Efficacy of Hyoid Lift Maneuver on Dysphagia Level in Patients with Stroke

Hawraa Abd  Alhesnawi; Hassan Abdullah  Athbi

Hawraa Abd Alhesnawi Academic Nurse, Karbala Health Directorate, Iraq
Hassan Abdullah Athbi Associate Professor, Adult Nursing Branch, Nursing College, Karbala University, Iraq

Keywords: Stroke, Dysphagia, Hyoid Lift Maneuver

Abstract

Dysphagia is a significant serious medical condition following stroke. Therapeutic exercises that enhance the functional and physiological changes in swallowing abilities are being used to treat dysphagia. This study was conducted to find out the efficacy of hyoid lift maneuver on swallowing ability in stroke patients^,with dysphagia. This study utilizing a quasi-experimental design, it was performed in the neurological units from 1^st October, 2023 to 13^th June, 2024. Sixty patients diagnosed with stroke were take a part in this study using a purposive sampling, and they were divided up into two groups: the control and the intervention groups. There were 30 patients in each group. Patients with stroke who had difficulty swallowing were enrolled in the intervention group are applied the Hyoid Lift Maneuver 3 times a day for 7 consecutive days, whereas the control group obtained just conventional care. The data collection instrument contains two section: the first section is related to socio-demographic and clinical data; the second section was used to measure the dysphagia level by using a Gugging Swallow Screen Scale. Both descriptive and inferential analysis methods were used to analyzed the study result (e.g., paired sample t-test, independent sample t-test); a p-value of <0.05 was determined to be significant result. The result exposed that’s after 7 days of the application of Hyoid Lift Maneuver, a significant difference were found in the dysphagia level between the pretest and posttest periods at a p-value of 0.000 for patients in the interventional group. In contrast, the control group experienced a non-significant difference in the dysphagia level between the pretest and posttest periods at a p-value of 0.077. Performing Hyoid Lift Maneuver post-stroke alongside the medical treatment for three times per day for 7 days, significantly improve the swallowing ability in stroke patients with swallowing difficulties.

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