Japanese

Use of a mouthpiece in swallowing rehabilitation for a case of severe dysphagia following a basilar artery occlusion Asami Ishikura 1 , Toshie Noguchi 1 , Hideaki Harada 2 , Akira Adachi 3 1Department of Rehabilitation, Yowa Hospital 2Department of Nurology and Rehabilitation, Yowa Hospital 3Waiei Dental Clinic Keyword: 摂食・嚥下リハビリテーション , 下顎の閉鎖不全 , マウスピース , 顎位の安定 , dysphagia rehabilitation , incomplete closure of the mandible , mouthpiece , stability of mandible position pp.109-114
Published Date 2010/7/15
DOI https://doi.org/10.11477/mf.6001100245
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 A mouthpiece is used for not only protecting the jaw and teeth but also for improving the body balance and agility by stabilizing the bite. We report on the effects of the mouthpiece for a case of severe dysarthria and dysphagia with incomplete closure of the mandible and the lips. Two types of mouthpiece were made for three months of use. Before using the mouthpiece, her head and neck were unstable due to flaccid paralysis, and the oral and pharyngeal stages of swallow were severely impaired. After using the mouthpiece, her head and neck became stable, complete closure of the mandible and the lips was achieved, and the oral and pharyngeal stages of swallow were improved. Finally she was able to eat minced food and porridge. The muscles for mastication seemed to have been activated by the use of mouthpiece and the bite became stable during occlusion. Stabilization of the mandible position gave the appropriate starting and end points of the mandibular movement. The use of mouthpiece is considered as an efficient approach for training mastication and swallowing.


Copyright © 2010, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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