Progress in rehabilitation research on respiratory-swallow coordination
There is a close coordination relationship between breathing and swallowing.Swallowing rehabilitation can ensure safe and adequate intake of food,reduce respiratory complications such as aspiration and intrapulmonary infection.Respiratory rehabilitation can restore normal breathing patterns,enhance respiratory muscle strength,improve pulmonary ventilation and cough efficacy,and thus provide strong support for swallowing rehabilitation.In the past rehabilitation techniques,there has been a lack of coordination between respiratory rehabilitation and swallowing rehabilitation.In order to further achieve early extubation,early feeding,improve airway safety,reduce the occurrence of aspiration and aspiration pneumonia,effective respiratory-swallowing integration techniques can be used to re-establish cough efficacy and respiratory-swallowing coordination.Respiratory-swallowing coordination has become a hot topic in the field of rehabilitation.This article reviews the physiological mechanism,neural regulatory mechanism,measurement methods,and rehabilitation treatments that can improve respiratory-swallow coordination.