DYSPHAGIA IN DUCHENNE MUSCULAR DYSTROPHY VERSUS MYOTONIC DYSTROPHY TYPE 1

被引：16
|
作者：
Umemoto, George [1 ]
Furuya, Hirokazu [2 ]
Kitashima, Akio [1 ]
Sakai, Mitsuaki [3 ]
Arahata, Hajime [2 ]
Kikuta, Toshihiro [1 ]
机构：
[1] Fukuoka Univ, Fac Med, Dept Oral & Maxillofacial Surg, Jonan Ku, Fukuoka 8140180, Japan
[2] Natl Omuta Hosp, Neuromuscular Ctr, Dept Neurol, Fukuoka, Japan
[3] Natl Omuta Hosp, Neuromuscular Ctr, Dept Rehabil, Fukuoka, Japan
来源：
MUSCLE & NERVE | 2012年 / 46卷 / 04期
基金：
日本学术振兴会;
关键词：
Duchenne muscular dystrophy; hyoid bone excursion; myotonic dystrophy type 1; pharyngeal residue; tongue pressure; TONGUE PRESSURE MEASUREMENT; MANAGEMENT; SWALLOW; PROBE;
D O I：
10.1002/mus.23364
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Introduction: In this study we aimed to demonstrate the distinctive features of dysphagia in patients with myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD). Methods: Diet-type score (DTS) and maximum tongue pressure (MTP) were measured in 20 DM1 and 24 DMD patients; all patients were also examined by video-fluoroscopy (VF). We used VF to measure the range of hyoid bone excursion (RHBE) during pharyngeal transit time and the area of pharyngeal residue (APR) after the first swallow. Results: RHBE and APR values for DM1 patients were significantly greater than those for DMD patients. DTS and MTP did not differ between patients. A significant correlation was observed between DTS, MTP, and RHBE in DMD patients, but not in DM1 patients. Conclusions: Our findings reveal the differences in the distinctive features of dysphagia in DM1 and DMD. Adjustments in the diet of DMD patients in accordance with swallowing ability could be useful. Muscle Nerve 46: 490-495, 2012
引用
收藏
页码：490 / 495
页数：6
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