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The effect of laryngeal elevation training on swallowing function in patients with dysphagia

Published online by Cambridge University Press:  16 June 2021

N Sugaya ,
F Goto ,
Y Seino ,
K Nishiyama  and
K Okami
N Sugaya
Affiliation:
Unit of Public Health and Preventive Medicine, School of Medicine, Yokohama City University, Yokohama, Japan
F Goto*
Affiliation:
Department of Otorhinolaryngology, Tokai University, Isehara, Japan
Y Seino
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University, Tokyo, Japan
K Nishiyama
Affiliation:
Nishiyama ENT Clinic, Yokohama, Japan
K Okami
Affiliation:
Department of Otorhinolaryngology, Tokai University, Isehara, Japan
*
Author for correspondence: Dr Fumiyuki Goto, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan Email: [email protected]
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Abstract

Objective

To investigate the effect of laryngeal elevation training without highly loaded head lifting on swallowing function in patients with dysphagia.

Methods

Fifty-seven patients with dysphagia (36 men; mean age, 78.5 ± 11.4 years) were included. All participants performed the swallowing forehead exercise and the chin push–pull manoeuvre for two months. Videoendoscopy to assess swallowing function, the peak expiratory flow test and the hand grip strength test were performed at the initial visit (time 1) and two months after the start of the intervention (time 2). We used the Hyodo score, a scoring method for videoendoscopic assessment, for evaluation of swallowing function.

Results

The linear mixed model showed a significant main effect of time (the Hyodo score at time 1 was greater than the score at time 2). The effects of the co-variates were not significant.

Conclusion

The present study demonstrated the significant effect of laryngeal elevation training without head lifting on the Hyodo score.

Keywords

LarynxRehabilitationDeglutition
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 7 , July 2021 , pp. 574 - 578
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press.

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Footnotes

Dr F Goto takes responsibility for the integrity of the content of the paper

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