山田 祐歌 (ヤマダ ユカ)

Yamada, Yuka

写真a

所属(所属キャンパス)

医学部 リハビリテーション医学教室 (信濃町)

職名

助教(有期)

 

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  • A comparison of swallowing dysfunction in Becker muscular dystrophy and Duchenne muscular dystrophy.

    山田 祐歌

    Disabil Rehabil. 2017年03月

    研究論文(学術雑誌), 共著

     概要を見る

    Purpose: Swallowing dysfunction has been reported in Duchenne muscular dystrophy (DMD), but has not been studied in Becker muscular dystrophy (BMD). The aims of this study were to report the characteristics of swallowing dysfunction in BMD and to compare it with that in DMD.
    Materials and methods: Participants were 18 patients with BMD and 18 patients with DMD. They were examined with videofluorography using 5 ml liquid. The penetration-aspiration scale (P-A scale) and the videofluorographic dysphagia scale (VDS) were used to evaluate dysphagia.
    Results: Swinyard functional ability stage was not significantly different between the BMD and DMD groups. Rate of aspiration, P-A scale score and total VDS score did not differ across groups, but the VDS item score for laryngeal elevation was lower in the BMD group than in the DMD group (median score 4.5 and 9, respectively, p < 0.001). In the BMD group, total VDS score correlated significantly with Swinyard stage (r = 0.78, p < 0.001), but not with age or lung function parameters.
    Conclusion: Patients with BMD have swallowing problems similar to those observed in patients with DMD. These patients should be evaluated and followed up for the duration of their disease.