Manuver Mendelsohn sebagai terapi rehabilitasi pasien disfagia post-stroke

Nurul Fitri Insani(1Mail),
(1) Fakultas Kedokteran Universitas Lampung, Indonesia

Mail Corresponding Author


Full Text:    Language : ind


Dysphagia can occur in geriatric patients and is found in post-stroke patients. Dysphagia is a swallowing disorder that can cause dehydration and disruption of daily activities. PSD is thought to be due to damage to the cortex and subcortical structures. After hospitalization, patients are expected to perform daily activities independently. The rehabilitative therapy that can be performed for post-stroke dysphagia patients is the Mendelsohn maneuver. The patient is asked to swallow food as usual, and when the food reaches the laryng, hold it up for 2-3 seconds with the throat muscles before finishing swallowing. Several studies have shown that there is an increased function in swallowing and a reduction in the incidence of aspiration.


Dysphagia; Maneuver; Mendelsohn; Post-Stroke


Castagna, A., Ferrara, L., Asnaghi, E., Colombo, V., Rega, V., & Fiorini, G. (2019). Post-stroke dysphagia rehabilitation in the old and oldest old : outcome and relevance for discharge home. International Journal of Rehabilitation Research, XXX(XXX), 1–7.

Cohen, D. L., Roffe, C., Beavan, J., Blackett, B., Fairfield, C. A., Hamdy, S., … Warusevitane, A. (2016). Post-stroke dysphagia : A review and design considerations for future trials. International Journal of Stroke, 11(4), 399–411.

Doeltgen, S. H., Ong, E., Scholten, I., Cock, C., & Omari, T. (2017). Biomechanical Quantification of Mendelsohn Maneuver and Effortful Swallowing on Pharyngoesophageal Function. Otolaryngology– Head and Neck Surgery, 1–8.

Fukuoka, T., Ono, T., & Hori, K. (2013). Effect of the Effortful Swallow and the Mendelsohn Maneuver on Tongue Pressure Production against the Hard Palate.

Inamoto, Y., Saitoh, E., Ito, Y., Kagaya, H., Aoyagi, Y., & Shibata, S. (2017). The Mendelsohn Maneuver and its Effects on Swallowing : Kinematic Analysis in Three Dimensions Using Dynamic Area Detector CT. Dysphagia, 7, 1–12.

Johnson, D. N., Herring, H. J., & Daniels, S. K. (2014). Dysphagia Management in Stroke Rehabilitation. Curr Phys Med Rehabil Rep, 2014(2), 207–218.

Kim, J.-H., Kim, Y.-A., Lee, H.-J., Kim, K.-S., Kim, S.-Ta., Kim, T.-S., & Cho, Y.-S. (2017). Effect of the combination of Mendelsohn maneuver and effortful swallowing on aspiration in patients with dysphagia after stroke. J. Phys. Ther. Sci., (29), 1967–1969.

Kusumaningsih, W., Lestari, N. I., Harris, S., Tamin, S., & Werdhani, R. A. (2019). The effectivity of pharyngeal strengthening exercise , hyolaryngeal complex range of motion exercise , and swallowing practice in swallowing function of ischemic stroke patients with neurogenic dysphagia. Journal of Exercise Rehabilitation, 15(6), 769–774.

Li, C., Wang, T., Lee, H., Wang, H., Hsieh, S., Chou, M., & Chen, J. J. (2016). Swallowing Training Combined With Game-Based Biofeedback in Poststroke Dysphagia. PM&R, 8(8), 773–779.

Mccullough, G. H., Kamarunas, E., Mann, G. C., Schmidley, J. W., Robbins, J. A., & Crary, M. A. (2012). Effects of Mendelsohn Maneuver on Measures of Swallowing Duration Post Stroke. Top Stroke Rehabil, 19(3), 234–243.

Mccullough, G. H., & Kim, Y. (2013). Effects of the Mendelsohn Maneuver on Extent of Hyoid Movement and UES Opening Post-Stroke. Dysphagia, 1–8.

Rangarathnam, B., & Mccullough, G. H. (2017). Swallowing Exercises in Patients Post-Stroke : What Is the Current Evidence ? Exercises Targeting Impaired Oral Bolus Preparation and Transfer. SIG, 2(1), 4–12.

Rofes, L., Vilardell, N., & Clave, P. (2013). Post-stroke dysphagia : progress at last. Neurogastroenterol Motil, (25), 278–282.

Rogus-pulia, N., & Robbins, J. (2013). Approaches to the Rehabilitation of Dysphagia in Acute Poststroke Patients. Seminars In Speech And Language, 1(212), 154–170.

Vose, A., Nonnenmacher, J., & Singer, M. L. (2014). Dysphagia Management in Acute and Sub-acute Stroke. Curr Phys Med Rehabil Rep, 2014(2), 197–206.

Article Metrics

 Abstract Views : 289 times
 Fulltext Downloaded : 700 times


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.