J Rehabil Res Dev 2009 46(2): 195-204ĭuring the execution of this maneuver we observe narrowing of the laryngeal portion of the pharynx, which often compensates for delay of glottic closure during swallowing and favors a shift of the tongue base toward the posterior wall of the pharynx. Part III-impact of dysphagia treatments on populations with neurological disorders.

Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. J Rehabil Res Dev 2009 46(2): 205-214 7 7 Ashford J, McCabe D, Wheeler-Hegland K, et al. Part IV-impact of dysphagia treatment on individuals' postcancer treatments.

Dysphagia 2011 26(3):238-245 6 6 McCabe D, Ashford J, Wheeler-Hegland K, et al. Influence of chin-down posture on tongue pressure during dry swallow and bolus swallows in healthy subjects. Arch Phys Med Rehabil 2001 82(9): 1255-1260 5 5 Hori K, Tamine K, Barbezat C, et al. The effect of head and neck positions on oropharyngeal swallowing: a clinical and. Dysphagia 2002 17(1):1-12 4 4 Ertekin C, Keskin A, Kiylioglu N, et al. Surface electromyographic and electroglottographic studies in normal subjects under two swallow conditions: normal and during the Mendelsohn maneuver. Dig Dis 1998 16(3):125-133 3 3 Ding R, Larson CR, Logemann JA, Rademaker AW. Investigative techniques in the assessment of oral-pharyngeal dysphagia. Effect of reclining and chin-tuck position on the coordination between respiration and swallowing. It is the most frequently employed postural maneuver in the treatment of neurogenic oropharyngeal dysphagia caused by encephalic vascular strokes and degenerative diseases.

The so-called chin-tuck maneuver (CTM) does not modify the physiology of deglutition however, it does change pharyngeal dimensions as to direct the bolus toward the pharynx and esophagus. ConclusionĬhin-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.ĭeglutition fluoroscopy deglutition disorders dysphagia 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. 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). 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. 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.

Chin tuck posture