{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:29:58Z","timestamp":1781828998591,"version":"3.54.5"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The chin\u2010down posture is a widely used compensatory manoeuvre for patients with dysphagia. The aim of this study was designed to systematically measure the effectiveness of chin\u2010down manoeuvre application.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>We retrieved the PubMed, Web of Science, Embase, Cochrane Library, EBSCO, Medline, CNKI, WANFANG, VIP and SinoMed databases from inception to 30 August 2022. Raters independently screened literature according to inclusion and exclusion criteria. The quality of the included literature was evaluated, and data were extracted. The software Review Manager software 5.3 was used for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fourteen studies with a total of 571 patients were included in this meta\u2010analysis. The meta\u2010analysis indicated that chin\u2010down manoeuvre could significantly reduce the risk of aspiration (MD\u2009=\u2009\u22121.35, 95% CI [\u22122.25, \u22120.44],\n                      <jats:italic>Z<\/jats:italic>\n                      \u2009=\u20092.92,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01), decrease the chin angle (MD\u2009=\u2009\u221212.20, 95% CI [\u221214.61, \u22129.79],\n                      <jats:italic>Z<\/jats:italic>\n                      \u2009=\u20099.91,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), shorten oral transit time (MD\u2009=\u2009\u22120.81, 95% CI [\u22121.20, \u22120.43],\n                      <jats:italic>Z<\/jats:italic>\n                      \u2009=\u20094.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), reduce the maximum swallowing pressure at upper oesophageal sphincter (MD\u2009=\u2009\u221282.07, 95% CI [\u2212112.77, \u221251.37],\n                      <jats:italic>Z<\/jats:italic>\n                      \u2009=\u20095.24,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and decrease pharyngeal residue.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Existing evidence indicated that chin\u2010down manoeuvre could reduce the risk of aspiration and pharyngeal residue, decrease the maximum swallowing pressure at UES. More large\u2010sample, high\u2010quality clinical trials are still needed in the future to further ascertain the results of this research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13631","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T22:20:15Z","timestamp":1701296415000},"page":"762-774","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The effectiveness of chin\u2010down manoeuvre in patients with dysphagia: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"51","author":[{"given":"Mengchao","family":"Li","sequence":"first","affiliation":[{"name":"School of Nursing Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaochun","family":"Huang","sequence":"additional","affiliation":[{"name":"The Nanjing Brain Hospital  Nanjing 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