Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia

Detalhes bibliográficos
Autor(a) principal: Saconato,Mariana
Data de Publicação: 2016
Outros Autores: Chiari,Brasilia Maria, Lederman,Henrique Manoel, Gonçalves,Maria Inês Rebelo
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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spelling 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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