The Effect of Swallowing Exercise and Maneuver Program For Older Adults With Dysphagia in Nursing Home
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60+
SponsorIndonesia University
About this trial
This clinical trial aimed to evaluate the effectiveness of a structured swallowing exercise and maneuver program for older adults with dysphagia living in a nursing home. Dysphagia, or difficulty in swallowing, is common in elderly populations and may lead to malnutrition, dehydration, and aspiration pneumonia.
In this study, 72 participants aged 60 years and older were randomly assigned to either an intervention group or a control group. The intervention group received a combined swallowing exercise and maneuver program-including Masako Maneuver, Chin Tuck Against Resistance, Supraglottic Swallow, and Super-Supraglottic Swallow-performed three times daily before meals over a six-week period. The control group received standard care, including upright sitting posture during meals.
Swallowing ability was measured using the EAT-10 questionnaire. The intervention group showed significant improvement in swallowing scores, while no meaningful changes were observed in the control group. This study suggests that nurse-led swallowing exercises can be a safe, simple, and effective strategy to improve swallowing function and quality of life in older adults living in long-term care settings.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
aged 60 years or older
experiencing swallowing difficulties as assessed by the Eating Assessment Tool-10 (EAT-10)
having no history of neurological disease
possessing adequate communication abilities
Disqualifiers
individuals with dermatological conditions in the anterior neck region, hypertension, orofacial pain such as trigeminal neuropathy or toothache, as well as those with significant malocclusion or facial asymmetry
Trial design
Design model
Parallel
Treatments tested in this trial
Swallowing Exercise and Maneuver Program for Older Adults with Dysphagia
BehavioralThe intervention is a structured swallowing exercise and maneuver program designed specifically for older adults with oropharyngeal dysphagia in nursing homes. It combines four evidence-based techniques: Masako Maneuver, Chin Tuck Against Resistance (CTAR), Supraglottic Swallow, and Super-Supraglottic Swallow. The program was delivered by nurses using video-guided instructions and was conducted three times daily before meals for six weeks. Unlike interventions targeting post-stroke dysphagia, this program focuses on non-stroke-related swallowing difficulties in frail elderly populations residing in long-term care facilities.
Treatment groups
72 Participants
are divided into 2 treatment groupsGroup A: Swallowing Exercise and Maneuver GroupExperimental treatment 1 intervention
Group B: Standard Care GroupNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Improvement in Swallowing Function Measured by EAT-10 Score
Swallowing function is assessed using the Eating Assessment Tool-10 (EAT-10), a validated 10-item self-report questionnaire for identifying symptoms of dysphagia. Each item is scored from 0 (no problem) to 4 (severe problem), with a total possible score ranging from 0 to 40. A score of 3 or more indicates clinically significant dysphagia. The primary outcome is the change in EAT-10 scores from baseline (prior to intervention) to the end of the 6-week intervention period. A decrease in score reflects improvement in swallowing function.
Time frame
Baseline (Day 0) and Week 6 (Post-intervention)2
Change in Swallowing Function as Measured by EAT-10 Score
Swallowing function was assessed using the Eating Assessment Tool-10 (EAT-10), a validated 10-item questionnaire designed to identify symptoms of dysphagia. Each item is scored on a 5-point Likert scale (0-4), with total scores ranging from 0 to 40. A score ≥3 indicates clinically significant swallowing difficulty. The primary outcome is the change in total EAT-10 score from baseline (pre-intervention) to the end of the 6-week intervention period. A greater reduction in the EAT-10 score indicates an improvement in swallowing function.
Time frame
Baseline and 6 weeks after intervention initiationSponsors and contacts
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Indonesia University
Lead sponsor
Direktorat Riset dan Pengabdian Masyarakat Universitas Indonesia
Collaborator
Source ClinicalTrials.gov
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