Effect of Passy-Muir Speaking Valve in Brain-injured Patients with Dysphagia: Two cases report.

, Im, Hyeong Lyong; , Lee, So Young; , Kang, Kyong Ju; , Choi, In Sung; , Kim, Jae Hyung; , Lee, Sam Gyu; , Park, Seung Jin

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(2):225-230.

Im, Hyeong Lyong , Lee, So Young , Kang, Kyong Ju , Choi, In Sung , Kim, Jae Hyung , Lee, Sam Gyu , Park, Seung Jin

¹Department of Physical Medicine & Rehabilitation, Chonnam National University Medical School, Korea. sam91@jnu.ac.kr
²Department of Physical Medicine & Rehabilitation, Chonnam National University Hwasun Hospital, Korea.
³Department of Biomedical Engineering, Chonnam National University Hospital, Korea.

뇌 손상 후 연하곤란 환자에서 Passy-Muir 발성판의 유용성⁣증례 보고⁣

임형룡, 이소영¹, 강경주, 최인성, 김재형¹, 이삼규, 박승진²

전남대학교 의과대학 재활의학교실, ¹화순전남대학교병원 재활의학과, ²전남대학교병원 의공학과

Abstract

It is well known that the brain-injured patients with tracheostomy is prone to frequent tracheopulmonary aspiration and dysphagia problems. We experienced two brain-injured patients with dysphagia, who revealed the improvement of clinical and videofluoroscopic parameters after application of Passy-Muir speaking valve (PMV 2000^Ⱂ, Passy-Muir Inc., USA). Two brain-injured patients had kept on nasogastiric and tracheostomy tubes. After PMV application for 2weeks, the frequency of aspiration decreased, sleep hygiene and emotional lability improved, and also videofluoroscopic parameters such as pharyngeal delay time, pharyngeal transit time, and epiglottic closure were improved. Eventually, they could be free from tracheostomy tubes within 1 month after PMV application. (J Korean Acad Rehab Med 2005; 29: 225-230)

Key Words: Dysphagia, Videofluoroscopic swallowing study, Brain injury