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Principles and effects of postural techniques in dysphagia rehabilitation Yoko Inamoto 1 Keyword: 姿勢 , 姿勢調整 , 体幹回旋 , 嚥下 , 嚥下障害 , posture , posture techniques , trunk rotation , swallowing , dysphagia pp.22-27
Published Date 2019/3/15
DOI https://doi.org/10.11477/mf.6001200211
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 Postural techniques are often applied in dysphagia rehabilitation. Two essential principles of postural management are gravity utilization and space manipulation, which redirect the direction and speed of the bolus flow. Reclining position utilizes gravity and head rotation manipulates space. When trying to apply both principles, however, a simple combination of those two postures increases the risk, because the bolus may be transported to the rotated-narrow-side of the pyriform sinus due to gravity. Instead, it is necessary to adjust trunk rotation while using the reclining position. Optimal postural techniques promote improvement in swallowing function by allowing successful swallowing exercises while ensuring safety. Postural adjustment enables an appropriate task level to be set for each patient. Thus, postural management is not just a compensatory technique, but an essential component for the dynamic process of transformation.


Copyright © 2019, 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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