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ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Research Article

Effects of Posture on Subjective Swallowing Difficulty during Screening Tests for Dysphagia

Yoshitaka Shinjo1, Ayako Okitsu1, Ikumi Ukeda1, Ayako Miyagi1, Kazuhisa Domen2 and Tetsuo Koyama1,2*

1Department of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, 11-1 Imazu-Yamanaka-cho, Nishinomiya, Hyogo, Japan

2Department of Physical Medicine and Rehabilitation, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, Japan

*Corresponding Author:
Tetsuo Koyama
Department of Rehabilitation Medicine
Nishinomiya Kyoritsu Neurosurgical Hospital
11-1 Imazu-Yamanaka-cho, Nishinomiya, Hyogo, Japan
Tel: +81-798-33-2211
Fax: +81-798-33-2438
E-mail: [email protected]

Received Date: April 28, 2013; Accepted Date: May 18, 2013; Published Date: May 20, 2013

Citation: Shinjo Y, Okitsu A, Ukeda I, Miyagi A, Domen K, et al. (2013) Effects of Posture on Subjective Swallowing Difficulty during Screening Tests for Dysphagia. Int J Phys Med Rehabil 1:133. doi: 10.4172/2329-9096.1000133

Copyright: © 2013 Shinjo Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objective: To assess how postural adjustment affects subjective swallowing difficulty during swallowing rehabilitation.

Subjects: Sixteen normal volunteers.

Design: Three screening tests – repetitive saliva swallowing, water swallowing, and food swallowing – were performed in 7 positions: upright, backrest, slouching, reclining 60° supine, reclining 60° lateral, reclining 30° supine, and reclining 30° lateral. Subjective swallowing difficulty was assessed using a visual analogue scale (VAS; 0 - 10).

Results: Patients indicated minimum difficulty while upright, and responses showed that the further from perpendicular was the reclining angle, the more difficulty they reported in swallowing. During food swallowing in supine positions, when reclining 60° VAS score was 3.06, and at 30° was 4.62. In lateral positions, VAS score increased along the same lines. Results were similar for all three swallowing tests.

Conclusion: Postural adjustment nduced considerably higher subjective swallowing difficulty. When imposing postural adjustment, clinicians should be aware of the subjective difficulty that patients have in swallowing.

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