Effects of Mendelsohn Maneuver on Measures of Swallowing Duration Post Stroke

McCullough, Gary H.; Kamarunas, Erin; Mann, Giselle; Schmidley, James W.; Robbins, JoAnne; Crary, Michael A.

doi:10.1310/tsr1903-234

Cited by 113 publications

(100 citation statements)

References 22 publications

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“…Most of the works were case studies (9,10,11,12,13) (5 papers), followed by series of case studies (14,15,16) (3 papers), with one being a case control (17) and another (18) a randomized clinical trial; there was a low level of evidence for these works ( Figure 2). Most papers (five) considered the application of biofeedback therapy electromyography in the swallowing function (14,15,16,17,18) . Although the application of biofeedback associated with swallowing therapy is recent (7) , there is a great number of researchers interested in proving the efficacy of this treatment in neurological diseases.…”

Section: Resultsmentioning

confidence: 99%

“…The neurological diseases most often addressed in the papers (3 items) were cerebrovascular accident (CVA) (9,15,16,18) , followed by traumatic brain injury (TBI), included in 2 papers (9,11) . The other conditions were lesions on the brainstem (14) , Parkinson's disease (17) , trigeminal neuralgia (10) , spastic cerebral palsy (SCP) (13) , and bilateral facial paralysis (12) .…”

Section: Resultsmentioning

confidence: 99%

“…Stroke and TBI are among the most relevant diseases of the central nervous Subtitle: TBI = traumatic brain injury; CVA = cerebrovascular accident; SCP = spastic cerebral palsy; M = male; F = female system that lead to speech and language disorders, and they may cause changes in various stomatognathic system functions (20) (Table 1). With respect to the function of swallowing, most papers studied dysphagia in stroke (15,16,18) (60%), followed by Parkinson's disease (17) (20%) and brainstem lesion (14) (20%). Therapies were carried out in around 6 to 20 sessions in total.…”

Section: Resultsmentioning

confidence: 99%

“…The consequences of dysphagia in these patients may include weight loss, dietary changes and death from aspiration pneumonia (23) . Most papers (80%) used, in speech therapy for swallowing, maneuvers associated with electromyographic biofeedback (14,15,16,18) , and only one (20%) used a target goal for functional training. They showed the patients the normal pattern of swallowing and their own pattern, and established a target route for functional training (17) .…”

Section: Discussionmentioning

confidence: 99%

“…In this maneuver, the patient should be lying without a pillow and lift his head, looking at his feet, without lifting his shoulders (24) . In most studies (80%), the electrodes were placed on submental muscles, the suprahyoideus (14,16,17,18) and in 20% of the studies, between the hyoid bone and the upper edge of the thyroid cartilage (15) . All studies found increased diet scale level in cases of oropharyngeal dysphagia.…”

Section: Discussionmentioning

confidence: 99%

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Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Freitas

Mituuti

Furkim

et al. 2016

Audiol., Commun. Res.

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Purpose:To determine whether the use of electromyographic biofeedback in the therapy of orofacial functions (facial expression, chewing, swallowing, phonation and speech) will result in beneficial effects for individuals with neurological diseases. Research strategy: A keyword search was conducted in the MEDLINE, LILACS and SciELO databases, using the terms "electromyographic biofeedback", "swallowing", "speech", "chewing", "phonation", and "facial expression". The database search and the selection of papers were conducted independently by two researchers. In case of any disagreement, there was a discussion based on the inclusion and exclusion criteria, so that they could reach a common ground. Selection criteria: This work has included experimental studies in humans, in English and Portuguese, which described and discussed the use of electromyographic biofeedback in the treatment of orofacial function diseases resulting from neurological illness. Results: A total of 175 papers were found, wherein only 10 fitted the inclusion criteria. Most works were case studies, followed by case series, case control, and only one randomized controlled trial. Most of studies addressed the therapy with electromyographic biofeedback in the swallowing function, followed by speech function, and only one study addressed the use of electromyographic biofeedback in therapy to improve facial expression. No studies addressing speech therapy using electromyographic biofeedback in patients with neurological diseases in the functions of phonation and chewing were found. Conclusion: The use of electromyographic biofeedback in the therapy for orofacial functions can result in beneficial effects for individuals with neurological diseases in the swallowing, speech, and facial expression functions.Keywords: Electromyography; Deglutition; Speech; Mastication; Phonation; Facial expression RESUMO Objetivo: Investigar se o uso do biofeedback eletromiográfico na terapia voltada às funções orofaciais (expressão facial, mastigação, deglutição, fonação e fala) produz efeitos benéficos para os indivíduos com doenças neurológicas. Estratégia de pesquisa: Foi realizada busca nas bases de dados MEDLINE, LILACS e SciELO, por meio dos descritores "electromyographic biofeedback", "swallowing", "speech" "chewing", "phonation", e "facial expression". A busca nas bases de dados e a seleção dos artigos foram realizadas independentemente, por duas pesquisadoras e, nos casos de não concordância, houve discussão fundamentada nos critérios de inclusão e exclusão para que chegassem a um consenso. Critérios de seleção: Foram incluídos estudos experimentais em seres humanos, em inglês e português, que descreveram e discutiram a utilização do biofeedback eletromiográfico no tratamento das alterações das funções orofaciais provenientes de doenças neurológicas. Resultados: Foram encontrados 175 artigos, sendo que somente 10 se adequaram aos critérios de inclusão. A maioria dos trabalhos relacionou-se a estudo de caso, seguido por estudos de série de casos, caso c...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Freitas

Mituuti

Furkim

et al. 2016

Audiol., Commun. Res.

View full text Add to dashboard Cite

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Swallowing therapy for dysphagia in acute and subacute stroke

Bath

Lee

Everton

2018

Cochrane Database of Systematic Reviews

159

156

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Background Dysphagia (swallowing problems), which is common a er stroke, is associated with increased risk of death or dependency, occurrence of pneumonia, poor quality of life, and longer hospital stay. Treatments provided to improve dysphagia are aimed at accelerating recovery of swallowing function and reducing these risks. This is an update of the review first published in 1999 and updated in 2012. Objectives To assess the e ects of swallowing therapy on death or dependency among stroke survivors with dysphagia within six months of stroke onset.

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Interventions for dysphagia in long-term, progressive muscle disease

Jones

Pitceathly

Rose

et al. 2016

Cochrane Database of Systematic Reviews

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There is insufficient and low-quality RCT evidence to determine the effect of interventions for dysphagia in long-term, progressive muscle disease. Clinically relevant effects of intravenous immunoglobulin for dysphagia in inclusion body myositis can neither be confirmed or excluded using the evidence presented in this review. Standardised, validated, and reliable outcome measures are needed to assess dysphagia and any possible treatment effect. Clinically meaningful outcomes for dysphagia may require a shift in focus from measures of impairment to disability associated with oral feeding difficulties.

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Effects of Mendelsohn Maneuver on Measures of Swallowing Duration Post Stroke

Cited by 113 publications

References 22 publications

Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Swallowing therapy for dysphagia in acute and subacute stroke

Interventions for dysphagia in long-term, progressive muscle disease

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