Benefit from the Chin-Down Maneuver in the Swallowing Performance and Self-Perception of Parkinson's Disease Patients

Aims. to verify the effectiveness of the maneuver application in swallowing therapy with pd. materials and method. we performed an open-label trial,with three groups compounds by pd individuals: the experimental group,control group,and orientation group. the study included pd patients with dysphagia. a cognitive screening,through a questionnaire about depression and quality of life,was conducted. swallowing assessment was performed through (1) fiberoptic endoscopic evaluation of swallowing (fees); (2) clinical evaluation and functional oral intake scale (fois); and (3) assessment of the quality life related to swallowing (swalqol). a therapeutic program,which consisted of chin-down postural maneuver and orientations on feeding,was applied. both groups (eg and og) received on-month therapeutic program. results. a significant improvement in swallowing,evaluated by clinical assessment,was observed in solid (p<0.001) and liquid (p=0.022) consistencies in eg when compared to og and cg. patients in eg presented improvement in qol,with the significant difference in comparison with the other groups,about domain frequency of symptoms (p=0.029) in swalqol questionnaire. conclusion. the postural maneuver chin-down improved swallowing performance and self-perception,but not the laryngeal signs. this trial is registered with registration number nct02973698. copyright � 2017 annelise ayres et al.