10/4/2023 0 Comments Chin tuck exercise video![]() ![]() For CTAR exercise, the patient is instructed by speech and language therapists to tuck their chin toward their manubrium sterni to squeeze an inflatable rubber ball that placed between their chin and chest while seated. ![]() Therefore, chin tuck against resistance (CTAR) exercise was introduced as a new rehabilitative exercise that could substitute for Shaker exercise by Yoon et al. Several studies reported that participants showed a low compliance and felt frustrated ( 16– 18). For elderly patients who are physically frail, repeated lifting of and holding their heads up is challenging. When patients raise their heads, the sternocleidomastoid muscle are inevitably activated, causing unnecessary muscle fatigue and physical effort ( 16). It requires patients to lift their heads against gravity to look at their toes in a supine position ( 15). The head-lift exercise (HLE), also called Shaker exercise, is the most commonly used SHM strengthening exercise that has been demonstrated to be effective in strengthen the SHM, reduce pyfiform sinus residue and increase upper esophageal sphincter opening in dysphagia ( 13, 14). Thus, SHM strengthening exercise has been a focus of research and practice in post-stroke dysphagia rehabilitation. For stroke survivors, based on the neuroplasticity principle, regular and repetitive resistance training can lead to the strength of swallowing muscles and may be effective on the recovery of sensorimotor control system of swallowing ( 12). The suprahyoid muscle complex (SHM) is critical during the pharyngeal phase of swallowing as it controls the movement of the larynx, hyoid bone, and epiglottis to protect the airway, and the opening of upper esophageal sphincter to allow bolus transfer into the esophageal ( 11). Therapeutic exercises that stimulating and strengthening the swallow-related muscles are strongly recommended for dysphagia rehabilitation ( 10). Thus, exploring effective dysphagia rehabilitation methods is an essential concern of post-stroke care. The residual functional deficits not only seriously affect the quality of life of stroke survivors, but also is a major cause of post-stroke depression and social isolation ( 9). For many patients, dysphagia resolves spontaneously within 14 days, but 50.9% of dysphagia persist at discharge, and 15% of patients still have dysphagia at 1 month of the onset of stroke, 11–50% still have dysphagia at 6 months ( 6– 8). It is one of the most common complications that affecting 37–78% stroke survivors ( 2, 3) and is strongly associated with a high risk of aspiration pneumonia, malnutrition, and increased mortality ( 4– 6). Dysphagia is any difficulty during bolus transport from the oral cavity to the stomach in the swallowing process ( 1). ![]()
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