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Swallowing exercise and motor learning Eiichi Saitoh 1 , Yoko Inamoto 2 , Hitoshi Kagaya 3 , Masahiko Mukaino 3 1Fujita Health University 2Faculty of Rehabilitation, School of Health Sciences, Fujita Health University 3Department of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University Keyword: 摂食嚥下リハビリテーション , 嚥下造影 , 治療指向的検査 , 要素練習 , 課題練習 , dysphagia rehabilitation , videofluorography , treatment-oriented examination , element-based exercise , task-oriented exercise pp.179-190
Published Date 2022/9/15
DOI https://doi.org/10.11477/mf.6001200385
  • Abstract
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 Dysphagia rehabilitation began in the late 1980s and has made remarkable progress to date. The catalyst for this progress was videofluorography, which visualized swallowing movements and revealed previously unknown risks of aspiration, such as silent aspiration. It also provided treatment-oriented information necessary for swallowing exercises, thus enabling the creation of reasonable practice plans. Exercise can be divided into element-based exercise and task-oriented exercise, and the combination of these can create effective exercise regimes that are personalized for each patient. Element-based exercise uses the activity-function-structure relationship to improve each element function, such as muscle strength and range of motion. Task-oriented exercise, which is centered on motor learning, makes it possible to achieve safe and reasonable tasks by completing tasks of appropriate difficulty (limit-difficulty) in multiple stages. Two types of augmented feedback, knowledge of results (KR) and knowledge of performance (KP), which can be obtained by videofluorography, establish a progressive PDCA cycle process. The swallowing CT is useful for elucidating more accurate KPs. These ideas of dysphagia rehabilitation are also influencing exercise in other areas.


Copyright © 2022, 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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