PDF(Pubmed)
Abstract：
Swallowing safety is one of the top health concerns of dementia. Coughing and choking (coughing/choking) are signs of impaired swallowing safety. This study aimed to investigate the effectiveness of regular physical exercise-based swallowing intervention for reducing coughing-choking at the dementia day-care center. This was a retrospective analysis with data from medical records, including age, the clinical dementia rating (CDR), and the frequencies of coughing/choking in ten days (10-day coughing/choking). Those who complied with the exercise programs were assigned to the exercise-based group (n = 22), and those who could not comply were assigned to the non-exercised-based group (n = 7). The non-exercised-based group showed more advanced age and higher CDR than the exercise-based group (p < 0.05). The 10-day coughing/choking showed significant decreases at the 5-month and 19-month in the exercise-based group and at the 5-month in the non-exercise-based group (p < 0.05). Our findings suggested that regular physical exercise-based swallowing intervention effectively alleviated coughing/choking problems of older adults with dementia and its effectiveness was long-lasting. For those who could not comply with exercise programs, noticeably with more advanced age and dementia, the effective swallowing intervention period was short-term.
摘要：
吞咽安全是痴呆症的首要健康问题之一。咳嗽和窒息（咳嗽/窒息）是吞咽安全性受损的迹象。这项研究旨在调查基于定期体育锻炼的吞咽干预在痴呆症日托中心减少咳嗽窒息的有效性。这是一个来自医疗记录数据的回顾性分析,包括年龄,临床痴呆等级(CDR)，以及十天内咳嗽/窒息的频率(十天咳嗽/窒息)。那些遵守锻炼计划的人被分配到基于锻炼的组（n=22），那些不能服从的人被分配到非运动组(n=7).与基于运动的组相比，非基于运动的组显示出更高的年龄和更高的CDR（p<0.05）。10天咳嗽/窒息在基于运动的组中在5个月和19个月以及在基于非运动的组中在5个月时显示出显著减少(p<0.05)。我们的发现表明，定期进行基于体育锻炼的吞咽干预有效地缓解了老年痴呆症患者的咳嗽/窒息问题，其有效性是持久的。对于那些不能遵守锻炼计划的人，随着年龄的增长和痴呆症的增加，有效吞咽干预期为短期.
