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Chin Tuck for Prevention of Aspiration: Effectiveness and Appropriate Posture

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Abstract

Chin tuck has been has been widely used to prevent aspiration in the patients with dysphagia. This study was performed to investigate the effectiveness and the degree of optimal neck flexion of chin tuck. Ninety-seven patients who showed aspiration in the videofluoroscopic swallow study (VFSS). Participants were grouped into the effective (patients who showed effect with chin tuck) and ineffective group (those who did not show effect with chin tuck). VFSS was performed in neutral and chin tuck position and findings were compared between the groups. Severity of aspiration was assessed by the point penetration-aspiration scale. Duration of dysphagic symptoms, history of tracheostomy, and other possible contributing factors were also compared. Neck flexion angle was measured to find appropriate posture in which aspiration was prevented with chin tuck. Aspiration was reduced or eliminated in only 19 patients (19.6 %) with chin tuck. Oral transit time, pharyngeal delayed time and pharyngeal transit time were significantly shortened in both groups (p < 0.05), but the difference between the groups was not significant. Female sex and absence of residue in pyriform sinus favored the effect of chin tuck (p < 0.05). At least 17.5° of neck flexion was required to achieve an effect with chin tuck. The effectiveness of chin tuck was less than anticipated. Patients without residue in pyriform sinus were more likely to benefit from chin tuck. Sufficient neck flexion was important in chin tuck to prevent aspiration.

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References

  1. Ashford J, McCabe D, Wheeler-Hegland K, Frymark T, Mullen R, Musson N, Schooling T, Hammond CS. Evidence-based systematic review: oropharyngeal dysphagia behavioral treatments. Part III? Impact of dysphagia treatments on populations with neurological disorders. J Rehabil Res Dev. 2009;46(2):195–204.

    Article  PubMed  Google Scholar 

  2. Buckley JE, Addicks CL, Maniglia J Feeding patients with dysphagia. In: Nursing forum, 1976. Wiley Online Library, pp 69–85.

  3. Gaffney TW, Campbell RP. Feeding Techinques for Dysphagic Patients. Am J Nurs. 1974;74(12):2194–5.

    PubMed  CAS  Google Scholar 

  4. Larsen GL. Conservative management for incomplete dysphagia paralytica. Arch Phys Med Rehabil. 1973;54(4):180.

    PubMed  CAS  Google Scholar 

  5. Welch MV, Logemann JA, Rademaker AW, Kahrilas PJ. Changes in pharyngeal dimensions effected by chin tuck. Arch Phys Med Rehabil. 1993;74(2):178.

    PubMed  CAS  Google Scholar 

  6. Logemann JA, Gensler G, Robbins J, Lindblad AS, Brandt D, Hind JA, Kosek S, Dikeman K, Kazandjian M, Gramigna GD. A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson’s disease. J Speech, Lang Hear Res. 2008;51(1):173.

    Article  Google Scholar 

  7. Bulow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in healthy volunteers. Dysphagia. 1999;14(2):67–72.

    Article  PubMed  CAS  Google Scholar 

  8. Hung D, Sejdić E, Steele CM, Chau T. Extraction of average neck flexion angle during swallowing in neutral and chin-tuck positions. BioMed Eng OnLine. 2009;8(1):25.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Logemann JA. Evaluation and Treatment of Swallowing Disorders. 2nd ed. Texas: Pro-ed; 1998.

    Google Scholar 

  10. Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11(2):93–8.

    Article  PubMed  Google Scholar 

  11. Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine. 2000;25(16):2072–8.

    Article  PubMed  CAS  Google Scholar 

  12. Shanahan TK, Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ. Chin-down posture effect on aspiration in dysphagic patients. Arch Phys Med Rehabil. 1993;74(7):736–9.

    Article  PubMed  CAS  Google Scholar 

  13. Nagaya M, Kachi T, Yamada T, Sumi Y. Videofluorographic observations on swallowing in patients with dysphagia due to neurodegenerative diseases. Nagoya J Med Sci. 2004;67(1–2):17–23.

    PubMed  Google Scholar 

  14. Robbins J, Gensler G, Hind J, Logemann JA, Lindblad AS, Brandt D, Baum H, Lilienfeld D, Kosek S, Lundy D. Comparison of 2 Interventions for Liquid Aspiration on Pneumonia IncidenceA Randomized Trial. Ann Intern Med. 2008;148(7):509–18.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgment

The present research was conducted by the research fund of Dankook University in 2013.

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The authors declare that there is no conflict of interest.

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Correspondence to Seong Jae Lee.

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Ra, J.Y., Hyun, J.K., Ko, K.R. et al. Chin Tuck for Prevention of Aspiration: Effectiveness and Appropriate Posture. Dysphagia 29, 603–609 (2014). https://doi.org/10.1007/s00455-014-9551-8

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  • DOI: https://doi.org/10.1007/s00455-014-9551-8

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