[Dysphagia] Chin tuck etc

[pressmah at sjhmc.org (Pressman, Hilda)]

This is being researched as a large multi-center trial.  We are waiting for results

-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com]On
Behalf Of Irene Campbell-Taylor
Sent: Thursday, November 23, 2006 10:20 AM
To: dysphagia at b9.com
Subject: [Dysphagia] Chin tuck etc


mbuckie at dmc.org wrote:
   
  I haven't looked at this study in depth, but I have long seen the chin
  tuck as the "magic bullet" by nurses, therapists and the summary that
  was posted said patients who use chin tuck still got pneumonia. I wasn't
  aware that was the purpose of the chin tuck..that's a pretty big leap to
  make.
  *** That has been the response I have always received when I asked about the reason for its use due to the belief that aspiration inevitably leads to pneumonia and "chin tuck prevents aspiration".That, I submit, is the "big leap."
  See
  GI Motility online (2006) 
  At:
  http://www.nature.com/gimo/contents/pt1/full/gimo50.html
Published 16 May 2006
  Medical and rehabilitative therapy of oral, pharyngeal motor disorders
  Jeri A. Logemann, Ph.D.
    
  
  
Thickened Liquids  
  In the past 10 years, thickening liquids to nectar or honey consistencies has become popular to manage aspiration of thin liquids in a wide range of patients, particularly those in nursing homes and other residential facilities. Unfortunately, the data to support the efficacy of these procedures is not strong and the use of thickened liquids can reduce the patient's quality of life and hydration. The ongoing clinical trial mentioned earlier, when completed in 2006, should provide us with a great deal more data on the true effectiveness of nectar and honey consistency liquids in contrast to chin-down posture for patients with dementia and/or Parkinson's disease.
    
  
  
  
  
  
and  
  See also an important review of chin tuck at:
  http://www.ciap.health.nsw.gov.au/ebp_speechpath/pdf/chintuck6.pdf
  It is also good to keep in mind that, as the report confirmed, what is seen on VFSS does not automatically transfer to real life.


Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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