Body positions and functional training to reduce aspiration in Patients with dysphagia

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Body positions that minimize aspiration include the reclining position, chin down, head rotation, side inclination, the recumbent position, and combinations of these. Patients with severe dysphagia often use a 30° reclining position. But in reality, the patient must be more than 60° higher than a supine position in order to eat without assistance. There are 3 types of "chin down" positions: head flexion, neck flexion, and compound flexion (head flexion+neck flexion). Patients whose pharynx are more paralyzed on either side can turn their head toward the paralyzed side to narrow the piriform fossa on the paralyzed side or use the force of gravity from a side-lying or recumbent position to guide a food bolus to the non-paralyzed side. Training methods include cervical range of motion exercises, thermal-tactile stimulation, supraglottic swallow, the Mendelsohn maneuver, head raising exercises, balloon training, respiratory physiotherapy, training for activities of daily living, and physical strength training. There is no one best body position or training method that is effective for all patients, so it is crucial that effectiveness be confirmed before use.

Original languageEnglish
Pages (from-to)35-38
Number of pages4
JournalJapan Medical Association Journal
Volume54
Issue number1
Publication statusPublished - 01-01-2011

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Deglutition Disorders
Head
Chin
Neck
Pyriform Sinus
Exercise
Resistance Training
Supine Position
Touch
Gravitation
Deglutition
Activities of Daily Living
Articular Range of Motion
Pharynx
Teaching
Hot Temperature
Food

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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Body positions and functional training to reduce aspiration in Patients with dysphagia. / Kagaya, Hitoshi; Inamoto, Yoko; Okada, Sumiko; Saitoh, Eiichi.

In: Japan Medical Association Journal, Vol. 54, No. 1, 01.01.2011, p. 35-38.

Research output: Contribution to journalArticle

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