上行用力音高滑動作為上行與下行運動神經元病變者咽部收縮的預測因子

// Upward Effortful Pitch Glide as a Predictor of Pharyngeal Constriction in Individuals With Upper Versus Lower Motor Neuron Lesions

本研究評估鼻內窺鏡觀察的最大咽部收縮度，能否預測上運動神經元（UMN）與下運動神經元（LMN）損傷者的吞嚥咽部面積｜46名患者回顧性數據顯示，專家評分對LMN組的正常吞嚥指標具可靠預測力，但對UMN組則不顯著｜結果提示，主動咽部收縮度較適用於評估LMN損傷者的吞嚥功能，具臨床判斷價值。

// This study assessed whether nasoendoscopy ratings of maximum pharyngeal constriction during an effortful pitch glide predict pharyngeal area during swallowing in people with upper (UMN) versus lower motor neuron (LMN) lesions. Using retrospective data from 46 individuals, expert judges rated pharyngeal constriction and compared it to swallowing measures from VFSS. Ratings reliably predicted normal swallowing measurements in the LMN group but not in the UMN group. Thus, volitional pharyngeal constriction during nasoendoscopy may better predict swallowing function in LMN lesions than in UMN lesions.

Published 2026年8月20日