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Cited by 34Dysphagia Assessment and ManagementDementia and Cognitive Impairment ResearchVoice and Speech Disorders

Dysphagia in elderly nursing home residents with severe cognitive impairment can be attenuated by cervical spine mobilization

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Bautmans, I, Demarteau, J, Cruts, B, Geriatrics, J, Mets, T·2008·Journal of Rehabilitation Medicine
DOI 10.2340/16501977-0243
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Abstract

OBJECTIVE: To investigate the feasibility of cervical spine mobilization in elderly dementia patients with dysphagia, and its effect on swallowing capacity. METHODS: Fifteen nursing home residents (9 women, 6 men, age range 77-98 years) with severe dementia (median Mini Mental State Examination score=8/30, percentile (P)25-75=4-13) and known dysphagia participated in a randomized controlled trial with cross-over design. Cervical spine mobilization was administered by trained physiotherapists. Control sessions consisted of socializing visits. Feasibility (attendance, hostility, complications) and maximal swallowing volume (water bolus 1-20 ml) were assessed following one session and one week (3 sessions) of treatment and control. RESULTS: Ninety percent of cervical spine mobilization sessions were completed successfully (3 sessions could not be carried out due to the patient's hostility and 2 due to illness) and no complications were observed. Swallowing capacity improved significantly after cervical spine mobilization (from 3 ml (P25-75=1-10) to 5 ml (P25-75=3-15) after one session p=0.01 and to 10 ml (P25-75=5-20) (+230%) after one week treatment p=0.03) compared with control (no significant changes, difference in evolution after one session between treatment and control, p=0.03). CONCLUSION: Cervical spine mobilization is feasible and can improve swallowing capacity in cognitively impaired residents in nursing homes. Given the acute improvements following treatment, it is probably best provided before meals.

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  • A small short term RCT in older adults with severe cognitive impairment suggested that cervical spine manipulation may increase dysphagia limit for those with swallowing problems, but effects on hydration were not assessed.

    “A small short term RCT in older adults with severe cognitive impairment J o u r n a l P r e -p r o o f suggested that cervical spine manipulation may increase dysphagia limit for those with swallowing problems, but effects on hydration were not assessed (265).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [265]

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Authors
Bautmans, I., Demarteau, J., Cruts, B., Geriatrics, J., & Mets, T.
Affiliations
Vrije Universiteit Brussel (BE)
ORCID
Venue
Journal of Rehabilitation Medicine
Publisher
Medical Journals Sweden AB
Published
2008
Volume
40
Issue
9
Pages
755-760
ISSN
1650-1977 (ISSN-L)
DOI
10.2340/16501977-0243
OpenAlex
W1969426649
Cited by
34
References
1
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2022: 6 · 2021: 3 · 2020: 2 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 2
FWCI
2.77
Type
journal article
Language
en
Open access
Locations
  • Journal of Rehabilitation Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • VUBIR (Vrije Universiteit Brussel) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Voice and Speech Disorders
Keywords
dysphagia, cervical spine mobilization, advanced dementia, swallowing capacity, nursing home residents, older adults, feasibility, physiotherapy
MeSH terms
Aged, Aged, 80 and over, Alzheimer Disease, Cervical Vertebrae, Cognition Disorders, Deglutition Disorders, Feasibility Studies, Female, Humans, Male, Nursing Homes, Frail Elderly, Treatment Outcome, Manipulation, Spinal

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