The Effect of Swallowing Exercise and Maneuver Program For Older Adults With Dysphagia in Nursing Home
NCT ID: NCT07049471
Last Updated: 2025-07-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
72 participants
INTERVENTIONAL
2025-07-10
2025-08-31
Brief Summary
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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.
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Detailed Description
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This randomized controlled trial was designed to assess the effectiveness of a structured swallowing exercise and maneuver program for older adults with dysphagia in a long-term care facility. The intervention integrated both pharyngeal element-based exercises (Masako Maneuver and Chin Tuck Against Resistance) and behavioral-based exercises (Supraglottic Swallow and Super-Supraglottic Swallow). These exercises were delivered as a video-guided program and administered three times per day before meals over six weeks by trained nursing staff.
Participants were randomly assigned to intervention and control groups using a simple random sampling method. The control group received standard care without swallowing exercises. Outcomes were measured using the Eating Assessment Tool-10 (EAT-10), a validated instrument for identifying clinically significant swallowing problems.
This study aimed to provide empirical evidence for the use of structured, nurse-delivered swallowing training as an effective and feasible approach to managing dysphagia among the elderly in nursing homes. It also explored the potential for routine implementation and integration into geriatric nursing practice across similar institutional care settings.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Swallowing Exercise and Maneuver Group
Participants in this arm received a structured swallowing exercise and maneuver program consisting of four techniques: Masako Maneuver, Chin Tuck Against Resistance (CTAR), Supraglottic Swallow, and Super-Supraglottic Swallow. The exercises were administered by nurses using a video-guided protocol, three times daily before meals for six weeks. The program was designed to improve pharyngeal muscle strength and enhance airway protection during swallowing.
Swallowing Exercise and Maneuver Program for Older Adults with Dysphagia
The 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.
Standard Care Group
Participants in this arm received standard care for dysphagia, which involved upright sitting positioning during meals without any structured swallowing exercises or maneuvers. No additional behavioral interventions were provided during the study period.
No interventions assigned to this group
Interventions
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Swallowing Exercise and Maneuver Program for Older Adults with Dysphagia
The 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.
Eligibility Criteria
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Inclusion Criteria
* experiencing swallowing difficulties as assessed by the Eating Assessment Tool-10 (EAT-10)
* having no history of neurological disease
* possessing adequate communication abilities
* and being capable of performing daily activities either independently or with partial assistance
Exclusion Criteria
60 Years
ALL
No
Sponsors
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Direktorat Riset dan Pengabdian Masyarakat Universitas Indonesia
UNKNOWN
Indonesia University
OTHER
Responsible Party
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Etty Rekawati
Principal Investigator of the Clinical Trial
Locations
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Faculty of Nursing Universitas Indonesia
Depok, West Java, Indonesia
Countries
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Central Contacts
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Other Identifiers
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NKB-215/UN2.RST/HKP.05.00/2024
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
NKB-215/UN2.RST/HKP.05.00/2024
Identifier Type: -
Identifier Source: org_study_id
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