PDF(Pubmed)
Abstract：
Oropharyngeal dysphagia, or difficulty initiating swallowing, is a frequent problem in people with Parkinson\'s disease (PD) and can lead to aspiration pneumonia. The efficacy of pharmacological options is limited. Postural strategies, such as a chin-down manoeuvre when drinking, have had some degree of success but may be difficult for people who have other limitations such as dementia or neck rigidity, to reproduce consistently. Using a user-centred design approach and a multidisciplinary team, we developed and tested an anti-choking mug for people with PD that helps angle the head in the optimum position for drinking. The design reflected anthropometric and ergonomic aspects of user needs with features including regulation of water flow rate and sip volume, an inner slope, a thickened handle and a wide base, which promoted a chin-down posture when used. Prototype testing using digital technology to compare neck flexion angles (the primary outcome), plus clinical outcomes assessed using standard tools (Swallowing Clinical Assessment Score in Parkinson\'s Disease (SCAS-PD) and Movement Disorder Society-Unified Parkinson\'s Disease Rating Scale (MDS-UPDRS) Parts II and III), found significant improvements in a range of parameters related to efficient swallowing and safe drinking when using the anti-choking mug versus a sham mug.
摘要：
口咽吞咽困难,或开始吞咽困难，是帕金森病（PD）患者的常见问题，可导致吸入性肺炎。药理学选择的功效是有限的。姿势策略,比如喝酒时的下巴动作，已经取得了一定程度的成功，但对于患有痴呆症或颈部僵硬等其他局限性的人来说可能很难，持续繁殖。使用以用户为中心的设计方法和多学科团队，我们为PD患者开发并测试了一种防窒息杯，该杯子有助于将头部倾斜在最佳饮酒位置。该设计反映了用户需求的人体测量和人体工程学方面，其功能包括调节水流量和sip体积，一个内部斜坡，加厚的手柄和宽的底座，使用时促进了下巴向下的姿势。使用数字技术进行原型测试，以比较颈部屈曲角度（主要结果），加上使用标准工具评估的临床结果（帕金森病吞咽临床评估评分（SCAS-PD）和运动障碍协会-帕金森病统一评定量表（MDS-UPDRS）第二部分和第三部分），发现与使用防窒息杯和假杯子相比，与有效吞咽和安全饮用相关的一系列参数显着改善。
