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NeuroRehabilitation. 2018;42(2):191-197. doi: 10.3233/NRE-172250.

Effect of chin tuck against resistance exercise on patients with dysphagia following stroke: A randomized pilot study.

Author information

1
Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea.
2
Department of Physical Therapy, Inje University, Gimhae, Republic of Korea.
3
Department of Occupational Therapy, Kyungdong University, Wonju, Republic of Korea.
4
Department of Occupational Therapy, Inje University, Gimhae, Republic of Korea.

Abstract

BACKGROUND:

Recently, chin tuck against resistance exercise (CTAR) has been reported as a remedial treatment for pharyngeal dysphagia. However, the clinical evidence of the effect is still lacking.

OBJECTIVE:

This study investigated the effect of CTAR on the swallowing function in patients with dysphagia following subacute stroke.

METHODS:

The patients were randomly assigned to an experimental (n = 11) or a control group (n = 11). The experimental group performed CTAR using the CTAR device. The control group received only conventional dysphagia treatment. Both groups received training on five days a week, for four weeks. The swallowing function was measured using functional dysphagia scale (FDS) and penetration-aspiration scale (PAS), based on a videofluoroscopic swallowing study (VFSS).

RESULTS:

The experimental group showed more improvements in the oral cavity, laryngeal elevation/epiglottic closure, residue in valleculae, and residue in pyriform sinuses of FDS and PAS compared to the control group (p < 0.05, all).

CONCLUSIONS:

This study demonstrated that CTAR is effective in improving the pharyngeal swallowing function in patients with dysphagia after stroke. Therefore, we recommend CTAR as a new remedial training alternative to HLE.

KEYWORDS:

Aspiration; chin tuck against resistance; dysphagia; rehabilitation; stroke

PMID:
29562558
DOI:
10.3233/NRE-172250
[Indexed for MEDLINE]

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