مقارنة أثر استخدام مناورة البلع فوق المزمار ومناورة الرفع اللامي في عسر البلع لدى المرضى المصابين بالجلطة الدماغية

Comparing the Effect of Using Super Supraglottic Swallow Maneuver and Hyoid Lift Maneuver on Dysphagia in Patients with Stroke

Abstract

Background: Dysphagia is a common problem among stroke patients. Early management of dysphagia should be used to improve swallowing and to decrease subsequent complications. This study aims to compare the effect of using Super-Supraglottic Swallow and Hyoid Lift Maneuvers on dysphagia in patients with stroke.
Methods: A quasi-experimental study was conducted in medical wards, from 1st October, 2023 to 30th June, 2024. A purposive sample involves 90 patients with stroke, 30 patients for each Super-Supraglottic Swallow maneuver, Hyoid Lift Maneuver and control groups. Super-Supraglottic Swallow and Hyoid Lift Maneuvers was administered three-times a day for seven days and the control group were given conventional care only. The study instrument contains two parts: the first part is socio-demographic and clinical data; the second part was a Gugging Swallow Screen Scale used to investigate swallowing. Both a descriptive and inferential statistics analysis methods were used to analyze the study results (e.g., paired sample t-test, independent sample t-test, and one-way ANOVA); a p-value of <0.05 was determined to be significant result.
Results: the results exposed that 100 % of patients in the control, Super-Supraglottic Swallow maneuver, and Hyoid Lift Maneuver groups, respectively had a severe dysphagia, at pre-test assessment. At the post-test, the same groups found 100%, 0.0 %, and 0.0 % of patients had severe dysphagia, respectively. A significant difference in dysphagia between the pretest and posttest at p-value of 0.000 when these two maneuvers are used. Conversely, no significant difference was observed in the control group at p-value 0.161. Furthermore, non-significant difference was observed between the effect of these Maneuvers on dysphagia at p-value 0.937.
Conclusion: Application of Super-Supraglottic Swallow and Hyoid Lift Maneuvers for three times a day for 7 days significantly enhance swallowing in patients with stroke, these maneuvers have the same effect on dysphagia.
Recommendations: According to the study and conclusion, the researcher recommends the sub sequent recommendations as follow: all patients with stroke can be instructed to perform a super supra glottis swallow maneuver and hyoid lift maneuver post stroke three times a day for 7 days to improve level of dysphagia , further studies can be done to investigate the long-term effects of super supra glottis swallow maneuver and hyoid lift maneuver on dysphagia level, all nursing staff in the neurological wards can be encouraged to implement super supra glottis swallow maneuver and hyoid lift maneuver as a routine care practice to improve swallowing function and decrease dysphagia level.