An important aspect of swallowing disorder research is the matching of food contents with corresponding oral functions. Basic research into food texture helps clarify the relationship between food and oral function. There are many videofluorographic studies concerning food transport in the oral stage of swallowing;however,there has been little research in this area using ultrasound analysis.Ultrasound Duplex-Doppler analysis is based on the Doppler shift of the Doppler effect,which can be used to measure blood flow.This study examined depiction conditions and analysis methodology during the oral stage of swallow using the ultrasound Duplex-Doppler method.The following
results were obtained:
1. The scanning head position was standardized with certainty using an apparatus having a small fixed transducer and a holder with an angle mater.
2. Simultaneous display images were recorded in D and B modes,enabling measurement of the waveform and frequency shift produced by food transport.
3. The angle compensation line was set at 60 degrees, which made reference to the angle of inclination of the front part of palate.This provided a picture set up taking into consideration the equipment conditions.
4. The transducer angle, which was 10 degrees from the sagittal plane and convenient for front neck movement,easily provided a compensation line in agreement with the direction of food transport.
5. The position on the palate where food transport was evaluated,and the relation with the arrow of teeth,became clearer using the improved position marker.
6. This evaluation method provided the means to analyze food transport from the oral cavity to the pharynx,with regard to top velocity,inflow time, top velocity attainment time,and mean acceleration.The individual coefficient of variation for each value was small.
Based on these results, the observation and analysis of food transport using ultrasound Duplex-Doppler analysis may serve as a good model for future research.
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