Abstract：
:Chin tuck has been has been widely used to prevent aspiration in the patients with dysphagia. This study was performed to investigate the effectiveness and the degree of optimal neck flexion of chin tuck. Ninety-seven patients who showed aspiration in the videofluoroscopic swallow study (VFSS). Participants were grouped into the effective (patients who showed effect with chin tuck) and ineffective group (those who did not show effect with chin tuck). VFSS was performed in neutral and chin tuck position and findings were compared between the groups. Severity of aspiration was assessed by the point penetration-aspiration scale. Duration of dysphagic symptoms, history of tracheostomy, and other possible contributing factors were also compared. Neck flexion angle was measured to find appropriate posture in which aspiration was prevented with chin tuck. Aspiration was reduced or eliminated in only 19 patients (19.6 %) with chin tuck. Oral transit time, pharyngeal delayed time and pharyngeal transit time were significantly shortened in both groups (p < 0.05), but the difference between the groups was not significant. Female sex and absence of residue in pyriform sinus favored the effect of chin tuck (p < 0.05). At least 17.5° of neck flexion was required to achieve an effect with chin tuck. The effectiveness of chin tuck was less than anticipated. Patients without residue in pyriform sinus were more likely to benefit from chin tuck. Sufficient neck flexion was important in chin tuck to prevent aspiration.
journal_name
Dysphagiajournal_title
Dysphagiaauthors
Ra JY,Hyun JK,Ko KR,Lee SJdoi
10.1007/s00455-014-9551-8subject
Has Abstractpub_date
2014-10-01 00:00:00pages
603-9issue
5eissn
0179-051Xissn
1432-0460journal_volume
29pub_type
杂志文章相关文献
DYSPHAGIA文献大全abstract：:A prefabricated oral screen has shown promising results as a muscle self-training device to improve the lip function of stroke patients affected by oropharyngeal dysphagia. However, a technique for the measurement of lip muscle force, whether in healthy individuals or in stroke patients, is lacking. The present study ...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-007-9143-y
更新日期：2008-09-01 00:00:00
abstract：:The scope of dysphagia rehabilitation has been expanding. Therapeutic approaches have begun to move away from the use of behavioral compensations and maneuvers only, toward a greater emphasis on research-supported exercise-based therapies. Given the change in focus and demand for evidence-based practice, this study su...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-013-9467-8
更新日期：2013-12-01 00:00:00
abstract：:This epidemiological investigation examined the prevalence, risk factors, and quality-of-life effects of swallowing disorders in Sjögren's syndrome (SS). One hundred and one individuals with primary or secondary SS (94 females, 7 males; mean age 59.4, SD = 14.1) were interviewed regarding the presence, nature, and imp...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-015-9657-7
更新日期：2016-02-01 00:00:00
abstract：:The primary aim of this study was to investigate the outcomes of two different modes (active and passive) of balloon dilatation therapy on cricopharyngeal dysfunction (CPD). Thirty-eight CPD patients with neurological disorders were recruited between 2006 and 2010. Twenty-one of them received active balloon dilatation...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-012-9402-4
更新日期：2012-12-01 00:00:00
abstract：:This pilot study examined the effect of a new head extension swallowing exercise (HESE) on submental muscle activity and tongue strength in healthy volunteers. Fifteen young adults (10 females and 5 males) were instructed to extend their head backwards as much as possible, and while watching the ceiling, swallowed the...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-016-9732-8
更新日期：2016-10-01 00:00:00
abstract：:Hypertonicity and spasticity of the cricopharyngeal muscle (CPM) often result in dysphagia characterized by difficulty passing a bolus through the upper esophageal sphincter. Past treatments for this problem have included mechanical dilation and endoscopic and transcervical cricopharyngeal myotomy. More recently, botu...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-001-0074-8
更新日期：2001-07-01 00:00:00
abstract：:Two major concerns in the dietary management of the dysphagic patient are to maintain adequate nutrition and to ensure safety during oral feeding. Dysphagic patients require modifications of standard hospital diets. Kitchen or nursing staff must remove from standard diet trays solid foods and liquids that pose swallow...
journal_title：Dysphagia
pub_type： 杂志文章,评审
doi：10.1007/BF02493514
更新日期：1991-01-01 00:00:00
abstract：:Research advocates for the use of intensive, prophylactic swallowing therapy to help reduce the severity of dysphagia in patients receiving (chemo)radiotherapy ([C]RT) for head/neck cancer (HNC). Unfortunately, the intensity of this therapy, coupled with growing patient numbers and limited clinical resources, provides...
journal_title：Dysphagia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00455-018-9960-1
更新日期：2019-10-01 00:00:00
abstract：:The purpose of this review is to evaluate the disorder of swallowing apraxia and determine how it fits into the praxis system. Swallowing apraxia, a proposed disorder of lingual, labial, and mandibular coordination, has been observed before bolus transfer during the oral stage of swallowing. Although frequently discus...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s004550010019
更新日期：2000-07-01 00:00:00
abstract：:Resting pressure at the upper oesophageal sphincter (UOS) has been reported to be susceptible to factors such as emotional stress or respiration. This exploratory study investigated the potential for behavioural modulation of UOS resting pressure in healthy adults to increase our understanding of volitional control of...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-020-10146-7
更新日期：2020-06-18 00:00:00
abstract：:The benefit of water protocols for individuals with thin liquid aspiration remains controversial, with mixed findings from a small number of randomized controlled trials (RCTs). This study aimed to contribute to the evidence of the effectiveness of water protocols with a particular emphasis on health outcomes, especia...
journal_title：Dysphagia
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00455-016-9694-x
更新日期：2016-06-01 00:00:00
abstract：:Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of SLPs who are early adopters of HRM are unclear; perspectives of early adopters may shape how the technology is received by the field at large. We hypot...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-018-9941-4
更新日期：2019-06-01 00:00:00
abstract：:During a videofluoroscopic swallowing study (VFSS), speech and language pathologists (SLPs) are potentially exposed to radiation. To effectively limit unnecessary exposure, SLPs performing VFSS are encouraged to actively shield themselves and to be monitored by radiation-monitoring badges. The aim of this research was...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-008-9151-6
更新日期：2008-12-01 00:00:00
abstract：:The purpose of this study was to describe the swallowing characteristics of elderly patients requiring mechanical ventilation with tracheostomy admitted to a long-term, acute-care hospital. The study was conducted through retrospective record review of patients on mechanical ventilation who had received a Modified Bar...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-003-0017-7
更新日期：2004-01-01 00:00:00
abstract：:Esophagectomy for esophageal cancer is invasive thoracic surgery with a high incidence rate of postoperative complications and prolongation of hospitalization, even if the standardized clinical pathway improves the outcome (mortality and morbidity). Postoperative recurrent nerve paralysis (RNP) is related to respirato...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-017-9793-3
更新日期：2017-08-01 00:00:00
abstract：:This study prospectively evaluated relationships between oral morbidities and swallowing ability in head/neck cancer patients following chemoradiation therapy (CRT) and at 3 months following CRT. Thirty patients with confirmed head/neck cancer undergoing chemoradiation were assessed with a battery of swallowing measur...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-018-9895-6
更新日期：2018-12-01 00:00:00
abstract：:Individuals with dysphagia may be prescribed thickened fluids to promote a safer and more successful swallow. Starch-based thickening agents are often employed; however, these exhibit great variation in consistency. The aim of this study was to compare viscosity and the rheological profile parameters complex (G*), vis...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-009-9263-7
更新日期：2011-03-01 00:00:00
abstract：:The laryngeal adductor reflex (LAR) is an airway protective reflex that manifests as a brief vocal fold closure in response to laryngeal stimulation. This study examined if the absence of the LAR in response to touch delivered by a laryngoscope is associated with penetration/aspiration or pneumonia in patients with dy...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-017-9845-8
更新日期：2018-04-01 00:00:00
abstract：:This article describes the study of the characteristics of sequential swallowing of 100 ml of liquid (dyed water) in two swallowing trials, directly from a cup and through a straw, in healthy elderly individuals. The aim of the study was to determine whether differences in the swallowing pattern are influenced by the ...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-013-9503-8
更新日期：2014-04-01 00:00:00
abstract：:To compare two consecutive swallowing attempts to study if there is a difference in Rosenbek's penetration-aspiration scale (PAS) scores between the first and second swallowing attempt of the same bolus type in videofluoroscopic examination of swallowing (VFS). Additional aims include reflecting on which bolus sizes a...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-017-9814-2
更新日期：2017-10-01 00:00:00
abstract：:Non-food gustatory stimulation has multiple potential therapeutic benefits for people with dysphagia and xerostomia. This study examined palatability and saliva flow associated with dissolvable flavored films. Taste strips with real-food flavors dissolved on the tongues of 21 persons with dysphagia and/or xerostomia a...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-018-9905-8
更新日期：2018-12-01 00:00:00
abstract：:The use of thickened liquids is a common compensatory strategy to improve swallow safety. The purpose of this study was to determine the optimal liquid viscosity to use to promote successful swallowing in a specific subset of dysphagic patients who swallow puree without aspiration but thin liquid with aspiration. A re...
journal_title：Dysphagia
pub_type： 临床试验,杂志文章
doi：10.1007/s00455-012-9412-2
更新日期：2013-03-01 00:00:00
abstract：:The contribution of hyoid and laryngeal movement deficits to penetration or aspiration in dysphagia is unclear, partly due to large variations in normal hyolaryngeal kinematics for swallowing. In healthy volunteers, laryngeal and hyoid kinematics relate to the requirements for laryngeal vestibule closure suggesting a ...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-019-10067-0
更新日期：2020-08-01 00:00:00
abstract：:Patients with obstructive sleep apnea syndrome (OSAS) are likely to exhibit an impaired swallowing reflex. However, mechanisms of disturbed swallowing reflex have not been determined. Because the upper-airway function is inhibited by hypoxia and hypercapnia, we examined the relationship between the swallowing function...
journal_title：Dysphagia
pub_type： 临床试验,杂志文章
doi：10.1007/s00455-001-0083-7
更新日期：2001-10-01 00:00:00
abstract：:Interjudge reliability for videofluoroscopic (VFS) swallowing evaluations has been investigated, and results have, for the most part, indicated that reliability is poor. While previous studies are well-designed investigations of interjudge reliability, few reports of intrajudge reliability are available for VFS measur...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/PL00021291
更新日期：2001-04-01 00:00:00
abstract：:This article reports on the use of a new tool from the Australian Therapy Outcome Measures (AusTOMs) set-the Swallowing scale. The scale is one of six, designed to measure outcomes of clients attending speech pathology practices in Australia. The tool was used for six months in clinical practices across 14 healthcare ...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-004-0028-z
更新日期：2005-04-01 00:00:00
abstract：:Electropalatography (EPG) has been applied to linguistic research and speech pathology. This study evaluated whether EPG could provide useful information on swallow-related tongue action. Specifically, the investigation focused on the quantification of tongue-palate contact patterns for swallowing and on the effects o...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/BF00265208
更新日期：1996-10-01 00:00:00
abstract：:The oro-esophageal tube (OE tube) is widely used in dysphagia patients although its success rate for transition to oral feeding is reported only in stroke patients. The aim of this study was to evaluate the feasibility and outcome of OE tube feeding for patients with dysphagia resulting from various etiologies. The au...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-015-9644-z
更新日期：2015-12-01 00:00:00
abstract：:A challenge facing the field of speech-language pathology is how to equip students at the university level with the transnasal endoscopy skills needed to perform fiberoptic endoscopic evaluation of swallowing (FEES). The use of simulation has the potential to allow students to gain transnasal endoscopy experience with...
journal_title：Dysphagia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00455-010-9316-y
更新日期：2011-12-01 00:00:00
abstract：:The muscles of the pharynx are controlled by networks of neurons under the control of specific regions in the brain stem, which have been fairly well studied. However, the transmission between these neurons and the pharyngeal muscles, at the motor end plates, is less well understood. Therefore, an in vitro model for t...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-008-9168-x
更新日期：2009-03-01 00:00:00
