Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000160.xml
neuroreha 2021; 13(03): 117-124
DOI: 10.1055/a-1531-8201
DOI: 10.1055/a-1531-8201
Schwerpunkt
Neurophysiologische Grundlagen des normalen und gestörten Schluckaktes
Beim Schlucken handelt es sich um einen überlebenswichtigen Vorgang, der die Aufnahme von Nahrung, Flüssigkeiten und Speichel ermöglicht und der Reinigung und dem Schutz von Mundhöhle, Zunge und Zähnen dient. Darüber hinaus werden die Atmungsorgane (Trachea, Lunge) durch einen intakten Schluckakt vor eindringendem Fremdmaterial und damit einhergehend auch Krankheitserregern geschützt. Man spricht umgangssprachlich nicht ohne Grund von „Verschlucken“, wenn es infolge eines Kontakts von Nahrung oder Flüssigkeiten mit den sensiblen Strukturen der Atemwege zur Auslösung des Hustenreflexes kommt.
Publication History
Article published online:
13 September 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 Warnecke T, Dziewas R. Neurogene Dysphagien. Diagnostik und Therapie. 2nd ed.. Stuttgart: Kohlhammer; 2018. https://ebookcentral.proquest.com/lib/gbv/detail.action?docID=5371885 Stand: 14.07.2021
- 2 Clavé P, Shaker R. Dysphagia. Current reality and scope of the problem. Nature Reviews: Gastroenterology & Hepatology 2015; 12: 259-270 DOI: 10.1038/nrgastro.2015.49.
- 3 Wirth R, Dziewas R, Beck AM. et al. Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: A review and summary of an international expert meeting. Clinical Interventions in Aging 2016; 11: 189-208 DOI: 10.2147/CIA.S97481.
- 4 Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngology – Head and Neck Surgery 2009; 140: 33-36 DOI: 10.1016/j.otohns.2008.10.010.
- 5 Logemann JA, Pauloski BR, Rademaker AW. et al. Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men. In: Journal of Speech, Language, and Hearing Research 2000; 43: 1264-1274 DOI: 10.1044/jslhr.4305.1264..
- 6 Teismann IK, Steinstraeter O, Schwindt W. et al. Age-related changes in cortical swallowing processing. Neurobiology of Aging 2010; 31: 1044-1050 DOI: 10.1016/j.neurobiolaging.2008.07.001.
- 7 Lin LC, Wu SC, Chen HS. et al. Prevalence of impaired swallowing in institutionalized older people in Taiwan. Journal of the American Geriatrics Society 2002; 50: 1118-1123 DOI: 10.1046/j.1532-5415.2002.50270.x.
- 8 Butler SG, Stuart A, Merkley L. et al. Penetration and aspiration in healthy older adults as assessed during endoscopic evaluation of swallowing. The Annals of Otology, Rhinology, and Laryngology 2009; 118: 190-198 DOI: 10.1177/000348940911800306.
- 9 Leopold NA, Daniels SK. Supranuclear control of swallowing. Dysphagia 2010; 25: 250-257 DOI: 10.1007/s00455-009-9249-5.
- 10 Humbert IA, Fitzgerald M, McLaren DG. et al. Neurophysiology of swallowing: Effects of age and bolus type. NeuroImage 2009; 44: 982-991 DOI: 10.1016/j.neuroimage.2008.10.012.
- 11 Dziewas R, Sörös P, Ishii R. et al. Neuroimaging evidence for cortical involvement in the preparation and in the act of swallowing. NeuroImage 2003; 20: 135-144 DOI: 10.1016/S1053-8119(03)00285-4.
- 12 Hamdy S, Aziz Q, Rothwell JC. et al. The cortical topography of human swallowing musculature in health and disease. Nature Medicine 1996; 2: 1217-1224 DOI: 10.1038/nm1196-1217.
- 13 Teismann IK, Dziewas R, Steinstraeter O. et al. Time-dependent hemispheric shift of the cortical control of volitional swallowing. Human Brain Mapping 2009; 30: 92-100 DOI: 10.1002/hbm.20488.
- 14 Mihai PG, Otto M, Platz T. et al. Sequential evolution of cortical activity and effective connectivity of swallowing using fMRI. Human Brain Mapping 2014; 35: 5962-5973 DOI: 10.1002/hbm.22597.
- 15 Robbins J, Levine RL, Maser A. et al. Swallowing after unilateral stroke of the cerebral cortex. Archives of Physical Medicine and Rehabilitation 1993; 74: 1295-1300 DOI: 10.1016/0003-9993(93)90082-l.
- 16 Suntrup S, Kemmling A, Warnecke T. et al. The impact of lesion location on dysphagia incidence, pattern and complications in acute stroke. Part 1: Dysphagia incidence, severity and aspiration. European Journal of Neurology 2015; 22: 832-838 DOI: 10.1111/ene.12670.
- 17 Teismann IK, Suntrup S, Warnecke T. et al. Cortical swallowing processing in early subacute stroke. BMC Neurology 2011; 11: 34 DOI: 10.1186/1471-2377-11-34.
- 18 Hamdy S, Aziz Q, Rothwell JC. et al. Recovery of swallowing after dysphagic stroke relates to functional reorganization in the intact motor cortex. Gastroenterology 1998; 115: 1104-1112 DOI: 10.1016/s0016-5085(98)70081-2.
- 19 Dziewas R, Teismann IK, Suntrup S. et al. Cortical compensation associated with dysphagia caused by selective degeneration of bulbar motor neurons. Human Brain Mapping 2009; 30: 1352-1360 DOI: 10.1002/hbm.20603.
- 20 Teismann IK, Warnecke R, Suntrup S. et al. Cortical processing of swallowing in ALS patients with progressive dysphagia: A magnetoencephalographic study. PloSone 2011; 6: e19987 DOI: 10.1371/journal.pone.0019987.
- 21 Suntrup S, Teismann I, Bejer J. et al. Evidence for adaptive cortical changes in swallowing in Parkinson’s disease. Brain 2013; 136: 726-738 DOI: 10.1093/brain/awt004.
- 22 Pisegna JM, Kaneoka A, Pearson W. et al. Effects of non-invasive brain stimulation on post-stroke dysphagia: A systematic review and meta-analysis of randomized controlled trials. Clinical Neurophysiology 2016; 127: 956-968 DOI: 10.1016/j.clinph.2015.04.069.
- 23 Suntrup-Krueger S, Ringmaier C, Muhle P. et al. Randomized trial of transcranial direct current stimulation for poststroke dysphagia. Annals of neurology 2018; 83: 328-340 DOI: 10.1002/ana.25151.
- 24 Bath PM, Woodhouse LJ, Suntrup-Krueger S. et al. Pharyngeal electrical stimulation for neurogenic dysphagia following stroke, traumatic brain injury or other causes: Main results from the PHADER cohort study. EClinicalMedicine 2020; 28: 100608 DOI: 10.1016/j.eclinm.2020.100608.
- 25 Dziewas R, Stellato R, van der I Tweel. et al. Pharyngeal electrical stimulation for early decannulation in tracheotomised patients with neurogenic dysphagia after stroke (PHAST-TRAC): A prospective, single-blinded, randomised trial. The Lancet Neurology 2018; 17: 849-859 DOI: 10.1016/S1474-4422(18)30255-2.