Latihan Menelan terhadap Kemampuan Menelan Pasien Stroke yang Mengalami Disfagia

  • Meszadena Tumanggor Universitas Sumatera Utara
  • Nunung F. Sitepu Universitas Sumatera Utara
  • Kiking Ritarwan Universitas Sumatera Utara


This study aims to identify and compare the effect of interventional swallowing exercises on swallowing ability in stroke patients who experience dysphagia. The method used is a quantitative method with a one-group pre-test-post-test approach. Respondents in this study were stroke patients who underwent moderate category of dysphagia, totaling 35 respondents. Initial data collection was started using the Nursing Bedside Swallowing Screening dysphagia assessment sheet. Then, the researcher used the Mann Assessment of Swallowing Ability (MASA) to assess the patient's swallowing ability. The results showed a significant difference (p<0.05) in the swallowing capacity of the respondents before and after the swallowing training intervention. The conclusion of this study, swallowing exercises are effective in improving the swallowing ability of stroke patients who experience dysphagia.

Keywords: Dysphagia, Swallowing Ability, Stroke


Archer, S. K., Smith, C. H., & Newham, D. J. (2021). Surface Electromyographic Biofeedback and the Effortful Swallow Exercise for Stroke-Related Dysphagia and in Healthy Ageing. Dysphagia, 36(2), 281–292.

Balcerak, P., Corbiere, S., Zubal, R., & Kägi, G. (2022). Post-Stroke Dysphagia: Prognosis and Treatment–A Systematic Review of RCT on Interventional Treatments for Dysphagia Following Subacute Stroke. Frontiers in Neurology, 13(4), 1–11.

Bascuñana-Ambrós, H., Renom-Guiteras, M., Nadal-Castells, M. J., Beranuy-Rodríguez, Perrot-González, M. J. C., Ramirez-Mirabal, E., Trejo-Omeñaca, A., & Monguet-Fierro, J. M. (2021). Swallowing Muscle Training for Oropharyngeal Dysphagia: A Non-Inferiority Study of Online Versus Face-to-Face Therapy. Journal of Telemedicine and Telecare, 6(7), 1–5.

Carnaby, G. D., LaGorio, L., Silliman, S., & Crary, M. (2020). Exercise-Based Swallowing Intervention (McNeill Dysphagia Therapy) with Adjunctive NMES to Treat Dysphagia Post-Stroke: A Double-Blind Placebo-Controlled Trial. Journal of Oral Rehabilitation, 47(4), 501–510.

Choy, J., Pourkazemi, F., Anderson, C., & Bogaardt, H. (2022). Dosages of Swallowing Exercises in Stroke Rehabilitation: A Systematic Review. European Archives of Oto-Rhino-Laryngology, 280(3), 1017–1045.

Dziewas, R., Michou, E., Trapl-Grundschober, M., Lal, A., Arsava, E. M., Bath, P. M., Clavé, P., Glahn, J., Hamdy, S., Pownall, S., Schindler, A., Walshe, M., Wirth, R., Wright, D., & Verin, E. (2021). European Stroke Organisation and European Society for Swallowing Disorders Guideline for the Diagnosis and Treatment of Post-Stroke Dysphagia. European Stroke Journal, 6(3).

Edwards, A., Froude, E., Sharpe, G., & Carding, P. (2021). Training for Videofluoroscopic Swallowing Analysis: A Systematic Review. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–11.

Farpour, S., Asadi-Shekaari, M., Haghighi, A. B., & Farpour, H. R. (2023). Improving Swallowing Function and Ability in Post Stroke Dysphagia: A Randomized Clinical Trial. Dysphagia, 38(1), 330–339.

Hien, N. T. T., Thong, T. H., Tung, L. T., Khoi, V. H., Hoai, D. T. T., Tinh, T. T., Huy, N. Van, & Kien, V. D. (2022). Dysphagia and Associated Factors among Patients with Acute Ischemic Stroke in Vietnam. Annals of Medicine and Surgery, 16(84), 1–6.

Hota, S., Inamoto, Y., Oguchi, K., Kondo, T., Otaka, E., Mukaino, M., Gonzalez-Fernandez, M., & Saitoh, E. (2021). Outcomes of Dysphagia Following Stroke: Factors Influencing Oral Intake at 6 Months after Onset. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–9.

Huckabee, M., Flynn, R., & Mills, M. (2022). Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training. Dysphagia, 9(12), 1–12.

Hwang, J. M., Jung, H., Kim, C. H., Lee, Y. S., Lee, M., Hwang, S. Y., Kim, A. R., & Park, D. (2021). Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study. Healthcare, 9(4), 1–9.

Jongprasitkul, H., & Kitisomprayoonkul, W. (2020). Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia. Hindawi Rehabilitation Research and Practice, 2020(1), 1–5.

McCarty, E. B., & Chao, T. N. (2021). Dysphagia and Swallowing Disorders. Medical Clinics of North America, 105(5), 939–954.

Nozoe, M., Yamamoto, M., Masuya, R., Inoue, T., Kubo, H., & Shimada, S. (2021). Prevalence of Malnutrition Diagnosed with GLIM Criteria and Association with Activities of Daily Living in Patients with Acute Stroke. Journal of Stroke and Cerebrovascular Diseases, 30(9), 1–7.

Oh, J. (2021). Systematic Effortful Swallowing Exercise without External Resistance Does Not Increase Swallowing-Related Muscle Strength in the Elderly. Dysphagia, 36(3), 465–473.

Ristinawati, I., Tedjo, R. A. A., Mirawati, D. K., Subandi, S., Danuaji, R., Budianto, P., Prabaningtyas, H. R., Hafizhan, M., & Putra, S. E. (2022). Efektivitas Pelatihan Manajemen Disfagia terhadap Pengetahuan Tenaga Kesehatan RSUD Dr. Moewardi. Smart Society Empowerment Journal, 2(3), 86–91.

Savcı, C., & Acaroğlu, R. (2021). Effects of Swallowing Training and Follow-Up on the Problems Associated with Dysphagia in Patients with Stroke. Florence Nightingale Journal of Nursing, 29(2), 137–149.

Seo, Z. W., Min, J. H., Huh, S., Shin, Y., Ko, H., & Ko, S. (2021). Prevalence and Severity of Dysphagia Using Videofluoroscopic Swallowing Study in Patients with Aspiration Pneumonia. Lung, 199(1), 55–61.

Syahrun, S., Hany, A., & Rahayu, M. (2022). Management Dysphagia in Post-Stroke Patients Recommendations for Indonesian Nursing Intervention Standars: A Literature Review. Malang Neurology Journal, 8(1), 39–48.

Thiyagalingam, S., Kulinski, A. E., Thorsteinsdottir, B., Shindelar, K. L., & Takahashi, P. Y. (2021). Dysphagia in Older Adults. Mayo Clinics Proceedings, 96(2), 488–497.

Venketasubramanian, N., Yudiarto, F. L., & Tugasworo, D. (2022). Stroke Burden and Stroke Services in Indonesia. Cerebrovascular Diseases Extra, 12(1), 53–57.

Yang, C., & Pan, Y. (2022). Risk Factors of Dysphagia in Patients with Ischemic Stroke: A Meta-Analysis and Systematic Review. PLoS ONE, 17(6), 1–14.

Yuhyen, Y., Agianto, A., & Agustina, R. (2022). Peningkatan Fungsi Menelan dengan Latihan Menelan pada Pasien Stroke yang Mengalami Disfagia. Jurnal Penelitian Kesehatan Suara Forikes, 13(4), 878–885.

Zainaee, S., Rahmani, S., & Ghaemi, H. (2020). Effective Swallowing Rehabilitation Strategies in Patients with Multiple Sclerosis Suffering from Dysphagia: A Literature Review. Journal of Rehabilitation Sciences and Research, 7(3), 106–113.

Zeng, H., Chen, J., Guo, Y., & Tan, S. (2021). Prevalence and Risk Factors for Spasticity after Stroke: A Systematic Review and Meta-Analysis. Frontiers in Neurology, 11(1), 1–12.

Zhang, J., Wu, Y., Huang, Y., Shuqing, Z., Xu, L., Huang, X., Wang, X., & Huang, Q. (2021). Effect of the Mendelsohn Maneuver and Swallowing Training in Patients with Senile Vascular Dementia Complicated with Dysphagia. Journal of Nternational Medical Research, 49(5), 1–11.
Abstract viewed = 325 times
pdf downloaded = 291 times