Postürün Oral-Motor Yapılar Üzerine Etkisi

Oral motor beceriler, çiğneme, beslenme, yutma bozukluğu, salya ve konuşma ile ilgili problemler özellikle baş ve gövde kontrolü ile yakından ilişkilidir. Omurga ve pelvis stabilitesi beslenme sırasında oral kontrolün sağlanması açısından önemlidir. Pelvis stabilitesi gövde kontrolünü, gövde stabilitesi baş kontrolünü, baş stabilitesi çene kontrolünü ve çene stabilitesi de dil hareketlerinin kontrolünü ve dudak mobilitesini sağlamaktadır. Bu ilişki nedeniyle oral motor fonksiyon bozukluğu da postürü olumsuz etkileyebilmektedir. Oral yapılar ile ilgili fonksiyonların, baş ve gövde stabilitesi ile etkileşimi nedeniyle doğru baş pozisyonu, beslenme sırasında yutmayı kolaylaştırmakta ve aspirasyon riskini azaltmaktadır. Postürün, oral motor fonksiyon üzerinde etkisinin bilinmesi, oral motor problemlere yaklaşımda yol gösterici olacaktır.

Anahtar Kelimeler:

postür, çiğneme, beslenme, yutma

Effect Of Posture On Oral-Motor Structures

Oral-motor skills, chewing, feeding, swallowing disorders, saliva and speech-related problems are closely related to head and trunk control. Spinal and pelvic stability is important for oral control during feeding. Pelvis stability provides body control, body stability provides head control, head stability provides jaw control and jaw stability also provides tongue movement control and lip mobility. Oral-motor dysfunction can also adversely affect posture. Because of the interaction with the functions of the oral structures, the correct head position facilitates swallowing during feeding and reduces the risk of aspiration. Knowing the mechanism between postural and oral-motor structures will guide the approach to oral-motor problems.Key words: Feeding, Chewing, Posture, Swallowing

Keywords:

Feeding, Chewing, Posture, Swallowing,

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1. Moon, HH, Jang KT. The effect of correction exercise program on primary school students with idiopathic scoliosis. J Sport Leis Stud.2007 31;1033-1041.
2. Peterson Kendall F, McCreary EK, Provance P, et al. Muscles testing and function with posture and pain. US: Lippincott Williams & Wilkins Ltd. 2005.
3. Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics. 2009 64(1); 61-66.
4. Lumbau A, Schinocca L, Chessa G. Influence of posture on swallowing. Eur J Paediatr Dent. 2011 12(3); 171.
5. Castro MSJD, Toro AADC, Sakano E, Ribeiro JD. Evaluation of oral functions of the stomatognathic system according to the levels of asthma severity. J Soc Bras Fonoaudio. 2012 24(2); 119-124.
6. Gisel EG, Schwartz S, Petryk A, Clarke D, Haberfellner H. ``Whole Body''Mobility After One Year of Intraoral Appliance Therapy in Children with Cerebral Palsy and Moderate Eating Impairment. Dysphagia. 2000 15(4); 226-235.
7. Kumin L, Bahr DC. Patterns of feeding, eating, and drinking in young children with Down syndrome with oral motor DSQ. 1999 4(2); 1-8.
8. Larnert G, Ekberg O. Positioning improves the oral and pharyngeal swallowing function in children with cerebral palsy. Acta Paediatr 1995 84(6); 689-693.
9. Logemann AJ, Evaluation and Treatment of Swallowing Disorder. PRO-ED: 1998 chapter 5; 135-185.
10. Herman JH, Lange ML. Seating and positioning to manage spasticity after brain injury. NeuroRehabilitation, 1999 12(2); 105-117.
11. Langley MB, Thomas C, Lombardino LJ. Introduction to the neurodevelopmental approach. Neurodevelopmental strategies for managing communication disorders in children with severe motor dysfunction. 1991 1-28.
12. Manno CJ, Fox C, Eicher PS, Kerwin ME. Early oral-motor interventions for pediatric feeding problems: What, when and how. Journal of Early and Intensive Behavior Intervention. 2005 2(3); 145.
13. Szeto GP, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl Ergon. 2002 33(1); 75-84.
14. Weon JH, Oh JS, Cynn HS, Kim YW, Kwon OY, Yi, CH. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. J Bodyw Mov Ther Title. 2010 14(4); 367-374.
15. Bolmont B, Gangloff P, Vouriot A, Perrin PP. Mood states and anxiety influence abilities to maintain balance control in healthy human subjects. Neurosci Lett. 2002 329(1); 96-100.
16. Gangloff P, Perrin PP. Unilateral trigeminal anaesthesia modifies postural control in human subjects. subjects. Neurosci Lett. 2002 330(2); 179-182.
17. Kantor E, Poupard L, Le Bozec S, Bouisset S. Does body stability depend on postural chain mobility or stability area? Neurosci Lett. 2001 308(2); 128-132.
18. Alghadir AH, Zafar H, Iqbal ZA. Effect of three different jaw positions on postural stability during standing. Funct Neurol. 2015 30(1); 53.
19. Park SH, Kim HJ, Kim JS, Koo JW, Oh SW, Kim DU, Deriu F. Mastication-induced vertigo and nystagmus. J Neurol . 2014 261(3); 480-489.
20. Ehrlich R, Garlick D, Ninio M. The effect of jaw clenching on the electromyographic activities of 2 neck and 2 trunk muscles. J OROFAC PAIN. 1999 13(2).
21. Hellmann D, Giannakopoulos NN, Blaser R, Eberhard, Schindler HJ. The effect of various jaw motor tasks on body sway. Journal of oral rehabilitation. 2011 38(10); 729-736.
22. Miralles R, Gutiérrez C, Zucchino G, Cavada G, Carvajal R, Valenzuela S, Palazzi C. Body position and jaw posture effects on supra-and infrahyoid electromyographic activity in humans. CRANIO®. 2006 24(2); 98-103.
23. Iizumi T, Magara J, Tsujimura T, Inoue M. Effect of body posture on chewing behaviours in healthy volunteers. J Oral Rehabil. 2017 44(11); 835-842.
24. Inagaki D, Miyaoka Y, Ashida I, Yamada Y. Activity pattern of swallowing‐related muscles, food properties and body position in normal humans. J Oral Rehabil. 2009 36(10); 703-709.
25. Salonen MA, Raustia AM, Huggare J, Smith SD. Head and cervical spine postures in complete denture wearers. CRANIO®. 1993 11(1); 30-35.
26. Eriksson PO, Häggman-Henrikson B, Nordh E, Zafar H. Co-ordinated mandibular and head-neck movements during rhythmic jaw activities in man. J Dent Res. 2000 79(6); 1378-1384.
27. Zafar H, Eriksson PO, Nordh E, Häggman‐Henrikson B. Wireless optoelectronic recordings of mandibular and associated head–neck movements in man: a methodological study. J Oral Rehabil. 2000 27(3); 227-238.
28. Nakayama E, Tohara H, Hiraba H, Sanpei R, Wakasa H, Ohno S, Ueda K. Effects of reclining posture on velopharyngeal closing pressure during swallowing and phonation. J Oral Rehabil. 2013 40(6); 450-456.
29. Bracco P, Deregibus A, Piscetta R. Effects of different jaw relations on postural stability in human subjectsNeurosci Lett. 2004 356(3); 228-230.
30. Redstone F, West JF. The importance of postural control for feeding. Pediatr Nurs. 2004 30(2); 97-100.
31. Alper BS, Manno CJ. Dysphagia in infants and children with oral-motor deficits: Assessment and management. In Seminars in Speech and Language Vol. 17, No. 04, Thieme Medical Publishers Inc: 1996 pp. 283-310.
32. Staes FF, Jansen L, Vilette A, Coveliers Y, Daniels K, Decoster W. Physical therapy as a means to optimize posture and voice parameters in student classical singers: a case report. J Voice Title. 2011 25(3); e91-e101.
33. Tykalova T, Pospisilova M, Cmejla R, Jerabek J, Mares P, Rusz, J. Speech changes after coordinative training in patients with cerebellar ataxia: a pilot study. J Neurol Sci. 2016 37(2); 293-296.
34. Myamoto K, Ozbek MM, Lowe AA, Fleetham JA. Effect of body position on tongue posture in awake patients with obstructive sleep apnea. Thorax. 1997 52; 255–259.
35. Otsuka R, Ono T, Ishiwata Y, Kuroda T. Respiratory-related genioglossus electromyographic activity in response to head rotation and changes in body position. Angle Orthod. 2000 70(1); 63-69.
36. No ABR. Functions of tongue-related muscles during production of the five Japanese vowels. Ann. Bull. RILP No. 1994 28; 33-40.
37. Lagier A, Vaugoyeau M, Ghio A, Legou T, Giovanni A, Assaiante C. Coordination between posture and phonation in vocal effort behavior. Folia Phoniatrica et Logopaedica. 2010 62(4); 195-202.
38. Green JR, Moore CA, Ruark JL, Rodda PR, Morvée WT, Vanwitzenburg MJ. Development of chewing in children from 12 to 48 months: Longitudinal study of EMG patterns. JNeurophysiol. 1997 77(5); 2704-2716.
39. Gisel EG. Effect of oral sensorimotor treatment on measures of growth and efficiency of eating in the moderately eating-impaired child with cerebral palsy. Dysphagia, 1996 11(1); 48-58.
40. Senner JE, Logemann J, Zecker S, Gaebler-Spira D. Drooling, saliva production, and swallowing in cerebral palsy. Developmental medicine and child neurology. 2004 46(12); 801-806.
41. Arvedson J, Brodsky, L. Diagnosis and Treatment. Pediatric swallowing and feeding: Assessment and Management. 2nd ed. Arvedson JC, Brodsky LB, eds. Albany, NY: Singular Publishing Group. 2002 1-468.
42. Alrefai AH, Aburahma SK, Khader YS. Treatment of sialorrhea in children with cerebral palsy: a double-blind placebo controlled trial. Clin Neurol Neurosurg. 2009 111(1); 79-82.
43. Morris SE. Development of oral-motor skills in the neurologically impaired child receiving non-oral feedings. Dysphagia. 1989 3(3); 135-154.
44. Inal Ö, Serel SA., Demir N, Tunca ÖY, Karaduman AA. Effect of Functional Chewing Training on tongue thrust and drooling in children with cerebral palsy: a randomised controlled trial. Journal of oral rehabilitation. 2017 44(11); 843-849.
45. Wolf LS, Glass RP, Carr AB. Feeding and swallowing disorders in infancy: Assessment and managementTucson, AZ: Therapy Skill Builders. 1992 pp. 85-147.
46. Kagaya H, Inamoto Y, Okada S, Saitoh E. Body positions and functional training to reduce aspiration in patients with dysphagia. JMAJ. 2011 54(1); 35-8.