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. 2021 May;49(5):3000605211013198.
doi: 10.1177/03000605211013198.

Effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia

Jianrong Zhang  1 , Yu'e Wu  2 , Yanfang Huang  1 , Shuqing Zhang  1 , Liuqin Xu  1 , Xiaoyun Huang  3 , Xingshui Wang  4 , Qingping Huang  1
Affiliations

Effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia

Jianrong Zhang et al. J Int Med Res. 2021 May.

Retraction in

  • Retraction Notice.
    [No authors listed] [No authors listed] J Int Med Res. 2024 Jan;52(1):3000605241228165. doi: 10.1177/03000605241228165. J Int Med Res. 2024. PMID: 38217421 Free PMC article. No abstract available.

Abstract

Objective: We investigated the effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia.

Methods: We randomly classified 214 patients with senile vascular dementia and swallowing dysfunction into a control group (CG, n = 106) and observation group (OG, n = 108). Both groups underwent health education, psychological intervention, and training of the oral muscle group. The OG additionally underwent the Mendelsohn maneuver and swallowing training. The Hasegawa Dementia Scale (HDS), China Stroke Scale (CSS), and Neurobehavioral Cognitive Status Examination (NCSE) were used to evaluate dementia, neurological impairment, and cognitive dysfunction, respectively.

Results: The OG had a higher rate of effective therapy than the CG. After intervention, the OG showed better swallowing function than the CG. At 15 days and 1 month after intervention, the OG had higher video fluoroscopic swallowing exam scores than the CG. The OG had lower serum interleukin (IL)-1, IL-6, and tumor necrosis factor-α levels than the CG. After intervention, the OG had higher HDS and NCSE scores and lower CSS scores than the CG.

Conclusions: The Mendelsohn maneuver and swallowing training can improve swallowing function in patients with senile vascular dementia complicated with dysphagia and help to ameliorate the inflammatory response.

Keywords: Mendelsohn maneuver; Vascular dementia; dysphagia; inflammatory factor; swallowing function; swallowing training.

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Conflict of interest statement

Declaration of conflicting interest: The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Inflammatory factors between the two groups. *P < 0.05 compared with before intervention; #P < 0.05 compared with the control group. IL, interleukin; TNF, tumor necrosis factor.
Figure 2.
Figure 2.
Scores on the Hasegawa Dementia Scale (HDS), China Stroke Scale (CSS), and Neurobehavioral Cognitive Status Examination (NCSE) in the two groups. *P < 0.05 compared with before intervention; #P < 0.05 compared with the control group. Values are mean ± standard deviation or score.
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