밀러-피셔 증후군 환자를 대상으로 한 급성기의 적극적인 삼킴장애 재활치료의 효과 사례연구
A Case of Study on the Effect of Intensive Rehabilitation Therapy of Dysphagia in Acute Phase for the Miller-Fisher Syndrome Patient
This case study evaluated severe swallowing disorders that were specific to patients with Miller-Fischer syndrome, a variant of Guillain-Barre syndrome, in addition to the main three symptoms, performed initial active treatment, and investigated its effects. The subject of the study was a male patient in his 30s who was diagnosed with Miller-Fisher's syndrome. As a result of video fluoroscopy, the ability to chew and swallow food was not observed. For 23 days, electrical stimulation treatment and active swallowing disorder rehabilitation were combined. After application, changes in orofacial muscle strength and swallowing function were analyzed. After active swallowing rehabilitation, the tongue and bilateral ball muscle strength increased by 13.5 kPa and 5.5 kPa, respectively. In addition, as a result of the new video fluoroscopy scale analyzed through video fluoroscopy, the score decreased from an initial 74 points to 37.5 points. In this study, in the treatment of swallowing disorder in patients with Miller-Fisher syndrome, early active swallowing disorder rehabilitation therapy and electric stimulation therapy are thought to have a positive effect on the improvement of oral facial strength and swallowing function.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상자 2. 치료적 중재방법 3. 평가도구 및 방법 Ⅲ. 결과 1. 혀와 경구개사이 압력 및 좌우측 볼의 압력 2. 새로운 비디오 투시조영검사 척도 결과 Ⅳ. 고찰 Ⅴ. 결론 인용문헌