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Effect of the Effortful Swallow and the Mendelsohn Maneuver on Tongue Pressure Production against the Hard Palate

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Abstract

Although effortful swallow and the Mendelsohn maneuver are commonly used in dysphagia rehabilitation, little is known about their effects on tongue-palate pressure production. The purpose of this study was to investigate the effects of effortful swallow and the Mendelsohn maneuver on tongue pressure production. Fourteen healthy volunteers (10 men, 4 women; age range = 21–41 years) participated. Tongue pressures during dry swallow, water swallow, effortful swallow, and the Mendelsohn maneuver were measured using a sensor sheet system with five measurement points on the hard palate. Sequential order, duration, maximal magnitude, and the integrated value of tongue pressure at each measurement point were compared among the four tasks. Onset of tongue pressure at the posterior-circumferential parts occurred first in the Mendelsohn maneuver; that at the anterior-median part was earlier than at other parts in the effortful swallow. At all measurement points, tongue pressure duration was significantly longer in the Mendelsohn maneuver than in other tasks. Effortful swallow was most effective in increasing tongue pressure. The integrated value of tongue pressure at the posterior-circumferential parts in the Mendelsohn maneuver and at the median parts in the effortful swallow showed a tendency to increase. These results suggest that tongue pressure increases along a wide part of the hard palate in effortful swallow because the anchor of tongue movement is emphasized at the anterior part of the hard palate. The Mendelsohn maneuver provides prolonged and accentuated tongue-palate contact at the posterior-circumferential parts, which might be important for hyoid-laryngeal elevation during swallowing.

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Acknowledgments

This research was partially supported by a Grant-in-Aid from the Ministry of Education, Culture, Sports, Science and Technology of Japan (No. 24659859).

Conflict of interest

The authors have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Division of Rehabilitation, Sasayama Medical Center, Hyogo College of Medicine, 5 Kuro-oka, Sasayama, 669-2321, Japan

    Tatsuyuki Fukuoka

  2. Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, 1-8 Yamada-oka, Suita, 565-0871, Japan

    Takahiro Ono & Ken-ichi Tamine

  3. Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan

    Kazuhiro Hori

  4. School of Rehabilitation, Hyogo University of Health Sciences, 1-3-6 Minatojima, Kobe, 650-0045, Japan

    Sonoko Nozaki

  5. Department of General Medicine and Community Health Science, Hyogo College of Medicine, 5 Kuro-oka, Sasayama, 669-2321, Japan

    Kenji Shimada, Noriyasu Yamamoto & Yoshihiro Fukuda

  6. Department of Rehabilitation Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, 663-8501, Japan

    Kazuhisa Domen

Authors
  1. Tatsuyuki Fukuoka
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  2. Takahiro Ono
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  3. Kazuhiro Hori
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  4. Ken-ichi Tamine
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  8. Yoshihiro Fukuda
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  9. Kazuhisa Domen
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Correspondence to Takahiro Ono.

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Fukuoka, T., Ono, T., Hori, K. et al. Effect of the Effortful Swallow and the Mendelsohn Maneuver on Tongue Pressure Production against the Hard Palate. Dysphagia 28, 539–547 (2013). https://doi.org/10.1007/s00455-013-9464-y

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  • DOI: https://doi.org/10.1007/s00455-013-9464-y

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