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Effect Of 45° Reclining Sitting Posture On Swallowing In Patients With Dysphagia

B. Park, J. Seo, M. Ko, S. Park
Published 2013 · Medicine

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Purpose To determine the effect of a 45° reclining sitting posture on swallowing in patients with dysphagia. Materials and Methods Thirty-four patients with dysphagia were evaluated. Videofluoroscopic swallowing study was performed for each patient in 90° upright and in 45° reclining sitting posture. Patients swallowed 5 types of boluses twice: sequentially 2 mL thin liquid, 5 mL thin liquid, thick liquid, yogurt, and cooked rice. Data such as the penetration-aspiration scale (PAS), oral transit time (OTT), pharyngeal delay time (PDT), pharyngeal transit time (PTT), residue in valleculae and pyriform sinuses, premature bolus loss, and nasal penetration were obtained. Results The mean PAS on the 2 mL thin liquid decreased significantly in the 45° reclining sitting posture (p=0.007). The mean PAS on 5 mL thin liquid in the 45° reclining sitting posture showed decreasing tendency. The residue in valleculae decreased significantly for all boluses in the 45° reclining sitting posture (p<0.001, p=0.002, p=0.003, p<0.001, p=0.020, respectively). The residue in pyriform sinuses increased significantly on 5 mL thin liquid, thick liquid, and yogurt (p=0.031, p=0.020, p=0.002, respectively). There were no significant differences in OTT, PDT, PTT, premature bolus loss, and nasal penetration between both postures. Conclusion PAS on 2 mL thin liquid and residue in valleculae on all types of boluses were decreased in a 45° reclining sitting posture. Therefore, we believe that the 45° reclining sitting posture on swallowing is beneficial for the patients with penetration or aspiration on small amounts of thin liquid and large amounts of residue in valleculae.
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This paper is referenced by
10.1177/0003489418802283
Evaluation of Pharyngoesophageal Segment Using 320-Row Area Detector Computed Tomography
P. Wattanapan (2018)
Relação entre a Disfagia Orofaríngea e a Disfunção Motora em Indivíduos com Paralisia Cerebral
Bárbara Sofia Coutinho Teixeira (2018)
10.1111/ggi.13097
Influence of cervical, thoracic and lumbar spines, and shoulder girdle range of motion on swallowing function of dependent older adults
Munetsugu Tashiro (2017)
10.1016/j.neures.2020.07.001
Suppressive effect of the swallowing reflex by stimulation of the pedunculopontine tegmental nucleus
Y. Satoh (2020)
10.1111/joor.13037
The effect of reclining position on swallowing function in stroke patients with dysphagia.
Paitoon Benjapornlert (2020)
10.2334/josnusd.18-0377
Effects of bolus consistency and reclining position on kinematic swallowing events in analysis using 320-row area detector computed tomography.
Hidetaka Tsuzuki (2020)
10.1016/j.brainresbull.2015.05.007
Suppression of the swallowing reflex by stimulation of the red nucleus
Y. Satoh (2015)
10.1007/s00455-018-09968-3
The Association of 3-D Volume and 2-D Area of Post-swallow Pharyngeal Residue on CT Imaging
Rachel W. Mulheren (2019)
10.1002/jaba.425
Treating liquid expulsion in children with feeding disorders.
Rebecca A. Shalev (2018)
10.1109/EMBC.2019.8857417
Automatic Measurements of Neck Angles toward the Bedside Treatment for the Dysphagia Patients at the Community-Based Health Care
N. Kuramoto (2019)
10.1007/s00455-017-9866-3
Effect of Body Position on Pharyngeal Swallowing Pressures Using High-Resolution Manometry
S. Rosen (2017)
10.1002/cre2.216
Sole‐ground contact and sitting leg position influence suprahyoid and sternocleidomastoid muscle activity during swallowing of liquids
Y. Uesugi (2019)
10.1007/s00455-019-10064-3
Use of the Penetration-Aspiration Scale in Dysphagia Research: A Systematic Review
James C Borders (2019)
10.1177/0003489416683192
Influence of External Subglottic Air Flow on Dysphagic Tracheotomized Patients With Severe Brain Injury
M. Kothari (2017)
10.1111/joor.13062
The effect of bolus consistency on pharyngeal volume during swallowing: Kinematic analysis in three dimensions using dynamic Area Detector CT.
Yuriko Ito (2020)
10.1016/J.CNRE.2015.09.004
Effect of Feeding Management on Aspiration Pneumonia in Elderly Patients with Dysphagia
M. Li (2015)
10.4187/respcare.07002
Establishing a Methodology for Ultrasound Evaluation of Pharyngeal Residue in the Pyriform Sinus and Epiglottic Vallecula
Y. Miura (2020)
The nature of feeding and swallowing difficulties in the paediatric cerebral palsy population who have had videofluoroscopic swallow studies
L. L. Roux (2014)
Development of a customized electronic reminder to facilitate powered seating function usage and compliance with clinical recommendations: Design process and clinical efficacy
H. Liu (2013)
10.1016/j.physbeh.2015.12.024
Effect of body posture on involuntary swallow in healthy volunteers
Y. Shiino (2016)
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