Journal
DYSPHAGIA
Volume 22, Issue 3, Pages 204-209Publisher
SPRINGER
DOI: 10.1007/s00455-006-9073-0
Keywords
chin-down postural technique; functional anatomy; dysphagia; speech-language pathologist questionnaire; deglutition; deglutition disorders
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The chin-down or chin-tuck maneuver is a postural technique widely used in dysphagia treatment. The posture, however, does not have a precise anatomical definition. We studied the current practice of 42 speech-language pathologists (SLPs) in Japan and the U.S. with a questionnaire survey regarding the chin-down posture. The main findings were that (1) three of five of the pictures were selected by respondents both in Japan and in the U.S. as depicting the chin-down posture; (2) 23% of Japanese and 58% of the U.S. SLPs made a distinction between chin down and chin tuck; and (3) the use of anatomical terminology by SLPs differed between the two countries. This study showed that there is poor agreement among SLPs about the meaning of the chin-down and chin-tuck postures. Developing a precise definition is important because various postures may have differing physiologic effects.
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