Evidence map›Paper›PMID 42675729›Full record

Trial reportMedicine2026

Efficacy of the Mendelsohn maneuver combined with repetitive facilitation principles in poststroke dysphagia: A randomized controlled trial based on videofluoroscopic swallow study.

Wenjing Jia, Caihong Cui, Liang Qin, Jialin Sun, Chunxiao Wan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wenjing JiaDepartment of Rehabilitation Medicine, General Hospital of Tianjin Medical University, Tianjin, China.
Caihong CuiDepartment of Rehabilitation Medicine, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Liang QinDepartment of Rehabilitation Medicine, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Jialin SunDepartment of Rehabilitation Medicine, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Chunxiao WanDepartment of Rehabilitation Medicine, General Hospital of Tianjin Medical University, Tianjin, China.ORCID 0009-0007-8891-0023

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the effects of Mendelsohn maneuver training combined with repetitive facilitation principles on swallowing function in patients with poststroke dysphagia.

methodsThis prospective, assessor-blinded randomized controlled trial assessed 60 patients for eligibility and randomly assigned 56 eligible participants to a control or experimental group. The control group received conventional indirect swallowing therapy, whereas the experimental group received the Mendelsohn maneuver combined with repetitive facilitation principles. Treatment duration and therapist contact were matched between groups. Training was delivered for 20 minutes per session, 5 times weekly, for 4 weeks. Outcomes included the Penetration-Aspiration Scale, pharyngeal residue, upper esophageal sphincter opening diameter, Dysphagia Outcome and Severity Scale, and nasogastric tube removal.

resultsAll 56 randomized participants completed treatment and posttreatment assessment. Both groups showed improvement in swallowing function. Compared with the control group, the experimental group had lower Penetration-Aspiration Scale scores at Day 28 and greater improvement in Dysphagia Outcome and Severity Scale scores. Findings for pharyngeal residue were inconsistent and should be considered exploratory: vallecular residue change favored the experimental group, whereas posttreatment scores did not differ, and no significant difference was found in pyriform sinus residue change. No significant group differences were observed in upper esophageal sphincter opening improvement or nasogastric tube removal.

conclusionThe combined intervention may provide additional benefits for swallowing safety and overall swallowing function in patients with poststroke dysphagia.

Indexed as

DeglutitionDeglutition DisordersStrokeStroke RehabilitationAgedEsophageal Sphincter, UpperFemaleFluoroscopyHumansMaleMiddle AgedProspective StudiesSingle-Blind MethodTreatment OutcomedysphagiaMendelsohn maneuverrepetitive facilitation principlesstrokevideofluoroscopic swallow study

Identifiers

PMID42675729
PMCPMC13529108

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.