McCullough Gary H, Kim Youngsun
Department of Communication Sciences and Disorders, University of Central Arkansas, 201 Donaghey Avenue, UCA Box 4985, Conway, AR, 72035, USA,
Dysphagia. 2013 Dec;28(4):511-9. doi: 10.1007/s00455-013-9461-1. Epub 2013 Mar 14.
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.
门德尔松手法，即在吞咽过程中主动延长喉部抬高时间，已被广泛用作一种补偿策略，以改善食管上括约肌（UES）开放和食团流动情况。最近的研究表明，当用作康复训练时，它能显著延长舌骨运动时间，并对食管上括约肌开放持续时间（DOUESO）产生积极影响。此处呈现的数据来自同一项前瞻性交叉研究，该研究对18名中风后吞咽困难患者进行了评估，这些患者在接受门德尔松手法治疗与未接受治疗后，通过电视荧光吞咽造影进行检查。结果表明，舌骨运动范围和食管上括约肌开放程度有所增加，结构运动之间以及与食团流动之间的协调性也得到改善。
