- 著者
 
          - 
             
             Yumi Yamada
             
             Hiroshi Shamoto
             
             Keisuke Maeda
             
             Hidetaka Wakabayashi
             
          
 
          
          
          - 出版者
 
          - The Japanese Association of Rehabilitation Medicine
 
          
          
          - 雑誌
 
          - Progress in Rehabilitation Medicine (ISSN:24321354)
 
          
          
          - 巻号頁・発行日
 
          - vol.3, pp.20180019, 2018 (Released:2018-11-20)
 
          
          
          - 参考文献数
 
          - 18
 
          
          
          - 被引用文献数
 
          - 
             
             
             7
             
             
          
        
 
        
        
        Background: Sarcopenic dysphagia is caused by decreased muscle mass and          muscle weakness in the swallowing muscles that occurs because of sarcopenia. The key to          treating sarcopenic dysphagia is combined therapy with rehabilitation and aggressive          nutrition management. However, to our knowledge, no studies based in a home medical care          setting have yet been published. Case: A 72-year-old man with Parkinson’s          disease developed sarcopenia and possible sarcopenic dysphagia during hospitalization for          drug adjustment. At discharge, the patient’s body weight was 39.0 kg (−33.8%/4 months,          body mass index: 15.3 kg/m2), the Barthel Index was 45, Functional Oral Intake          Scale was level 4, and Dysphagia Severity Scale was 4. Sarcopenia was confirmed by a calf          circumference of 23.8 cm, a handgrip strength of 22 kg, and a gait speed of 0.5 m/s. The          patient was diagnosed with sarcopenic dysphagia, according to the consensus diagnostic          criteria for sarcopenic dysphagia. After the patient was discharged, he underwent a          combination of dysphagia rehabilitation, daily activity training, and aggressive nutrition          management, which started from 1200 kcal/day and reached a maximum of 2800 kcal/day. Four          months after discharge, the patient’s swallowing function returned to normal (Functional          Oral Intake Scale: 7, Dysphagia Severity Scale: 6) and his weight increased by 31% (body          mass index: 20.1 kg/m2). Increases in muscle mass (calf circumference: 32 cm),          muscle strength (handgrip strength: 34 kg), physical function (gait speed: 1 m/s), and          activities of daily living (Barthel Index: 90) indicated recovery from sarcopenia.            Discussion: Sarcopenic dysphagia may be a complication of Parkinson’s          disease, and home-based combined therapy with rehabilitation and aggressive nutrition          management may be effective for treating this condition.