Effect of the combination of Mendelsohn maneuver and effortful swallowing on aspiration in patients with dysphagia after stroke.

Kim JH1, Kim YA2, Lee HJ2, Kim KS3, Kim ST4, Kim TS5, Cho YS3.

J Phys Ther Sci. 2017 Nov;29(11):1967-1969. doi: 10.1589/jpts.29.1967. Epub 2017 Nov 24.

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Abstract

Purpose:

This study investigated the effect of a combined method incorporating the Mendelsohn maneuver and effortful swallowing on aspiration in patients with dysphagia after stroke.

Subjects and Methods:

Three patients with dysphagia were recruited. All patients were treated with a combined method consisting of the Mendelsohn maneuver and effortful swallowing. The intervention period was total 20 sessions. Evaluation was based on videofluoroscopic swallowing study and the degree of aspiration was assessed using penetration-aspiration scale.

Results:

Before and after intervention, all participants showed a decrease in aspiration with liquid type and semisolid type food.

Conclusion:

This study confirms that the combined method of the Mendelsohn maneuver and effortful swallowing has a positive effect on aspiration in patients with dysphagia after stroke.

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