A Novel Method for Triggering the Swallowing Reflex in Patients with Amyotrophic Lateral Sclerosis: the Ishizaki Press Method
| Autor: | Kenjiro Kunieda, Ichiro Fujishima, Tomohisa Ohno, Takuya Harada, Naohiko Ishizaki, Fumihito Aikawa, Takahiro Sugahara |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Mentum 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine Physical medicine and rehabilitation stomatognathic system Swallowing Reflex medicine Humans In patient Amyotrophic lateral sclerosis business.industry Amyotrophic Lateral Sclerosis Gastroenterology Aid communication medicine.disease Dysphagia Deglutition Otorhinolaryngology Finger pressure medicine.symptom Deglutition Disorders 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Dysphagia. 37:177-182 |
| ISSN: | 1432-0460 0179-051X |
| Popis: | This study describes the identification of specific maxillofacial points triggering the swallowing reflex by finger pressure in a patient with severe amyotrophic lateral sclerosis. This method has been named as the "Ishizaki Press Method." The first point was identified in a serendipitous encounter during training sessions to aid communication. This led to the search for such additional points, after obtaining informed consent from the patient and his relatives. Seven effective points were identified: the depressions in front of the left and right tragus (Ting gong points), bilateral points over the parotid and submandibular glands, and a point over the mentum in the midline of the face. The efficacy of these trigger points was noted to be ≥ 70%. The mean time taken for swallowing to occur in response to the stimulation at each of these points was less than 10 s, and the induction of a rapid swallowing reflex was recognized. Alternating left and right stimulations of the Ting gong points and the parotid points triggered the swallowing reflex significantly faster than unilateral stimulations alone. The Ishizaki Press Method may improve the management of dysphagia in patients with amyotrophic lateral sclerosis. |
| Databáze: | OpenAIRE |
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