摂食・嚥下活動における鼻咽腔閉鎖機能の調節 咀嚼運動を模した舌変位時の方向と口蓋舌筋活動の関係
目的:口蓋舌筋は口蓋舌弓のなかに存在し,軟口蓋の口蓋腱膜と舌の側縁に付着することから,軟口蓋と舌の双方の運動に関係する筋群の1つであり,咀嚼と嚥下動作の両方に関与することが考えられる.しかしながら,口蓋舌筋活動の摂食・嚥下機能への関与については十分には明らかになっていない.摂食・嚥下機能への口蓋舌筋の役割の一端を明らかにするために,本研究では,咀嚼運動時の舌運動方向を模した運動を指示した際の口蓋舌筋活動を検討した.方法:4人の健常成人を被験対象とした.個々の被験者に,(1)舌尖で左口角を触れる動作,(2)舌尖で右口角を触れる動作,(3)舌を前方に突出する動作,(4)奥舌を挙上する動作,以上の4...
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Published in | 日本摂食嚥下リハビリテーション学会雑誌 Vol. 7; no. 1; pp. 41 - 46 |
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Main Authors | , , , |
Format | Journal Article |
Language | Japanese |
Published |
一般社団法人 日本摂食嚥下リハビリテーション学会
30.06.2003
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Subjects | |
Online Access | Get full text |
ISSN | 1343-8441 2434-2254 |
DOI | 10.32136/jsdr.7.1_41 |
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Abstract | 目的:口蓋舌筋は口蓋舌弓のなかに存在し,軟口蓋の口蓋腱膜と舌の側縁に付着することから,軟口蓋と舌の双方の運動に関係する筋群の1つであり,咀嚼と嚥下動作の両方に関与することが考えられる.しかしながら,口蓋舌筋活動の摂食・嚥下機能への関与については十分には明らかになっていない.摂食・嚥下機能への口蓋舌筋の役割の一端を明らかにするために,本研究では,咀嚼運動時の舌運動方向を模した運動を指示した際の口蓋舌筋活動を検討した.方法:4人の健常成人を被験対象とした.個々の被験者に,(1)舌尖で左口角を触れる動作,(2)舌尖で右口角を触れる動作,(3)舌を前方に突出する動作,(4)奥舌を挙上する動作,以上の4種の運動を指示した際の口蓋舌筋活動を採取した.筋活動は,経口腔的に刺入した有鈎針金電極を用いて双極誘導で導出記録した.筋活動の計測は,積分筋電図波形を対象とした.結果:すべての被験者において,舌尖で電極刺入側の口角を触れる動作と奥舌を挙上する動作で他の動作よりも大きい筋活動を示した.結論:口蓋舌筋は,咀嚼時に舌が食塊を臼歯部咬合面に載せる際の舌の側方運動に関与している可能性が示された. |
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AbstractList | 目的:口蓋舌筋は口蓋舌弓のなかに存在し,軟口蓋の口蓋腱膜と舌の側縁に付着することから,軟口蓋と舌の双方の運動に関係する筋群の1つであり,咀嚼と嚥下動作の両方に関与することが考えられる.しかしながら,口蓋舌筋活動の摂食・嚥下機能への関与については十分には明らかになっていない.摂食・嚥下機能への口蓋舌筋の役割の一端を明らかにするために,本研究では,咀嚼運動時の舌運動方向を模した運動を指示した際の口蓋舌筋活動を検討した.方法:4人の健常成人を被験対象とした.個々の被験者に,(1)舌尖で左口角を触れる動作,(2)舌尖で右口角を触れる動作,(3)舌を前方に突出する動作,(4)奥舌を挙上する動作,以上の4種の運動を指示した際の口蓋舌筋活動を採取した.筋活動は,経口腔的に刺入した有鈎針金電極を用いて双極誘導で導出記録した.筋活動の計測は,積分筋電図波形を対象とした.結果:すべての被験者において,舌尖で電極刺入側の口角を触れる動作と奥舌を挙上する動作で他の動作よりも大きい筋活動を示した.結論:口蓋舌筋は,咀嚼時に舌が食塊を臼歯部咬合面に載せる際の舌の側方運動に関与している可能性が示された. |
Author | 野原, 幹司 和田, 健 尾島, 麻希 舘村, 卓 |
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References | 6) Smith BE,Guyette TW: Pressure-flow differences in performance during production of the CV syllables /pi/ and /pa/.Cleft Palate Craniofac J,33:74-76,1996 13) Launois SH,Remsburg S,Yang WJ,et al: Relationship between velopharyngeal dimensions and palatal EMG during progressive hypercapnia.J Appl Physiol,80:478-485,1996 4) Moon JB,Smith AE, Folkins JW,et al: Coordination of velopharyngeal muscle activity during positioning of the soft palate.Cleft Palate Craniofac J,31:45-55,1994 18) Tachimura T,Nohara K,Hara H,et al: Effect of placement of a speech appliance on levator veli palatini muscle activity during blowing, Cleft Palate Craniofac J,36:224-232,1999 22) Seaver EJ,Kuehn DP: A cineradiographic and electromyographic investigation of velar positioning in non-nasal speech.Cleft Palate J,17:216-226,1980 3) Dixit RP,Bell-Berti F,Harris KS: Palatoglossus activity during nasal/nonnasal vowels of Hindi.Phonetica,44 : 210-226,1987 21) 中村嘉男:咀嚼運動の生理学.医歯薬出版,東京,1998,2-9 12) Tangel DJ,Mezzanotte WS,White DP: Respiratory-related control of palatoglossus and levator palatini muscle activity.J Appl Physiol,78:680-688,1995 7) Berry DA,Moon JB,Kuehn DP: A finite element model of the soft palate.Cleft Palate Craniofac J,36:217-223,1999 14) Mortimore IL,Douglas NJ: Palatopharyngeus has respiratory activity and responds to negative pressure in sleep apnoeics.Eur Respir J,9:773-778,1996 20) 舘村, 卓,江口ゆかり,野原幹司,他:水嚥下量と口蓋帆挙筋活動の関係―最大努力でのblowing時の筋活動を基準にして―.日摂食嚥下リハ会誌,5:19-25,2001 24) Peterson-Falzone SJ,Hardin-Jones MA,Karnell MP: Cleft Palate Speech 3rd Ed.Mosby,Missouri,2000,71-73 10) Carlson DM,Onal E,Carley DW,et al: Palatal muscle electromyogram activity in obstructive sleep apnea.Am J Respir Crit Care Med,152:1022-1027,1995 30) Logemann JA: Therapy for oropharyngeal swallowing disorders.Perlman AL and Schulze-Delrieu K ed.Deglutition and its Disorders.Singular Publishing Group,lnc., San Diego,1997,449-459 5) Moon JB,Canady JW: Effects of gravity on velopharyngeal muscle activity during speech.Cleft Palate Craniofac J,32:371- 375,1995 16) Tachimura T,Hara H,Wada T: Oral air pressure and nasal air flow rate on levator veli palatini muscle activity in patients wearing a speech appliance.Cleft Palate Craniofac J,32:382-389,1995 1) Hiiemae KM,Palmer JB: Food transport and bolus formation during complete feeding sequences on foods of different initial consistency.Dysphagia,14:31-42,1999 25) 養老孟司,森 於菟,平澤 興,小川鼎三,他:解剖学第3巻―感覚器学,内臓学―,金原出版,東京,1977,162-164 17) Tachimura T,Hara H,Koh H,et al: Effect of temporary closure of oronasal fistulae on levator veli palatini muscle activity.Cleft Palate Craniofac J,34:505-511,1997 27) 野原幹司,舘村, 卓,和田, 健:下顎歯肉癌術後に嚥下障害を呈した症例に対する嚥下補助装置と間欠的経口食道経管栄養法.日摂食嚥下リハ会誌,5:42-47,2001 9) Mortimore IL,Mathur R,Douglas NJ: Effect of posture,route of respiration,and negative pressure on palatal muscle activity in humans.J Appl Physiol,79:448-454,1995 19) Tachimura T,Nohara K,Wada T: Effect of placement of a speech appliance on levator veli palatini muscle activity during speech.Cleft Palate Craniofac J,37: 478-482,2000 2) Cooper DS,Folkins JW: Comparison of electromyographic signals from different electrode placements in the palatoglossus muscle.J Acoust Soc Am,78:1530-1540,1985 15) Mortimore IL,Douglas NJ: Palatal muscle EMG response to negative pressure in awake sleep apneic and control subjects.Am J Respir Crit Care Med,156:867-873,1997 26) Zemlin WR: Speech and Hearing Science,Anatomy and Physiology,4th Ed.Allyn & Bacon,Massachusetts,1998,254-258 28) 野原幹司,舘村, 卓,藤田義典,他:舌口腔癌術後の誤嚥症状改善に間欠的経口食道経管栄養法を併用した嚥下訓練が有効であった1例.日口外誌,47:416-419,2001 29) Buchholz DW,Robbins J: Neurologic diseases affecting oropharyngeal swallowing.Perlman AL and Schulze-Delrieu K ed.Deglutition and its Disorders.Singular Publishing Group,lnc., San Diego,1997,319-321 11) Tangel DJ,Mezzanotte WS,White DP: Influences of NREM sleep on activity of palatoglossus and levator palatini muscles in normal men.J Appl Physiol,78:689-695,1995 8) Mathur R,Mortimore IL,Jan MA,et al: Effect of breathing,pressure and posture on palatoglossal and genioglossal tone.Clin Sci (Colch),89:441-445,1995 23) Bateman HE,Mason RM: Applied anatomy and physiology of the speech and hearing mechanism.Charles C Thomas Publisher,Illinois,1984,280-288 |
References_xml | – reference: 12) Tangel DJ,Mezzanotte WS,White DP: Respiratory-related control of palatoglossus and levator palatini muscle activity.J Appl Physiol,78:680-688,1995. – reference: 16) Tachimura T,Hara H,Wada T: Oral air pressure and nasal air flow rate on levator veli palatini muscle activity in patients wearing a speech appliance.Cleft Palate Craniofac J,32:382-389,1995. – reference: 10) Carlson DM,Onal E,Carley DW,et al: Palatal muscle electromyogram activity in obstructive sleep apnea.Am J Respir Crit Care Med,152:1022-1027,1995. – reference: 18) Tachimura T,Nohara K,Hara H,et al: Effect of placement of a speech appliance on levator veli palatini muscle activity during blowing, Cleft Palate Craniofac J,36:224-232,1999. – reference: 29) Buchholz DW,Robbins J: Neurologic diseases affecting oropharyngeal swallowing.Perlman AL and Schulze-Delrieu K ed.Deglutition and its Disorders.Singular Publishing Group,lnc., San Diego,1997,319-321. – reference: 25) 養老孟司,森 於菟,平澤 興,小川鼎三,他:解剖学第3巻―感覚器学,内臓学―,金原出版,東京,1977,162-164. – reference: 28) 野原幹司,舘村, 卓,藤田義典,他:舌口腔癌術後の誤嚥症状改善に間欠的経口食道経管栄養法を併用した嚥下訓練が有効であった1例.日口外誌,47:416-419,2001. – reference: 24) Peterson-Falzone SJ,Hardin-Jones MA,Karnell MP: Cleft Palate Speech 3rd Ed.Mosby,Missouri,2000,71-73. – reference: 14) Mortimore IL,Douglas NJ: Palatopharyngeus has respiratory activity and responds to negative pressure in sleep apnoeics.Eur Respir J,9:773-778,1996. – reference: 2) Cooper DS,Folkins JW: Comparison of electromyographic signals from different electrode placements in the palatoglossus muscle.J Acoust Soc Am,78:1530-1540,1985. – reference: 15) Mortimore IL,Douglas NJ: Palatal muscle EMG response to negative pressure in awake sleep apneic and control subjects.Am J Respir Crit Care Med,156:867-873,1997. – reference: 22) Seaver EJ,Kuehn DP: A cineradiographic and electromyographic investigation of velar positioning in non-nasal speech.Cleft Palate J,17:216-226,1980. – reference: 13) Launois SH,Remsburg S,Yang WJ,et al: Relationship between velopharyngeal dimensions and palatal EMG during progressive hypercapnia.J Appl Physiol,80:478-485,1996. – reference: 26) Zemlin WR: Speech and Hearing Science,Anatomy and Physiology,4th Ed.Allyn & Bacon,Massachusetts,1998,254-258. – reference: 4) Moon JB,Smith AE, Folkins JW,et al: Coordination of velopharyngeal muscle activity during positioning of the soft palate.Cleft Palate Craniofac J,31:45-55,1994. – reference: 5) Moon JB,Canady JW: Effects of gravity on velopharyngeal muscle activity during speech.Cleft Palate Craniofac J,32:371- 375,1995. – reference: 8) Mathur R,Mortimore IL,Jan MA,et al: Effect of breathing,pressure and posture on palatoglossal and genioglossal tone.Clin Sci (Colch),89:441-445,1995. – reference: 20) 舘村, 卓,江口ゆかり,野原幹司,他:水嚥下量と口蓋帆挙筋活動の関係―最大努力でのblowing時の筋活動を基準にして―.日摂食嚥下リハ会誌,5:19-25,2001. – reference: 6) Smith BE,Guyette TW: Pressure-flow differences in performance during production of the CV syllables /pi/ and /pa/.Cleft Palate Craniofac J,33:74-76,1996. – reference: 30) Logemann JA: Therapy for oropharyngeal swallowing disorders.Perlman AL and Schulze-Delrieu K ed.Deglutition and its Disorders.Singular Publishing Group,lnc., San Diego,1997,449-459. – reference: 3) Dixit RP,Bell-Berti F,Harris KS: Palatoglossus activity during nasal/nonnasal vowels of Hindi.Phonetica,44 : 210-226,1987. – reference: 27) 野原幹司,舘村, 卓,和田, 健:下顎歯肉癌術後に嚥下障害を呈した症例に対する嚥下補助装置と間欠的経口食道経管栄養法.日摂食嚥下リハ会誌,5:42-47,2001. – reference: 23) Bateman HE,Mason RM: Applied anatomy and physiology of the speech and hearing mechanism.Charles C Thomas Publisher,Illinois,1984,280-288. – reference: 1) Hiiemae KM,Palmer JB: Food transport and bolus formation during complete feeding sequences on foods of different initial consistency.Dysphagia,14:31-42,1999. – reference: 9) Mortimore IL,Mathur R,Douglas NJ: Effect of posture,route of respiration,and negative pressure on palatal muscle activity in humans.J Appl Physiol,79:448-454,1995. – reference: 17) Tachimura T,Hara H,Koh H,et al: Effect of temporary closure of oronasal fistulae on levator veli palatini muscle activity.Cleft Palate Craniofac J,34:505-511,1997. – reference: 19) Tachimura T,Nohara K,Wada T: Effect of placement of a speech appliance on levator veli palatini muscle activity during speech.Cleft Palate Craniofac J,37: 478-482,2000. – reference: 7) Berry DA,Moon JB,Kuehn DP: A finite element model of the soft palate.Cleft Palate Craniofac J,36:217-223,1999. – reference: 11) Tangel DJ,Mezzanotte WS,White DP: Influences of NREM sleep on activity of palatoglossus and levator palatini muscles in normal men.J Appl Physiol,78:689-695,1995. – reference: 21) 中村嘉男:咀嚼運動の生理学.医歯薬出版,東京,1998,2-9. |
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SubjectTerms | Stage Ⅱ transport 口蓋舌筋 咀嚼 嚥下 筋電図 |
Subtitle | 咀嚼運動を模した舌変位時の方向と口蓋舌筋活動の関係 |
Title | 摂食・嚥下活動における鼻咽腔閉鎖機能の調節 |
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