeling and studied 3 persons which were one lady and two men.
It took time about 50 minutes for each session and trained 3-4 sessions for a week through three months with multiple baseline across subjects.
The result of this study was to follow :
First, functions of suborgans in oral and pharynx were improved and increased range of movement and rate with this training program.
Second, swallowing time of foods accroding to consistency of foods wereimproved and decreased residual of foods in oral cavity with this training program.
Third, errors of articulation were decreased and improved distinctness of articulation with this training program.
Then, Another results irrelation of this purpose also occurred to with this training program and mistakes were decreased through swallowing proess, for examples drooling.
Finally, I hope many studies simillar to this study about dysphagia(swallowing disorders) will be performed in the future.

목차 (Table of Contents)

• Ⅰ. 서론 = 1
• 1. 연구의 의의 = 1
• 2. 연구의 문제 = 4
• 3. 용어의 정의 = 4
• Ⅱ. 이론적 배경 = 7
• 1. 연하에 관하여는 해부학적 구조 = 7
• 2. 정상적인 연하 과정 = 9
• 3. 연하에 관하여는 근육과 신경 및 조음운동 = 10
• 4. 뇌졸중자의 구강과 인두 기간 기능 부전과 연하특성 = 12
• 5. 뇌졸중자의 조음적 특성 = 16
• 6. 선행연구의 고찰 = 18
• Ⅲ. 연구방법 = 22
• 1. 연구대상 = 22
• 2. 대상자 선정을 위한 검사도구 = 27
• 3. 실험방법 = 29
• 4. 훈련 프로그램 = 31
• 5. 평가도구 = 36
• 6. 결과처리 = 40
• Ⅳ. 결과 및 고찰 = 42
• 1. 구강과 인두의 운동 기능 개선 효과 = 42
• 2. 연하장애 개선효과 = 54
• 3. 조음명료도 개선 효과 = 63
• 4. 기타 = 69
• Ⅴ. 결론 및 제언 = 71
• 참고문헌 = 74
• 영문초록 = 79