Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population. Stated uses:
The Mendelsohn Maneuver is a swallowing technique used to increase the upper esophageal sphincter (UES) opening and used to normalize the time of the pharyngeal swallow. This technique helps to elevate the larynx and open the esophagus during swallowing(Carrau, 2006).
The Mendelsohn Maneuver is implemented on individuals with reduced laryngeal movement and discoordinated swallow (Carrau, 2006). This procedure is difficult and may not be suitable for children younger than 8 years of age due to the position of the larynx. At birth the larynx sits high in the neck(Logemann, 2000).
This technique can be used with adults and children(preferably 8 and over who are aware of the laryngeal movement) with reduced laryngeal movement and discoordinated swallow (Logemann, 2000). Lazarus, Logemann and Gibbons(1993) research explained that there are times when children with brain tumors experience impairments with laryngeal motion and cricopharyngeal opening. In cases like these the Mendelsohn Maneuver is used. However these are not common cases( as cited in Logemann, 2000).
Outcomes: Are outcomes clearly stated?
The outcomes of the Mendelsohn Maneuver are clearly stated. The articles specifically selected for this discussion clearly states if the Mendelsohn Maneuver is effective or not or if more research is needed to determine the benefits.
Overall there are peered reviewed journal articles concerning this procedure. The American Speech-Langauge Hearing Association (ASHA) website has articles concerning this procedure.
Peer-Reviewed Research: Is there peer-reviewed research that supports or contradicts the stated outcomes or benefits?
The articles chosen for discussion are peer reviewed from professional journals and the ASHA website and non peer reviewed articles. McCabe et. al.,(2009) study consisted of 24 adults with the majority between the ages of 47-50. Subjects exhibited swallowing problems due to structurally based cancers. The research revealed that the Mendelsohn Maneuver was the best in regards to safely returning patients to oral feeding. This was a Level I study
Frymark and Hammond (2009) review article discussed the Mendelsohn Maneuver with adults who were healthy and with no disorders, the neurological population and subjects with head and neck cancer. Emphases was on whether the procedure could improve swallowing abiltiy and pulmonary health. Results...