Faculty Collaboration Database

Chin-down posture effect on aspiration in dysphagic patients. Arch Phys Med Rehabil 1993 Jul;74(7):736-9

Date

07/01/1993

Pubmed ID

8328896

DOI

10.1016/0003-9993(93)90035-9

Scopus ID

2-s2.0-0027160589 (requires institutional sign-in at Scopus site)   177 Citations

Abstract

Use of the chin-down posture during swallowing has been reported to reduce the occurrence of aspiration in some dysphagic patients. This study measured four pharyngeal dimensions in 30 neurologically impaired patients who aspirated before the swallow because of a delay in triggering the pharyngeal swallow, 15 for whom the posture eliminated aspiration and 15 who aspirated despite the chin-down position. Patients who did not benefit from the posture were significantly younger and aspirated material from the pyriform sinus rather than the valleculae when the pharyngeal swallow was triggered. Changes in pharyngeal dimensions with the chin down were not significantly different for both patient groups, except for epiglottic angle, which increased significantly more in the group who continued to aspirate. Changes in pharyngeal dimensions with chin-neutral versus chin-down differed somewhat from those reported in a previous publication. Possible reasons for these differences are discussed.

Author List

Shanahan TK, Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ

Author

Barbara R. Pauloski PhD, CCC-SLP Associate Professor in the Communication Sciences & Disorders department at University of Wisconsin - Milwaukee

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Chin
Deglutition
Deglutition Disorders
Female
Humans
Male
Middle Aged
Pharynx
Pneumonia, Aspiration
Posture