Swallowing rehabilitation / dietary guidance

Eating and swallowing dysfunction is a syndrome that accompanies various diseases. The causes are divided into organic disorders and functional disorders, and the dentist cannot judge by himself.

Based on the results of swallowing function evaluation, swallowing endoscopy, and swallowing contrast examination, we will consult with the doctor in charge and propose swallowing rehabilitation and dietary guidance in cooperation with other occupations.

We also provide training for strengthening oral and pharyngeal functions by dental hygienists and speech therapists in visiting dentistry.

We also provide nutritional support by a registered dietitian.

Visit dental practice

At Saitama Oral Rehabilitation Dental Clinic, we mainly deal with swallowing, but we also provide home-visit dentistry for those who have difficulty in visiting a nearby dental clinic. The area that can be visited is within 16 km from the clinic, but if continuous treatment is required, we will cooperate with the Omiya Dental Clinic of the same corporation.

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Main visiting dental areas

Saitama City Toda City Koshigaya City Kasukabe City Kawagoe City Hasuda City Ageo City

Kawaguchi City Tokorozawa City Koshigaya City Soka City etc.

* Medical insurance covers the partial contribution of patients for home-visit dental care.

At home and residential facilities, long-term care insurance is also applied at the same time.

Indirect training

In swallowing, not only the functions of organs directly related to swallowing such as the tongue, oral cavity, pharynx, and larynx, but also breathing and posture are greatly involved. Affects. Oral care and denture adjustment / positioning are the basics of general care.

Swallowing training is performed in the sitting position as much as possible. By taking the sitting position, the respiratory function required for swallowing is improved and the movement of muscles related to mastication and swallowing is also improved. In addition, oral care suppresses the growth of germs in the oral cavity, increases saliva secretion by stimulating the oral cavity, and promotes the movement of the tongue and pharynx.

Oral care: activation of consciousness, prevention of pneumonia, maintenance of taste

Range of motion training of the tongue ・ ・ ・ Strengthening bolus retention, formation, and feeding

Salivary gland massage ・ ・ ・ Promotion of saliva secretion

Throat ice massage ・ ・ ・ Improvement of induction / delay of swallowing reflex

Falsetto vocalization: Exercise of muscles around the larynx and activation of laryngeal elevation

Glottic closure training: Promotes glottic closure due to recurrent laryngeal nerve palsy

Blowing: Promotes nasopharyngeal closure

Shakia method: Strengthens the suprahyoid muscles

Cough training ・ ・ ・ Strengthening of spitting

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Direct training

Actually ingest food and train, prepare a pulse oximeter and aspirator with the permission of the attending physician

Thorough risk management.

Ice licking ... A small amount of water induces swallowing

Swallowing multiple times ・ ・ ・ Removes pharyngeal residue

Alternate swallowing: Remove pharyngeal residue with a good street such as jelly

Neck anteflexion: Protects the airways and prevents aspiration

Sideways swallowing: Improvement of pharyngeal passage on the extended side

Breath-holding swallowing ・ ・ ・ Strengthening glottis closure Elimination from airway by exhalation after swallowing

Nodding swallowing ・ ・ ・ If you cannot send your tongue, use the force of gravity

Reclining position

References Nanzando that supports eating from the mouth

Dysphagia Evaluation and Treatment

Medical and Dental Publishing Co., Ltd.

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Dietary guidance

Based on the swallowing function test, we will teach you how to eat, how to eat, and how to eat with less risk of aspiration.

We will propose food forms by referring to the classification of academic societies and the classification of various long-term care foods issued by the Society of Eating and Swallowing Rehabilitation.

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Eating index

I made an index for raising the eating habits.

We monitor and respond to various items such as muse, fever, sputum volume, food intake, time, and so on.

NMES(神経筋電気刺激)

神経筋電気刺激とは筋肉を電気で刺激することで筋力の強化を行う方法です。

当院では摂食嚥下に関わる舌骨上筋群、表情筋などの刺激、間接訓練との併用で

​使用しております。

適応

・廃用性筋萎縮の予防

・関節可動域の拡大

・筋機能の再教育

・一時的な痙性の抑制

・電気的補助具としての役割

・​局所血流循環の増加

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*(株)​伊藤超音波HPより転載
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