[go: up one dir, main page]

WO2019225243A1 - Procédé d'évaluation de fonction de déglutition, programme, dispositif d'évaluation de fonction de déglutition et système d'évaluation de fonction de déglutition - Google Patents

Procédé d'évaluation de fonction de déglutition, programme, dispositif d'évaluation de fonction de déglutition et système d'évaluation de fonction de déglutition Download PDF

Info

Publication number
WO2019225243A1
WO2019225243A1 PCT/JP2019/016796 JP2019016796W WO2019225243A1 WO 2019225243 A1 WO2019225243 A1 WO 2019225243A1 JP 2019016796 W JP2019016796 W JP 2019016796W WO 2019225243 A1 WO2019225243 A1 WO 2019225243A1
Authority
WO
WIPO (PCT)
Prior art keywords
evaluated
swallowing function
swallowing
person
evaluation
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2019/016796
Other languages
English (en)
Japanese (ja)
Inventor
絢子 中嶋
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Panasonic Intellectual Property Management Co Ltd
Original Assignee
Panasonic Intellectual Property Management Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Panasonic Intellectual Property Management Co Ltd filed Critical Panasonic Intellectual Property Management Co Ltd
Priority to JP2020521107A priority Critical patent/JPWO2019225243A1/ja
Publication of WO2019225243A1 publication Critical patent/WO2019225243A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00—Image analysis
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics

Definitions

  • the present invention relates to a swallowing function evaluation method, a program, a swallowing function evaluation device, and a swallowing function evaluation system, which can evaluate a subject's swallowing function.
  • Eating dysphagia has risks such as aspiration, malnutrition, loss of eating pleasure, dehydration, weakness in physical strength and immunity, oral contamination and aspiration pneumonia, and prevent dysphagia Is required.
  • a device for evaluating the swallowing function is attached to the neck of the person to be evaluated, the pharyngeal movement feature quantity is acquired as a swallowing function evaluation index (marker), and the person's swallowing function is evaluated.
  • a method for evaluation is disclosed (for example, see Patent Document 1).
  • the swallowing function can be evaluated by visual inspection, interview, or palpation by a specialist such as a dentist, dental hygienist, speech auditor, or internal medicine doctor. Diagnosis by experts after dysphagia becomes serious, such as when paralysis occurs or when a dysphagia is caused by surgery on an organ related to dysphagia (eg, tongue, soft palate or pharynx) There are many cases to do. However, due to the effects of aging, elderly people may be overlooked or spilled, but they may overlook a decline in swallowing function as a natural symptom because they are old. .
  • an object of the present invention is to provide a method for evaluating a swallowing function that can easily evaluate the swallowing function of a person to be evaluated.
  • a program according to an aspect of the present invention is a program for causing a computer to execute the above-described swallowing function evaluation method.
  • the swallowing function evaluation device includes an acquisition unit that acquires an image obtained by imaging the face or neck of the person to be evaluated in a non-contact manner, and the image acquired by the acquisition unit A calculation unit that calculates a feature amount from the evaluation unit, an evaluation unit that evaluates the eating and swallowing function of the person to be evaluated from the feature amount calculated by the calculation unit, and an output unit that outputs an evaluation result evaluated by the evaluation unit And comprising.
  • a swallowing function evaluation system includes the above swallowing function evaluation device and an imaging device that images the face or neck of the person to be evaluated in a non-contact manner.
  • the acquisition unit of the swallowing function evaluation device acquires an image obtained by imaging the face or neck of the person to be evaluated in a non-contact manner by the imaging device.
  • the method for evaluating the swallowing function of the present invention it is possible to easily evaluate the swallowing function of the person to be evaluated.
  • FIG. 1 is a diagram illustrating a configuration of a swallowing function evaluation system according to an embodiment.
  • FIG. 2 is a block diagram illustrating a characteristic functional configuration of the swallowing function evaluation system according to the embodiment.
  • FIG. 3 is a flowchart illustrating a processing procedure for evaluating a person to be swallowed by the swallowing function evaluation method according to the embodiment.
  • FIG. 4 is a diagram illustrating an outline of an image acquisition method obtained by imaging the face or neck of the person to be evaluated by the method for evaluating swallowing function according to the embodiment.
  • FIG. 5 is a diagram illustrating a specific example of the swallowing function in the preparation period, the oral period, and the pharyngeal period, and symptoms when each function decreases.
  • FIG. 6 is a diagram illustrating an example of an evaluation result.
  • FIG. 7 is a diagram illustrating an example of the evaluation result.
  • FIG. 8 is a diagram illustrating an example of the evaluation result.
  • the present invention relates to a method for evaluating a swallowing function and the like. First, the swallowing function will be described.
  • the swallowing function is a function of the human body that is necessary for recognizing food, taking it into the mouth, and achieving a series of processes from the stomach to the stomach.
  • the swallowing function consists of five stages: the early phase, the preparation phase, the oral phase, the pharyngeal phase, and the esophageal phase.
  • the preceding period also called the cognitive period
  • the swallowing function in the preceding period is, for example, an eye viewing function.
  • the nature and condition of the food are recognized and the necessary preparations for eating such as how to eat, salivation and posture are made.
  • the preparatory period for swallowing also called chewing
  • food taken into the oral cavity is chewed with teeth, crushed (ie chewed), and the chewed food is mixed with saliva by the tongue And put together into a bolus.
  • the swallowing function during the preparation period for example, recognizes the motor function of facial muscles (such as lip muscles and cheek muscles) that take food into the oral cavity without spilling it, recognizes the taste of food, and recognizes hardness.
  • Tongue recognition function or tongue movement function to push food to teeth or mix finely mixed food with saliva, occlusal state of teeth to chew and crush food, tooth and
  • the cheek movement function that prevents food from entering between the cheeks, the movement function of the masticatory muscles (such as the masseter and temporal muscles), which is the generic name of the muscles used for mastication, and the fine food
  • the saliva secretion function is affected by the occlusal state of the teeth, the function of the masticatory muscles, the function of the tongue, and the like. Due to these swallowing functions during the preparation period, the bolus has physical properties that make it easy to swallow (size, lump, viscosity), and the bolus easily moves from the oral cavity through the pharynx to the stomach.
  • the swallowing function in the oral phase includes, for example, a tongue movement function for moving the bolus to the pharynx, a soft palate raising function for closing the space between the pharynx and the nasal cavity, and the like.
  • the bolus In the pharyngeal phase during swallowing, when the bolus reaches the pharynx, a swallowing reflex occurs and the bolus is sent to the esophagus within a short time (about 1 second). Specifically, the soft palate is raised and the space between the nasal cavity and the pharynx is closed, the base of the tongue (specifically the hyoid bone that supports the base of the tongue) and the larynx are raised, and the bolus becomes the pharynx In that case, the epiglottis is inverted downward, the trachea entrance is blocked, and the bolus is sent to the esophagus so that aspiration does not occur.
  • the swallowing function in the pharyngeal phase includes, for example, a pharyngeal motor function (specifically, a motor function that raises the soft palate) to close the space between the nasal cavity and the pharynx, and a tongue ( Specifically, when the bolus moves from the pharynx to the esophagus, or when the bolus flows into the pharynx, the glottis closes and closes the trachea, and the epiglottis from above reaches the entrance to the trachea It is a motor function of the larynx that is covered by hanging down.
  • a pharyngeal motor function specifically, a motor function that raises the soft palate
  • peristaltic movement of the esophageal wall is induced, and the bolus is sent from the esophagus to the stomach.
  • the swallowing function in the esophageal stage is, for example, a peristaltic function of the esophagus for moving the bolus to the stomach.
  • Decreased swallowing function also called oral flail
  • Decreased swallowing function can be a factor that accelerates the progression from the flail phase to the state of need for care. For this reason, we notice how the swallowing function has declined at the pre-frail stage, and by performing prevention and improvement in advance, it becomes difficult to fall into the nursing care state that continues from the flail stage, and a healthy and independent life You can keep it long.
  • the eating and swallowing function of the person being evaluated can be evaluated from an image (still image or moving image) obtained by imaging the face or neck of the person being evaluated. Specific features are observed in the movement of the subject's face, etc., where the swallowing function has been reduced, or in the position of the laryngeal protuberance (throat Buddha) in the neck. This is because the swallowing function can be evaluated.
  • the evaluation of the swallowing function in the preparation period, the oral period and the pharyngeal period will be described.
  • the present invention relates to a method for evaluating a swallowing function, a program for causing a computer to execute the method, a swallowing function evaluating device that is an example of the computer, and a swallowing function evaluating system including the swallowing function evaluating device. Realized. Below, the swallowing function evaluation method etc. are demonstrated, showing the swallowing function evaluation system.
  • FIG. 1 is a diagram illustrating a configuration of a swallowing function evaluation system 200 according to an embodiment.
  • the swallowing function evaluation system 200 is a system for evaluating the swallowing function of the evaluation subject U by analyzing an image obtained by imaging the face or neck of the evaluation subject U.
  • FIG. 5 the swallowing function evaluation device 100 and the mobile terminal 300 are provided.
  • the swallowing function evaluation system 200 may evaluate the eating / swallowing function of the person to be evaluated U by analyzing not only a still image but also a moving image.
  • one still image and a plurality of continuous images may be simply referred to as images.
  • the swallowing function evaluation apparatus 100 acquires an image obtained by imaging the face or neck of the person to be evaluated U by the mobile terminal 300, and evaluates the swallowing function of the person to be evaluated U from the acquired image. Device.
  • the portable terminal 300 is an imaging device that images the face or neck of the person U to be evaluated in a non-contact manner, and outputs an image obtained by the imaging to the swallowing function evaluation device 100.
  • the mobile terminal 300 is a smartphone or a tablet having an imaging function (camera).
  • the mobile terminal 300 is not limited to a smartphone or a tablet as long as it has an imaging function, and may be, for example, a notebook PC or a camera (for example, an RGB-D camera).
  • the swallowing function evaluation system 200 may include an imaging device (camera) instead of the mobile terminal 300.
  • the swallowing function evaluation system 200 is mentioned later, you may be provided with the input interface for acquiring the to-be-evaluated person's U personal information.
  • the input interface is not particularly limited as long as it has an input function such as a keyboard and a touch panel.
  • the mobile terminal 300 may be a display device that has a display and displays an image or the like based on image data output from the swallowing function evaluation device 100.
  • the display device may not be the portable terminal 300 but may be a monitor device configured by a liquid crystal panel or an organic EL panel. That is, in this embodiment, the mobile terminal 300 is both an imaging device and a display device, but the imaging device (camera), the input interface, and the display device may be provided separately.
  • the swallowing function evaluation apparatus 100 and the portable terminal 300 may be capable of transmitting and receiving an image obtained by imaging or image data for displaying an image indicating an evaluation result to be described later, and may be connected by wire. They may be connected wirelessly.
  • the device for evaluating swallowing function 100 analyzes the movement of the face of the person being evaluated U or the position of the laryngeal protuberance at the neck based on the image obtained by the imaging by the mobile terminal 300, and the result of the analysis shows Evaluate the swallowing function and output the evaluation results.
  • the swallowing function evaluation apparatus 100 uses image data for displaying an image indicating the evaluation result, or data for making a proposal regarding swallowing for the person to be evaluated U generated based on the evaluation result. Output to the mobile terminal 300. In this way, the swallowing function evaluation device 100 can notify the person to be evaluated U of the degree of the swallowing function and the proposal for preventing the deterioration of the swallowing function. Can prevent or improve the deterioration of swallowing function.
  • the swallowing function evaluation apparatus 100 is, for example, a personal computer, but may be a server apparatus.
  • the swallowing function evaluation device 100 may be a portable terminal 300. That is, the portable terminal 300 may have the function of the swallowing function evaluation device 100 described below.
  • FIG. 2 is a block diagram showing a characteristic functional configuration of the swallowing function evaluation system 200 according to the embodiment.
  • the swallowing function evaluation apparatus 100 includes an acquisition unit 110, a calculation unit 120, an evaluation unit 130, an output unit 140, a suggestion unit 150, and a storage unit 160.
  • the acquisition unit 110 acquires an image obtained by imaging the face or neck of the person to be evaluated U in a non-contact manner. Further, the acquisition unit 110 may further acquire personal information of the person to be evaluated U.
  • personal information is information input to the mobile terminal 300, such as age, weight, height, sex, BMI (Body Mass Index), dental information (for example, number of teeth, presence of dentures, location of occlusal support, etc.) Serum albumin level or eating rate.
  • the personal information may be acquired by a swallowing screening tool called EAT-10 (Eat Ten), a sacramental swallowing questionnaire or an interview.
  • the acquisition unit 110 is, for example, a communication interface that performs wired communication or wireless communication.
  • the calculation unit 120 is a processing unit that analyzes the image acquired by the acquisition unit 110. Specifically, the calculating unit 120 is realized by a processor, a microcomputer, or a dedicated circuit.
  • the calculation unit 120 calculates a feature amount from the image acquired by the acquisition unit 110.
  • the feature amount indicates a feature such as a face movement of the evaluated person U calculated from an image used by the evaluation unit 130 to evaluate the eating and swallowing function of the evaluated person U or a position of a laryngeal protuberance on the neck. It is a numerical value. Details of the calculation unit 120 will be described later.
  • the evaluation unit 130 compares the feature amount calculated by the calculation unit 120 with the reference data 161 stored in the storage unit 160, and evaluates the eating / swallowing function of the person to be evaluated U. For example, the evaluation unit 130 may evaluate the subject U's swallowing function after distinguishing whether it is a swallowing function in the preparation period, the oral period, or the pharyngeal stage.
  • the evaluation unit 130 is realized by a processor, a microcomputer, or a dedicated circuit. Details of the evaluation unit 130 will be described later.
  • the output unit 140 outputs the evaluation result of the swallowing function of the person to be evaluated U evaluated by the evaluation unit 130 to the suggestion unit 150. Further, the output unit 140 outputs the evaluation result to the storage unit 160, and the evaluation result is stored in the storage unit 160.
  • the output unit 140 is realized by a processor, a microcomputer, or a dedicated circuit.
  • the proposing unit 150 makes a proposal regarding swallowing to the person to be evaluated U by collating the evaluation result output by the output unit 140 with predetermined proposal data 162.
  • the suggestion unit 150 may collate the personal information acquired by the acquisition unit 110 with the proposal data 162 and make a proposal regarding swallowing to the evaluated person U.
  • Proposal unit 150 outputs the proposal to portable terminal 300.
  • the proposing unit 150 is realized by, for example, a processor, a microcomputer or a dedicated circuit, and a communication interface that performs wired communication or wireless communication. Details of the proposal unit 150 will be described later.
  • the storage unit 160 includes reference data 161 that indicates the relationship between the feature amount and the person's swallowing function, proposal data 162 that indicates the relationship between the evaluation result of the swallowing function and the proposed content,
  • the storage device stores personal information data 163 indicating personal information.
  • the reference data 161 is referred to by the evaluation unit 130 when the degree of the swallowing function of the evaluation subject U is evaluated.
  • the proposal data 162 is referred to by the suggestion unit 150 when a proposal related to swallowing for the person to be evaluated U is made.
  • the personal information data 163 is data acquired via the acquisition unit 110, for example.
  • the personal information data 163 may be stored in the storage unit 160 in advance.
  • the storage unit 160 is realized by, for example, a ROM (Read Only Memory), a RAM (Random Access Memory), a semiconductor memory, an HDD (Hard Disk Drive), or the like.
  • the storage unit 160 stores the program executed by the calculation unit 120, the evaluation unit 130, the output unit 140, and the suggestion unit 150, and the evaluation result used when the evaluation result of the swallowing function of the person to be evaluated U is output. And data such as an image, a moving image, a voice or a text indicating the proposal content are also stored.
  • the storage unit 160 may also store voice data for instructions that will be described later.
  • the swallowing function evaluation apparatus 100 may include an instruction unit for instructing the evaluated person U to image the face or neck of the evaluated person U. Specifically, the instruction unit acquires voice data for instruction and image data for instructing to image the face or neck of the person to be evaluated U stored in the storage unit 160, and obtains the voice The data and the image data are output to the portable terminal 300.
  • FIG. 3 is a flowchart showing a processing procedure for evaluating the swallowing function of the person to be evaluated U by the swallowing function evaluation method according to the embodiment.
  • FIG. 4 is a diagram illustrating an outline of an image acquisition method obtained by imaging the face or neck of the person to be evaluated U by the swallowing function evaluation method according to the embodiment.
  • the instruction unit instructs to image the face or neck of the person to be evaluated U (step S100). For example, in step S ⁇ b> 100, the instruction unit acquires audio data for an instruction for instructing the user U, stored in the storage unit 160, and outputs the audio data to the mobile terminal 300. Then, as shown in (a) of FIG. 4, a voice for instructing the person to be evaluated U is output to the mobile terminal 300. In addition, in (a) of FIG.
  • imaging may be performed by the person to be evaluated U himself or by an evaluator (family, doctor, etc.) who wants to evaluate the person to be evaluated U's swallowing function.
  • the instruction unit obtains image data of an image for instructing the person to be evaluated U stored in the storage unit 160 and outputs the image data to the portable terminal 300 to instruct imaging.
  • the instruction may be given using an instruction image for instructing imaging without using the instruction voice.
  • the evaluator family, doctor, etc.
  • the acquisition unit 110 acquires an image of the face or neck of the evaluator U who received the instruction in step S ⁇ b> 100 via the mobile terminal 300 (step S ⁇ b> 101).
  • step S ⁇ b> 101 for example, the person to be evaluated U photographs his / her face with his mouth open using the mobile terminal 300.
  • the acquisition unit 110 acquires an image obtained by imaging the face of the person to be evaluated U.
  • the calculation unit 120 calculates a feature amount from the image acquired by the acquisition unit 110 (step S102), and the evaluation unit 130 calculates the eating and swallowing function of the evaluated person U from the feature amount calculated by the calculation unit 120. Is evaluated (step S103).
  • the calculation unit 120 calculates the continuous image (moving image).
  • the movement of the mouth at is calculated as a feature amount.
  • the calculation unit 120 calculates a difference between the movement amount on the left side of the mouth and the movement amount on the right side (referred to as a mouth left / right difference) as a feature amount.
  • the reference data 161 includes a threshold value corresponding to the left-right difference of the mouth, and the evaluation unit 130 evaluates the swallowing function according to, for example, whether the left-right difference of the mouth is equal to or greater than the threshold value. .
  • a large difference between the left and right mouths indicates, for example, that there is paralysis on the left or right side of the mouth, that is, an expression for taking food into the oral cavity without spilling food during the preparation period. It shows that the motor function of the muscle has declined. That is, by evaluating the movement of the mouth of the person to be evaluated U, it is possible to evaluate the motor function of the facial muscles during the preparation period.
  • the calculation unit 120 is characterized by the degree of opening of the mouth in the image. Calculate as a quantity.
  • the reference data 161 includes a threshold corresponding to the degree of opening of the mouth, and the evaluation unit 130 performs, for example, a swallowing function depending on whether the degree of opening of the mouth is equal to or greater than the threshold. evaluate.
  • Small mouth openness that is, not opening the mouth wide, for example, during the preparation period, the facial muscle function and masseter muscles for taking food into the mouth without spilling It shows that the occlusal function of temporal muscles (masticatory muscles) is reduced. That is, by evaluating the degree of opening of the person to be evaluated U, the motor function of the facial muscles and the motor function of the masticatory muscles in the preparation period can be evaluated.
  • the calculation unit 120 calculates the movement of the tongue in a continuous image (moving image) as a feature amount. Specifically, the calculation unit 120 calculates the length that allows the tongue to be put out from the mouth as the feature amount. In addition, the calculation unit 120 calculates a difference between the amount of movement of the tongue on the left side and the amount of movement on the right side (referred to as tongue left-right difference) as a feature amount. Further, the calculation unit 120 calculates the approach amount of the tip of the tongue to the upper jaw behind the front teeth as a feature amount.
  • the reference data 161 includes a threshold value corresponding to the length of the tongue that can be taken out of the mouth, and the evaluation unit 130, for example, determines whether or not the length is greater than or equal to the threshold value.
  • the reference data 161 includes a threshold value corresponding to the left-right difference of the tongue.
  • the evaluation unit 130 performs a swallowing function depending on whether the left-right difference of the tongue is equal to or greater than the threshold value.
  • the reference data 161 includes a threshold value corresponding to the approach amount, and the evaluation unit 130 evaluates the swallowing function according to, for example, whether the approach amount is equal to or greater than the threshold value. .
  • the motor function of the tongue (specifically, the root of the tongue, more specifically, the suprahyoid muscle group) in the oral cavity is reduced.
  • a large difference between the left and right tongues indicates, for example, that the tongue is paralyzed.
  • food in the preparation period is pressed against the teeth or fine food is saliva.
  • the motor function of the tongue for mixing together is reduced.
  • the said approach amount is small (being less than a threshold value) shows that the motor function of the tongue (superhyoid muscle group) in the oral cavity period is falling, for example. That is, the tongue movement function in the preparation period and the tongue movement function in the oral period can be evaluated by evaluating the movement of the tongue of the evaluation subject U.
  • the calculation unit 120 calculates whether or not the cheek bulge can be maintained as a feature amount.
  • the reference data 161 includes a threshold value corresponding to the maintenance degree of the cheek bulge, and the evaluation unit 130, for example, ingestion swallowing according to whether the cheek bulge degree is equal to or greater than the threshold value. Evaluate functionality.
  • the fact that the cheeks do not swell (below the threshold value) indicates that, for example, the space between the nasal cavity and the pharynx cannot be blocked, and air is leaking from the pharynx to the nasal cavity (nasal pharyngeal insufficiency) That is, the motor function of the pharynx (specifically, soft palate) for closing the space between the nasal cavity and the pharynx in the pharyngeal stage is reduced. That is, by evaluating the movement of the cheek of the person to be evaluated U, it is possible to evaluate the facial muscle function in the preparation period and the pharyngeal movement function in the pharynx stage.
  • the calculation unit 120 calculates the tooth in the image.
  • the cheek muscle bulge caused by biting is calculated as a feature value.
  • the calculation unit 120 calculates the mouth angle in the image.
  • the elevation of the muscles of the cheeks caused by raising is calculated as a feature amount.
  • the reference data 161 includes a threshold corresponding to the uplift, and the evaluation unit 130 evaluates the swallowing function depending on whether the uplift is equal to or higher than the threshold, for example.
  • the fact that the muscles of the cheeks do not rise (below the threshold value) indicates, for example, that the motor function (muscle strength) of the masticatory muscles during the preparation period is reduced. That is, by evaluating the bulge of the cheek muscles of the person to be evaluated U, the motor function of the masticatory muscles in the preparation period can be evaluated.
  • the calculation unit 120 calculates the position of the laryngeal protuberance of the person to be evaluated U in the image as a feature amount. To do.
  • the reference data 161 includes a threshold corresponding to the position of the laryngeal bump (for example, the distance from the face), and the evaluation unit 130 determines whether the position of the laryngeal bump is equal to or greater than the threshold, for example. Evaluate the swallowing function as appropriate.
  • the fact that the laryngeal protuberance is far from the face indicates, for example, a state that requires extra effort to raise the laryngeal protuberance when swallowing a bolus, that is, the larynx in the pharyngeal phase (specifically, Indicates that the motor function of the subhyoid muscle group is reduced (in other words, the laryngeal state is deteriorated).
  • the state of the larynx deteriorates in this way, a person with poor swallowing function often has insufficient muscular strength, but the elevation of the laryngeal protuberance is further insufficient, and it can be avoided.
  • the evaluation unit 130 may provide the swallowing function of the person to be evaluated U, such as the tongue movement function in the “preparation period” or the tongue movement function in the “oral period”, We evaluate after distinguishing whether it is swallowing function in oral cavity stage or pharyngeal stage.
  • the reference data 161 includes a correspondence relationship between the type of feature quantity and the swallowing function in at least one stage of the preparation period, the oral period, and the pharyngeal period. For example, when attention is paid to the mouth left-right difference as the feature quantity, the mouth left-right difference is associated with the motor function of facial muscles in the preparation period.
  • the evaluation part 130 can evaluate the to-be-evaluated person's U swallowing function, after distinguishing whether it is a swallowing function in a preparation period, an oral cavity period, and a pharyngeal period. What kind of symptom is given to the subject U by evaluating the subject's U swallowing function after distinguishing whether it is a swallowing function in the preparation phase, oral phase or pharyngeal phase You can see if there is a risk of occurrence. This will be described with reference to FIG.
  • FIG. 5 is a diagram showing specific examples of the swallowing function in the preparation period, the oral period and the pharyngeal period, and symptoms when each function is lowered.
  • the swallowing function of the subject U can be set in any stage of the preparation stage, the oral stage and the pharyngeal stage. It is possible to make detailed countermeasures for each corresponding symptom by evaluating after distinguishing whether or not it is a swallowing function. Moreover, although mentioned later for details, the proposal part 150 can propose the countermeasure according to evaluation result to the to-be-evaluated person U. FIG.
  • the output unit 140 outputs the evaluation result of the swallowing function of the person to be evaluated U evaluated by the evaluation unit 130 (step S104).
  • the output unit 140 outputs the evaluation result of the swallowing function of the evaluated person U evaluated by the evaluation unit 130 to the suggestion unit 150.
  • the output unit 140 may output the evaluation result to the mobile terminal 300.
  • the output unit 140 may include a communication interface that performs wired communication or wireless communication, for example.
  • the output unit 140 acquires image data of an image corresponding to the evaluation result from the storage unit 160 and transmits the acquired image data to the mobile terminal 300.
  • An example of the image data (evaluation result) is shown in FIGS.
  • the evaluation result is a two-stage evaluation result of OK or NG.
  • OK means normal and NG means abnormal.
  • the evaluation result is not limited to a two-stage evaluation result, and may be a fine evaluation result in which the degree of evaluation is divided into three or more stages. That is, the threshold value corresponding to each feature amount included in the reference data 161 stored in the storage unit 160 is not limited to one threshold value, and may be a plurality of threshold values. Specifically, for a certain feature amount, the evaluation result is normal when it is equal to or greater than the first threshold, and the evaluation result is slightly abnormal when it is smaller than the first threshold and greater than the second threshold, and is equal to or less than the second threshold.
  • the evaluation result may be abnormal.
  • a circle mark or the like may be shown instead of OK (normal)
  • a triangle mark or the like may be shown instead of slightly abnormal
  • a cross mark or the like may be shown instead of NG (abnormal).
  • normality and abnormality do not have to be shown for each swallowing function, and for example, only items that are suspected of lowering the swallowing function may be shown.
  • the image data of the image corresponding to the evaluation result is, for example, a table as shown in FIGS.
  • the person to be evaluated U can confirm such a table showing the evaluation results after distinguishing whether the function is the swallowing function in the preparation stage, the oral stage or the pharyngeal stage. For example, if the person to be evaluated U knows in advance what measures should be taken when the function decreases for each of the swallowing functions in the preparation period, oral period and pharyngeal period, U can make detailed countermeasures by confirming such a table.
  • the proposing unit 150 makes a proposal regarding swallowing to the person to be evaluated U by collating the evaluation result output by the output unit 140 with predetermined proposal data 162. .
  • the proposal data 162 includes proposal contents regarding swallowing for the person to be evaluated U corresponding to each combination of evaluation results for the swallowing function in the preparation period, the oral period, and the pharyngeal period.
  • the storage unit 160 includes data (for example, an image, a moving image, sound, text, etc.) indicating the proposal content.
  • the suggestion unit 150 makes a proposal regarding swallowing to the person to be evaluated U using such data.
  • FIGS the evaluation result evaluated after distinguishing whether the swallowing function of the to-be-evaluated U is the swallowing function in the preparation stage, the oral stage or the pharyngeal stage is shown in FIGS.
  • the tongue motor function in the preparation period, the tongue motor function in the oral cavity period, and the pharyngeal motor function and the larynx motor function in the pharyngeal period are NG.
  • the swallowing function is OK.
  • avoiding hard-to-eat foods can result in unbalanced nutrition and take time to eat.
  • the swallowing of the bolus is problematic because the tongue motor function in the oral period and the motor function of the pharynx and larynx in the pharynx stage are NG. As a result, it takes time to swallow or swallow.
  • the proposal unit 150 collates the combination of the evaluation results with the proposal data 162 to make a proposal corresponding to the combination.
  • the suggestion unit 150 proposes to reduce the amount of food put into the mouth at a time, such as softening a hard object. This is because by reducing the amount of food put into the mouth at a time, it becomes possible to chew without difficulty, and the bolus becomes smaller and it becomes easier to swallow the bolus.
  • the suggestion unit 150 may use the mobile terminal 300 by an image, text or voice, etc. “Reducing the amount to put into the mouth and eat slowly. Proposal of contents such as “maybe”.
  • the suggestion unit 150 proposes to thicken the liquid contained in the food.
  • the suggestion unit 150 proposes a content such as “Let's eat a soup or a liquid such as a soup” via an image, text, or voice via the mobile terminal 300.
  • the proposal unit 150 collates the combination of the evaluation results with the proposal data 162 to make a proposal corresponding to the combination. Specifically, when eating hard food (vegetables, meat, etc.), it is proposed to make it fine or soft before eating. This is because even if there is a problem with the chewing ability and the occlusal ability, it becomes possible to eat hard food.
  • the suggestion unit 150 uses the mobile terminal 300 to display a content such as “let's chop it small if it is hard and difficult to eat”, or “because it is difficult to eat leafy vegetables. We recommend that you take it aggressively by softening, chopping, etc. so that you do n’t avoid eating, but rather nutrition.
  • the swallowing function may be reduced in the preparation period, the oral period, and the pharyngeal period.
  • the muscular strength of the lips declines due to the decline in the motor function of the facial muscles during the preparation period
  • the masseter muscles decline due to the decline in the movement function of the masticatory muscles during the preparation period
  • the muscle strength of the tongue declines due to the decline of the tongue movement function during the oral period
  • the hypopharyngeal muscle group is expected to have declined due to the decline in laryngeal motor function in the pharyngeal phase, suggesting the possibility of sarcopenia.
  • the proposal unit 150 collates the combination of the evaluation results with the proposal data 162 to make a proposal corresponding to the combination.
  • the suggestion unit 150 may use personal information (for example, age, weight) of the evaluated person U acquired by the acquisition unit 110.
  • the suggestion unit 150 uses an image, text or voice via the mobile terminal 300, “Let's take protein. Since the current weight is 60 kg, the protein is 20 g to 24 g per serving, 3 meals total. “Let ’s take 60g to 72g.” In order to avoid losing it when eating, let ’s eat with a thick liquid soup and soup.
  • the proposal unit 150 proposes specific training content related to rehabilitation.
  • the suggestion unit 150 uses the mobile terminal 300 to perform muscle strength training for the whole body according to the age of the person to be evaluated U (such as training that repeats standing and sitting) and lip muscle strength recovery training (such as training that repeats standing and sitting). Examples such as training that repeats breath blowing and inhalation), recovery training of tongue muscle strength (training that moves the tongue in and out, movement up and down, left and right, etc.) are shown.
  • installation of an application for such rehabilitation may be proposed.
  • details of training actually performed during rehabilitation may be recorded. Thereby, it is possible to reflect the recorded contents in rehabilitation by the specialists by confirming the recorded contents by a specialist (such as a doctor, a dentist, a speech therapist, or a nurse).
  • the evaluation unit 130 does not need to evaluate the swallowing function of the person to be evaluated U after distinguishing whether the swallowing function is in the preparation period, the oral cavity period, or the pharyngeal period. That is, the evaluation unit 130 may evaluate what kind of swallowing function of the person to be evaluated U is deteriorated.
  • the suggestion unit 150 may make a proposal described below according to a combination of evaluation results for each swallowing function.
  • the suggestion unit 150 may present a code indicating a food form such as a code of “swallowing adjusted meal classification 2013” of the Japanese Society for Swallowing Rehabilitation.
  • a code indicating a food form such as a code of “swallowing adjusted meal classification 2013” of the Japanese Society for Swallowing Rehabilitation.
  • the person to be evaluated U purchases a product corresponding to a dysphagia, it is difficult to describe the “meal form” in words, but the code is used in a one-to-one correspondence with the code. Meals can be easily purchased.
  • the proposal part 150 may present the site for purchasing such goods, and may enable it to purchase using the internet. For example, after evaluating the swallowing function via the mobile terminal 300, the mobile terminal 300 may be used for purchase.
  • the suggestion unit 150 may present other products that supplement the nutrition so that the nutrition of the evaluated person U is not biased.
  • the proposing unit 150 uses the personal information (for example, body weight, BMI (Body Mass Index), serum albumin value, eating rate, etc.) of the evaluated person U acquired by the acquiring unit 110, so that the evaluated person U After determining the nutritional status of the product, a product supplementing nutrition may be presented.
  • the suggestion unit 150 may propose a posture at the time of eating. This is because the ease of swallowing food varies depending on the posture.
  • the proposing unit 150 proposes to eat with a leaning posture in which the angle from the pharynx to the trachea is not likely to be a straight line.
  • the suggestion unit 150 may present a menu in consideration of nutritional bias due to a decrease in the swallowing function (present a menu site describing such a menu).
  • a menu site is a site where ingredients and cooking procedures necessary for completing a menu are described.
  • the proposal part 150 may present the menu which considered the bias
  • the suggestion unit 150 may present a menu that is nutritionally balanced in a specific period over a specific period such as one week.
  • the suggestion unit 150 may transmit information indicating the degree to which food is fined or softened to a cooker that has been converted to IoT (Internet of Things). Thereby, food can be finely and softened correctly. In addition, it is possible to save time and effort for the person to be evaluated U to make food fine or soft.
  • IoT Internet of Things
  • the swallowing function evaluation method acquires an image obtained by imaging the face or neck of the person to be evaluated U in a non-contact manner, as shown in FIG.
  • An acquisition step (step S101) a calculation step (step S102) for calculating a feature amount from the acquired image
  • the swallowing of the person to be evaluated U can be easily performed.
  • the function can be evaluated. That is, it is possible to evaluate the eating and swallowing function of the person to be evaluated U only by imaging the face or neck of the person to be evaluated U using an imaging device such as the portable terminal 300.
  • At least one of a facial muscle function, a tongue function, a masticatory function, a pharyngeal function, and a laryngeal function may be evaluated as a swallowing function.
  • the facial muscle function in the preparation period the tongue movement function in the preparation period, the masticatory muscle function in the preparation period, the tongue movement function in the oral period, the pharyngeal movement function in the pharynx stage, or The laryngeal motor function in the pharyngeal phase can be evaluated.
  • the acquisition step a plurality of continuous images obtained by imaging the mouth when the user U is moving the mouth is acquired, and in the calculation step, the movement of the mouth in the continuous images is calculated as a feature amount. May be.
  • the facial muscle function of the evaluated person U during the preparation period can be easily performed. Can be evaluated.
  • an image obtained by imaging the mouth when the person to be evaluated U is opening the mouth may be obtained, and in the calculating step, the degree of opening of the mouth in the image may be calculated as a feature amount. .
  • the motor function of the facial muscles during the preparation period of the person to be evaluated U can be easily performed.
  • the motor function of the masticatory muscles during the preparation period can be evaluated.
  • the acquisition step a plurality of continuous images obtained by imaging the tongue when the user U is moving the tongue while opening his mouth are acquired, and in the calculation step, the movement of the tongue in the continuous image May be calculated as a feature amount.
  • the tongue in the preparation period of the person to be evaluated U can be simply captured by simply imaging the tongue when the person to be evaluated U is moving the tongue while opening the mouth using an imaging device such as the portable terminal 300.
  • the motor function of the tongue or the motor function of the tongue in the oral phase can be evaluated.
  • the acquisition step a plurality of continuous images obtained by imaging the cheek when the person to be evaluated U is inflating the cheek while closing his mouth is acquired, and in the calculation step, the movement of the cheek in the continuous image May be calculated as a feature amount.
  • the facial expression of the person to be evaluated U in the preparation period can be easily obtained.
  • the motor function of the muscle or the motor function of the pharynx in the pharyngeal stage can be evaluated.
  • an image obtained by imaging the cheek of the person to be evaluated U when the person to be evaluated U is biting the teeth is obtained, and in the calculation step, the muscles of the cheek are raised by biting the teeth in the image. May be calculated as a feature amount.
  • an image obtained by imaging the cheek of the person to be evaluated U when the person to be evaluated U raises the mouth corner is obtained.
  • a bulge may be calculated as a feature amount.
  • the position of the evaluator U's laryngeal protuberance in the image may be calculated as a feature amount.
  • the swallowing function evaluation method may further include an output step (step S104) for outputting an evaluation result.
  • the swallowing function evaluation method further includes a proposing step (step S105) of making a proposal regarding swallowing to the evaluated person U by collating the output evaluation result with predetermined data. May be.
  • the to-be-evaluated person U can receive a proposal as to what countermeasures should be taken regarding swallowing when the swallowing function at each stage is lowered. For example, it is possible to prevent aspiration pneumonia by suppressing aspiration by allowing the evaluated person U to perform rehabilitation based on the proposal or to take a diet based on the proposal. Can reduce malnutrition due to decline.
  • the suggestion step at least one of a proposal related to a meal corresponding to the evaluation result of the swallowing function and a proposal related to exercise corresponding to the evaluation result of the swallowing function may be performed.
  • the to-be-evaluated person U can receive a suggestion of what kind of meal should be performed or what kind of exercise should be performed when the swallowing function is lowered.
  • personal information of the person to be evaluated U may be acquired.
  • a more effective proposal can be made to the evaluated person U by combining the evaluation result of the swallowing function of the evaluated person U and personal information. Can do.
  • the swallowing function evaluation apparatus 100 acquires the acquisition unit 110 that acquires an image obtained by imaging the face or neck of the person to be evaluated U without contact, and the acquisition unit 110 acquires the image.
  • the calculation unit 120 that calculates the feature amount from the image
  • the evaluation unit 130 that evaluates the swallowing function of the person to be evaluated U from the feature amount calculated by the calculation unit 120, and the evaluation result that the evaluation unit 130 evaluates are output.
  • An output unit 140 An output unit 140.
  • the swallowing function evaluation device 100 that can easily evaluate the swallowing function of the person U to be evaluated.
  • the swallowing function evaluation system 200 includes a swallowing function evaluation device 100 and an imaging device that captures the face or neck of the person to be evaluated U in a non-contact manner (in this embodiment, a portable terminal) 300).
  • the acquisition unit 110 of the swallowing function evaluation apparatus 100 acquires an image obtained by imaging the face or neck of the person to be evaluated U in a non-contact manner.
  • the swallowing function evaluation system 200 that enables the evaluation of the swallowing function of the person to be evaluated U easily.
  • the reference data 161 is predetermined data, but may be updated based on an evaluation result obtained when an expert actually diagnoses the swallowing function of the person to be evaluated U. Thereby, the evaluation precision of a swallowing function can be improved. Note that machine learning may be used to improve the evaluation accuracy of the swallowing function.
  • the proposal data 162 is predetermined data, but the evaluated person U may evaluate the proposal content and may be updated based on the evaluation result. That is, for example, when a proposal corresponding to the fact that the person to be evaluated U cannot chew based on a certain feature amount even though the person to be evaluated U can chew without problems, It is evaluated that it is wrong. Then, by updating the proposal data 162 based on the evaluation result, the erroneous proposal as described above is not made based on the same feature amount. Thus, the proposal content regarding swallowing for the person to be evaluated U can be made more effective. Note that machine learning may be used to make proposals related to swallowing more effective.
  • the evaluation result of the swallowing function may be stored as big data together with personal information and used for machine learning.
  • the proposal content regarding swallowing may be accumulated as big data together with personal information and used for machine learning.
  • the eating and swallowing function evaluation method includes the suggestion step (step S105) for making a suggestion regarding swallowing, but it may not be included.
  • the swallowing function evaluation device 100 may not include the suggestion unit 150.
  • the personal information of the person to be evaluated U is acquired, but it is not necessary to acquire it.
  • the acquisition unit 110 may not acquire the personal information of the evaluated person U.
  • the steps in the swallowing function evaluation method may be executed by a computer (computer system).
  • the present invention can be realized as a program for causing a computer to execute the steps included in these methods.
  • the present invention can be realized as a non-transitory computer-readable recording medium such as a CD-ROM on which the program is recorded.
  • each step is executed by executing the program using hardware resources such as a CPU, a memory, and an input / output circuit of a computer. . That is, each step is executed by the CPU obtaining data from a memory or an input / output circuit or the like, and outputting the calculation result to the memory or the input / output circuit or the like.
  • each component included in the swallowing function evaluation device 100 and the swallowing function evaluation system 200 of the above embodiment may be realized as a dedicated or general-purpose circuit.
  • each component included in the swallowing function evaluation apparatus 100 and the swallowing function evaluation system 200 of the above embodiment is realized as an LSI (Large Scale Integration) that is an integrated circuit (IC). Also good.
  • LSI Large Scale Integration
  • IC integrated circuit
  • the integrated circuit is not limited to an LSI, and may be realized by a dedicated circuit or a general-purpose processor.
  • a programmable FPGA (Field Programmable Gate Array) or a reconfigurable processor in which connection and setting of circuit cells inside the LSI can be reconfigured may be used.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Molecular Biology (AREA)
  • Physiology (AREA)
  • Epidemiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Databases & Information Systems (AREA)
  • Data Mining & Analysis (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Primary Health Care (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

L'invention concerne un procédé d'évaluation de fonction de déglutition, qui comprend : une étape d'acquisition (étape S101) destinée à acquérir une image, qui est capturée sans contact, du visage ou du cou d'une personne évaluée (U) ; une étape de calcul (étape S102) destinée à calculer une valeur de caractéristique à partir de l'image acquise ; et une étape d'évaluation (étape S103) destinée à évaluer la fonction de déglutition de la personne évaluée (U) à partir de la valeur de caractéristique calculée.
PCT/JP2019/016796 2018-05-23 2019-04-19 Procédé d'évaluation de fonction de déglutition, programme, dispositif d'évaluation de fonction de déglutition et système d'évaluation de fonction de déglutition Ceased WO2019225243A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2020521107A JPWO2019225243A1 (ja) 2018-05-23 2019-04-19 摂食嚥下機能評価方法、プログラム、摂食嚥下機能評価装置および摂食嚥下機能評価システム

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2018099174 2018-05-23
JP2018-099174 2018-05-23

Publications (1)

Publication Number Publication Date
WO2019225243A1 true WO2019225243A1 (fr) 2019-11-28

Family

ID=68615732

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2019/016796 Ceased WO2019225243A1 (fr) 2018-05-23 2019-04-19 Procédé d'évaluation de fonction de déglutition, programme, dispositif d'évaluation de fonction de déglutition et système d'évaluation de fonction de déglutition

Country Status (2)

Country Link
JP (1) JPWO2019225243A1 (fr)
WO (1) WO2019225243A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021132270A1 (fr) * 2019-12-26 2021-07-01 サンスター株式会社 Système de support de mastication
WO2024096074A1 (fr) * 2022-11-04 2024-05-10 株式会社明治 Procédé d'analyse de mouvement de mastication

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007260273A (ja) * 2006-03-29 2007-10-11 Sumitomo Osaka Cement Co Ltd 嚥下機能評価装置
JP2017086322A (ja) * 2015-11-06 2017-05-25 国立大学法人東北大学 味覚評価診断装置、味覚評価診断装置の味覚評価診断方法

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3765776B2 (ja) * 2002-07-03 2006-04-12 独立行政法人科学技術振興機構 咀嚼機能評価システム
JP6802467B2 (ja) * 2016-08-22 2020-12-16 長野県 処理装置、判定装置および適正範囲特定方法

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007260273A (ja) * 2006-03-29 2007-10-11 Sumitomo Osaka Cement Co Ltd 嚥下機能評価装置
JP2017086322A (ja) * 2015-11-06 2017-05-25 国立大学法人東北大学 味覚評価診断装置、味覚評価診断装置の味覚評価診断方法

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
NAGAOSA, SHUICHIRO ET AL.: "Proposal of a simple oral and maxillofacial function evaluation method in stroke -evaluation of oral dysfunction in eating and swallowing disorders", THE JAPANESE JOURNAL OF DYSPHAGIA REHABILITATION, vol. 7, no. 1, 2003, pages 53 - 56 *

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021132270A1 (fr) * 2019-12-26 2021-07-01 サンスター株式会社 Système de support de mastication
JP2021105878A (ja) * 2019-12-26 2021-07-26 サンスター株式会社 咀嚼支援システム
CN114846558A (zh) * 2019-12-26 2022-08-02 太阳星光齿磨公司 咀嚼辅助系统
US20230038875A1 (en) * 2019-12-26 2023-02-09 Sunstar Inc. Chewing assistance system
JP7353556B2 (ja) 2019-12-26 2023-10-02 サンスター株式会社 咀嚼支援システム
EP4084014A4 (fr) * 2019-12-26 2024-01-17 Sunstar Inc. Système de support de mastication
WO2024096074A1 (fr) * 2022-11-04 2024-05-10 株式会社明治 Procédé d'analyse de mouvement de mastication

Also Published As

Publication number Publication date
JPWO2019225243A1 (ja) 2021-07-01

Similar Documents

Publication Publication Date Title
JP7403129B2 (ja) 摂食嚥下機能評価方法、プログラム、摂食嚥下機能評価装置および摂食嚥下機能評価システム
Martin-Harris et al. The videofluorographic swallowing study
Oliveira et al. Factors associated with malocclusions in children and adolescents with Down syndrome
Howard Temporomandibular joint disorders in children
JPWO2019225241A1 (ja) 摂食嚥下機能評価方法、プログラム、摂食嚥下機能評価装置および摂食嚥下機能評価システム
WO2019225230A1 (fr) Procédé d'évaluation de la fonction de déglutition, programme, dispositif d'évaluation de la fonction de déglutition et système d'évaluation de la fonction de déglutition
McCullough et al. Clinical evaluation of patients with dysphagia: Importance of history taking and physical exam
Pardoe Development of a multistage diet for dysphagia
Pedroni-Pereira et al. Chewing in adolescents with overweight and obesity: An exploratory study with behavioral approach
Namasivayam-MacDonald et al. Impact of dysphagia rehabilitation in adults on swallowing physiology measured with videofluoroscopy: a mapping review
Pongpipatpaiboon et al. Clinical evaluation of dysphagia
WO2019225243A1 (fr) Procédé d'évaluation de fonction de déglutition, programme, dispositif d'évaluation de fonction de déglutition et système d'évaluation de fonction de déglutition
Tagashira et al. A new evaluation of masticatory ability in patients with dysphagia: The Saku-Saku Test
McClain et al. Pediatric dysphagia
Murry et al. Clinical management of swallowing disorders
JP7648877B2 (ja) 咀嚼改善提案システム、及び咀嚼改善提案プログラム
Fukatsu et al. Endoscopic evaluation of food bolus formation and its relationship with the number of chewing cycles
Laguna et al. Eating capability assessments in elderly populations
Wagner-Sonntag Control of symptoms: dysphagia
Kjaersgaard et al. Factors affecting return to oral intake in inpatient rehabilitation after acquired brain injury
Palovcak et al. Diagnostic and therapeutic methods in the management of dysphagia in the ALS population: issues in efficacy for the out-patient setting
Riquelme et al. Feeding/swallowing disorders: Maintaining quality of life in persons with intellectual disability
Calcaterra et al. Mastication and oral myofunctional status in excess weight children and adolescents: A cross‐sectional observational study
Ambrosi et al. Rehabilitation of swallowing disorders
Gourley et al. Swallowing Difficulties in Palliative Care

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 19806900

Country of ref document: EP

Kind code of ref document: A1

ENP Entry into the national phase

Ref document number: 2020521107

Country of ref document: JP

Kind code of ref document: A

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19806900

Country of ref document: EP

Kind code of ref document: A1