What is the chin-down posture? A questionnaire survey of speech language pathologists in Japan and the United States

Sumiko Okada, Eiichi Saitoh, Jeffrey B. Palmer, Koichiro Matsuo, Michio Yokoyama, Ritsuko Shigeta, Mikoto Baba

Research output: Contribution to journalArticle

Abstract

The "chin-down" or "chin-tuck" maneuver is a postural technique widely used in dysphagia treatment. The posture, however, does not have a precise anatomical definition. We studied the current practice of 42 speech-language pathologists (SLPs) in Japan and the U.S. with a questionnaire survey regarding the chin-down posture. The main findings were that (1) three of five of the pictures were selected by respondents both in Japan and in the U.S. as depicting the chin-down posture; (2) 23% of Japanese and 58% of the U.S. SLPs made a distinction between chin down and chin tuck; and (3) the use of anatomical terminology by SLPs differed between the two countries. This study showed that there is poor agreement among SLPs about the meaning of the chin-down and chin-tuck postures. Developing a precise definition is important because various postures may have differing physiologic effects.

Original languageEnglish (US)
Pages (from-to)204-209
Number of pages6
JournalDysphagia
Volume22
Issue number3
DOIs
StatePublished - Jul 1 2007

Keywords

  • Chin-down postural technique
  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Functional anatomy
  • Speech-language pathologist questionnaire

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

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    Okada, S., Saitoh, E., Palmer, J. B., Matsuo, K., Yokoyama, M., Shigeta, R., & Baba, M. (2007). What is the chin-down posture? A questionnaire survey of speech language pathologists in Japan and the United States. Dysphagia, 22(3), 204-209. https://doi.org/10.1007/s00455-006-9073-0