Skip to main content

Advertisement

SpringerLink
Log in

Effects of the Mendelsohn Maneuver on Extent of Hyoid Movement and UES Opening Post-Stroke

  • Original Article
  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

The Mendelsohn maneuver, voluntary prolongation of laryngeal elevation during the swallow, has been widely used as a compensatory strategy to improve upper esophageal sphincter (UES) opening and bolus flow. Recent research suggests that when used as a rehabilitative exercise, it significantly improves duration of hyoid movement and positively impacts duration of UES opening (DOUESO). The data presented here were derived from that same prospective crossover study of 18 participants with dysphagia post-stroke evaluated with videofluoroscopy after treatment using the Mendelsohn maneuver versus no treatment. Results demonstrate gains in the extent of hyoid movement and UES opening and improvements in coordination of structural movements with each other as well as with bolus flow.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Mendelsohn MS, McConnell FM. Function in the pharyngoesophageal segment. Laryngoscope. 1987;97(4):483–9.

    PubMed  CAS  Google Scholar 

  2. Dodds WJ, Stewart ET, Logemann JA. Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Roentgenol. 1990;154:953–63.

    Article  PubMed  CAS  Google Scholar 

  3. Crary MA, Carnaby GD, Groher ME, Helseth E. Functional benefits of dysphagia therapy using adjunctive sEMG biofeedback. Dysphagia. 2004;19:160–4.

    PubMed  Google Scholar 

  4. Kim Y, McCullough GH. Maximal hyoid excursion in poststroke patients. Dysphagia. 2010;25(1):20–5.

    Article  PubMed  Google Scholar 

  5. Lazarus C, Logemann JA, Gibbons P. Effects of maneuvers on swallowing function in a dysphagic oral cancer patient. Head Neck. 1993;15:419–24.

    Article  PubMed  CAS  Google Scholar 

  6. Lazarus C, Logemann JA, Song CW, Rademaker AW, Kahrilas PJ. Effects of voluntary maneuvers on tongue base function for swallowing. Folia Phoniatr Logop. 2002;54:171–6.

    Article  PubMed  Google Scholar 

  7. Burkhead L, Sapienza CM, Rosenbek J. Strength-training exercise in dysphagia rehabilitation: principles, procedures, and directions for future research. Dysphagia. 2007;22:251–65.

    Article  PubMed  Google Scholar 

  8. Bryant M. Biofeedback in the treatment of a selected dysphagic patient. Dysphagia. 1991;6:140–4.

    Article  PubMed  CAS  Google Scholar 

  9. Huckabee ML, Cannito MP. Outcomes of swallowing rehabilitation in chronic brainstem dysphagia: a retrospective evaluation. Dysphagia. 1999;14:93–109.

    Article  PubMed  CAS  Google Scholar 

  10. McCullough GH, Kamarunas E, Mann GC, Schmidley JW, Robbins JA, Crary M. Effects of Mendelsohn maneuver on measures of swallowing duration post-stroke. Top Stroke Rehabil. 2012;19:234–43.

    Article  PubMed  Google Scholar 

  11. Park T, Kim Y, McCullough GH. Oropharyngeal transition of the bolus in poststroke patients. Am J Phys Med Rehabil. In press. doi:10.1097/PHM.0b013e318269d935.

  12. Perlman AL, Booth BM, Grayhack JP. Videofluoroscopic predictors of aspiration in patients with oropharyngeal dysphagia. Dysphagia. 1994;9:90–5.

    Article  PubMed  CAS  Google Scholar 

  13. Kim Y, McCullough GH. Maximum hyoid displacement in normal swallowing. Dysphagia. 2008;23:274–9.

    Article  PubMed  Google Scholar 

  14. Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA, Kahrilas PJ, Smith CH. Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men. J Speech Lang Hear Res. 2000;43:1264–74.

    PubMed  CAS  Google Scholar 

  15. Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11:93–8.

    Article  PubMed  CAS  Google Scholar 

  16. McCullough GH, Rosenbek JC, Robbins JA, Coyle JL, Wood JL. Ordinality and intervality of a penetration-aspiration scale. J Med Speech Lang Pathol. 1998;6:65–72.

    Google Scholar 

  17. Robbins JA, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR, Taylor AJ. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007;88:150–8.

    Article  PubMed  Google Scholar 

  18. O’Neil KH, Purdy M, Falk J, Gallo L. The dysphagia outcome and severity scale. Dysphagia. 1999;14:139–45.

    Article  PubMed  Google Scholar 

  19. Nakane A, Tohara H, Ouchi Y, Goto S, Uematsu H. Videofluoroscopic kinesiologic analysis of swallowing: defining a standard plane. J Med Dent Sci. 2006;53:7–15.

    PubMed  Google Scholar 

Download references

Acknowledgments

This research was conducted by NIH NIDCD Grant R03 DC04942-01A2.

Conflict of interest

The authors have no conflicts of interest to declare.

Author information

Authors and Affiliations

  1. Department of Communication Sciences and Disorders, University of Central Arkansas, 201 Donaghey Avenue, UCA Box 4985, Conway, AR, 72035, USA

    Gary H. McCullough

  2. School of Hearing, Speech and Language Sciences, College of Health and Human Sciences, Ohio University, Grover Center, Athens, OH, 45701-2979, USA

    Youngsun Kim

Authors
  1. Gary H. McCullough
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Youngsun Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gary H. McCullough.

Rights and permissions

Reprints and permissions

About this article

Cite this article

McCullough, G.H., Kim, Y. Effects of the Mendelsohn Maneuver on Extent of Hyoid Movement and UES Opening Post-Stroke. Dysphagia 28, 511–519 (2013). https://doi.org/10.1007/s00455-013-9461-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00455-013-9461-1

Keywords

Search

Navigation