Effects of Tongue-Holding Maneuver Compared with Mendelsohn Maneuver on Swallowing Function in Stroke Patients

Article information

Korean J Health Promot. 2015;15(2):83-90

Publication date (electronic) : 2015 December 19

doi : https://doi.org/10.15384/kjhp.2015.15.2.83

Sun Eun Jung ¹^,², Mi Ah Han^,³, Jong Park ³, Seong Woo Choi ³

¹Department of Public Health, Graduate School of Health Science, Chosun University, Gwangju, Korea

²Department of rehabilitation, Chosun University Honam Regional Rehabilitation Hospital, Gwangju, Korea

³Department of Preventive Medicine, Chosun University College of Medicine, Gwangju, Korea

Corresponding author：Mi Ah Han, MD, PhD Department of Preventive Medicine, Chosun University College of Medicine, 309 Pilmun-daero, Dong-gu, Gwangju 501-759, Korea Tel: +82-62-230-6481, Fax: +82-62-225-8293 Email: mahan@chosun.ac.kr

This article is a condensed form of the first author's master's thesis from Chosun University.

Received 2015 March 05; Accepted 2015 April 23.

Abstract

Background

Dysphagia is a common complication in stroke patients. This study aimed to investigate the effects of the tongue-holding maneuver over an 8-week period on the swallowing function in stroke patients.

Methods

Twenty-eight stroke patients with dysphagia diagnosed within 1 year were randomly allocated to the experimental or control groups. The experimental (n=15) and control groups (n=13) performed the tongue-holding and Mendelsohn maneuver, respectively. And both groups additionally participated in traditional dysphagia therapy. The maneuvers were conducted for thirty minutes a day, five days a week, for six weeks, totaling forty sessions. Swallowing function with the functional dysphagia scale and swallowing pain with the visual analogue scale between the 2 groups were tested by chi-square tests, Mann-whitney testes, and Wilcoxon signed rank tests.

Results

The general characteristics, including age, sex, and disease history, between the two groups did not differ. After 8 weeks of intervention, swallowing function at the oral phase and the pharyngeal phase and the total score was significantly improved in both experimental and control groups. Also, swallowing pain decreased significantly in both groups. However, the change to swallowing function and pain between the groups were not different.

Conclusions

The tongue-holding maneuver practiced over an eight-week period improved the swallowing function in stroke patients.

Keywords: Deglutition disorders; Occupational therapy; Pain; Stroke

Figure 1.

Tongue-holding maneuver.

Figure 2.

Mendelsohn maneuver.

Table 1.

Basic characteristics of subjects

Table 2.

Comparison of changes on the functional dysphagia scale before and after intervention

Table 3.

Comparison of pain changes on the visual analogue scale before and after intervention

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