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KMID : 1022420100020020079
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Phonetics and Speech Sciences
2010 Volume.2 No. 2 p.79 ~ p.83
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Laryngeal Closure Duration in Post-stroke Patients
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Park Tae-Ok
Ko Do-Heung
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Abstract
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As bolus enters the pharynx during the swallow, laryngeal closure takes place by approximating the epiglottis to the arytenoid Laryngeal Closure Duration(LCD) is the duration of contact between the arytenoids and the epiglottis from the first contact to the last(Logemann et al, 2000). Epiglottic inversion continues pharyngeal swallow stage is completed in order to protect the airway. The purpose of this study is to measure layrngeal closure duration (LCD) in three groups of subjects: a) 10 stroke patients who aspirate before and during the swallow(aspirators), b) 10 stroke patients who do not aspirate during the swallow c)10 normal control subjects. Means and standard deviation of LCD was analyzed in both 5㎖ and 10 ㎖ thin liquids using 100msec timer in videoflouroscopic swallowing examination. The mean for each group was 0.15 seconds shorter from aspirators to control group. There was a significant difference between aspirators and normal subjects for laryngeal closure duration during the swallow. Laryngeal closure duration after a stroke lead to aspiration. However, only one of this temporal problem may not be enough to aspiration.
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KEYWORD
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laryngeal closure duration, aspiration, normal swallowing, temporal analysis, videoflouroscopic examination
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