Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Archives of Otorhinolaryngology |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000100013 |
Resumo: | Introduction The chin-tuck maneuver is the most frequently employed postural maneuver in the treatment of neurogenic oropharyngeal dysphagia caused by encephalic vascular strokes and degenerative diseases. Objective The purpose of this study was to investigate the effectiveness of this maneuver in patients with neurogenic dysphagia and factors that could interfere in it. Methods In this retrospective cohort, we analyzed the medical files and videofluoroscopy exams of 35 patients (19male - 54% and 16 female - 46%; age range between 20 and 89 years old; mean = 69 years). Results The results suggest that the effectiveness of chin-tuck maneuver is related to the overall degree of dysphagia: the more severe the dysphagia, the less effective the maneuver. Conclusion Chin-tuck maneuver should benefit dysphagic patients with delay in the swallowing trigger, reduced laryngeal elevation, and difficulties to swallow liquids, but is not the best compensatory strategy for patients with severe dysphagia. |
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International Archives of Otorhinolaryngology |
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Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagiadeglutitionfluoroscopydeglutition disordersdysphagia Introduction The chin-tuck maneuver is the most frequently employed postural maneuver in the treatment of neurogenic oropharyngeal dysphagia caused by encephalic vascular strokes and degenerative diseases. Objective The purpose of this study was to investigate the effectiveness of this maneuver in patients with neurogenic dysphagia and factors that could interfere in it. Methods In this retrospective cohort, we analyzed the medical files and videofluoroscopy exams of 35 patients (19male - 54% and 16 female - 46%; age range between 20 and 89 years old; mean = 69 years). Results The results suggest that the effectiveness of chin-tuck maneuver is related to the overall degree of dysphagia: the more severe the dysphagia, the less effective the maneuver. Conclusion Chin-tuck maneuver should benefit dysphagic patients with delay in the swallowing trigger, reduced laryngeal elevation, and difficulties to swallow liquids, but is not the best compensatory strategy for patients with severe dysphagia.Fundação Otorrinolaringologia2016-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000100013International Archives of Otorhinolaryngology v.20 n.1 2016reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.1055/s-0035-1564721info:eu-repo/semantics/openAccessSaconato,MarianaChiari,Brasilia MariaLederman,Henrique ManoelGonçalves,Maria Inês Rebeloeng2016-02-12T00:00:00Zoai:scielo:S1809-48642016000100013Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2016-02-12T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false |
dc.title.none.fl_str_mv |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia |
title |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia |
spellingShingle |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia Saconato,Mariana deglutition fluoroscopy deglutition disorders dysphagia |
title_short |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia |
title_full |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia |
title_fullStr |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia |
title_full_unstemmed |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia |
title_sort |
Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia |
author |
Saconato,Mariana |
author_facet |
Saconato,Mariana Chiari,Brasilia Maria Lederman,Henrique Manoel Gonçalves,Maria Inês Rebelo |
author_role |
author |
author2 |
Chiari,Brasilia Maria Lederman,Henrique Manoel Gonçalves,Maria Inês Rebelo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Saconato,Mariana Chiari,Brasilia Maria Lederman,Henrique Manoel Gonçalves,Maria Inês Rebelo |
dc.subject.por.fl_str_mv |
deglutition fluoroscopy deglutition disorders dysphagia |
topic |
deglutition fluoroscopy deglutition disorders dysphagia |
description |
Introduction The chin-tuck maneuver is the most frequently employed postural maneuver in the treatment of neurogenic oropharyngeal dysphagia caused by encephalic vascular strokes and degenerative diseases. Objective The purpose of this study was to investigate the effectiveness of this maneuver in patients with neurogenic dysphagia and factors that could interfere in it. Methods In this retrospective cohort, we analyzed the medical files and videofluoroscopy exams of 35 patients (19male - 54% and 16 female - 46%; age range between 20 and 89 years old; mean = 69 years). Results The results suggest that the effectiveness of chin-tuck maneuver is related to the overall degree of dysphagia: the more severe the dysphagia, the less effective the maneuver. Conclusion Chin-tuck maneuver should benefit dysphagic patients with delay in the swallowing trigger, reduced laryngeal elevation, and difficulties to swallow liquids, but is not the best compensatory strategy for patients with severe dysphagia. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000100013 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000100013 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0035-1564721 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
dc.source.none.fl_str_mv |
International Archives of Otorhinolaryngology v.20 n.1 2016 reponame:International Archives of Otorhinolaryngology instname:Fundação Otorrinolaringologia (FORL) instacron:FORL |
instname_str |
Fundação Otorrinolaringologia (FORL) |
instacron_str |
FORL |
institution |
FORL |
reponame_str |
International Archives of Otorhinolaryngology |
collection |
International Archives of Otorhinolaryngology |
repository.name.fl_str_mv |
International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL) |
repository.mail.fl_str_mv |
||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br |
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1754203975273414656 |