Dysphagia Swallowing Exercise - Chin Tuck Against Resistance with Ball by CTAR Inventor (English)
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- Опубліковано 10 вер 2024
- The Chin Tuck Againt Resistance (CTAR) exercise works on strengthening the suprahyoid muscles, necessary for opening your upper food pipe sphincter (or known as the upper esophageal sphincter) to allow food to enter the stomach.
Since CTAR was introduced in 2013, Mr Yoon (The CTAR inventor) has been receiving enquiries from clinicians from around the world. We hope that this video will provide the details to facilitate the carrying out of the exercise. We plan to translate this and all our upcoming videos into different languages.
To download a PDF copy of the CTAR exercise instructions, please click on:
dysphagia.sg/2...
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CTAR with Rubber Ball Exercise videos are available in the following languages:
- English: • Dysphagia Swallowing E...
- Malay: • Latihan Menelan (Dysph...
- Korean: • Video
- Japanese: • (Japanese) Dysphagia S...
- Taiwanese Minnan: • (Taiwanese Minnan) Dys...
- Bangladesh Language (Bengali): • (Bengali) Dysphagia Sw...
Chin Tuck Against Resistance or CTAR is suitable for:
• dysphagia or swallowing difficulties following strokes,
• dysphagia following head and neck cancer,
• dysphagia following Parkinson’s disease,
• dysphagia due to late effect of radiotherapy i.e. Nasopharyngeal cancer
• etc.
I’m 22 years old and this has been happening to me since I was 19. It stated in the beginning of 2019 and it’s been 3 years since it’s been happening. It’s hard to swallow juice, water and even if I wanted to drink wine. I hope this really works
Checkout UHN Patient education and their videos on Dysphagia workouts, I have it and I’m on a 6month journey to see if I’ll feel better after 6months so don’t lose hope
mon Dieu, j'espère de tout coeur que ça va aller pour toi, je sais de quoi tu souffre, ma maman souffre de ça depuis 2018 après un AVC.
@@cypherspace1148 did you feel any better
@@bhaveshsharma8422 Yeah, the benefit I got from it is that I often find myself forgetting that I have dysphagia on some days, which is a win for me because I used to feel it daily. My next goal is to be more consistent with the hope of completely restoring my swallowing strength all time. So basically I do feel a lot better my friend🤝
Therapist suggested this exercise to me after scoping my throat. I just started today, but I am anxious to see if it works. The video was very helpful, because it added the importance of posture.
Best of luck!
We are glad that you find the info in this video helpful. Indeed posture is very is important. Best of luck
Thankyou ❤
You're welcome 😊
تحية طيبة
تحية كبيرة من سوريا
My son Hamdan Siraj diagnosed with tcell ALL blood cancer now can't talk or eat due to brain infection,saliva can't be swallowed
Nice video, easy to understand. Tq sifu :) and good luck for your next project
Thank you Afiqah
great, it was very helpful, thanks!
Glad it helped!
Thankyou Doc
most welcome
Thank you so much. I really hope it works. I've been suffering with it since 2019 and swallowing food with water each and every bite. It's really shameful amongst people. But I don’t had cancer or stroke I'm just 20 years old. Can I do these exercises? Will it help?
you are most welcome. CTAR works on strengthening the suprahyoid muscles which will facilitate better upper esophageal sphincter opening. I hope it works for you. It depends on what swallowing difficulties or which part of the swallowing that are affected. Wish you all the best! Take care.
Doc, I have the very same problem accompanied with Gastric Reflux, isnit advisable to take this Exercise
Did it work for u?
Isn't this shaker exercise lite?
Good luck sifu!
Thank you very much Amirah
Great
My father is 86 years he had ryls tube can he do this exercise he is suffering from Parkinson plus
It would be good to consult a speech therapist before performing this exercise.
Thank you verry much for this interesting video. What ball size would be the best?
The size will depend on the individual's neck length. we used 12cm diameter rubber ball for the research.
Thanks wai lam ☺️
You are most welcome Ina
what is the diamitter of the ball?
The size we used was 12cm diameter.
Can this exercise be used to move the resting position of the hyoid bone up and back for people who don't otherwise have medical problems?
Hi, this exercise will only strengthen the suprahyoid muscles, which will potentially improve the movement of the hyoid upwards and forwards. Unlikely will change the location of the hyoid at rest.
I read somewhere it might, making your jaw appear sharper
In your opinion, would this movement help raise the hyoid structure if it is lower than normal?
Sorry for late reply. If the cause of the issue is weak suprahyoid muscles, then strengthening of the suprahyoid muscles should help to elevate the hyoid bone better
hi.my daughter us 7 years old.she have PKAN disease.she have problem to swallow food and water.can I contact for her exercise.
Hi, it would be better to consult a speech therapist/pathologist to perform a thorough assessment so that the treatment is more targeted to your daughter’s condition.
My 80-year old dad is suffering from Alzheimer's disease and Parkinson's disease. Recently, the frequency of his having aspiration has been increased. Swallowing food is OK but he has hard time swallowing medicines. Would this CTAR exercise help him swallow his medicine?
Depending on what’s the cause of the difficulty in swallowing medicine. Need a speech therapist to do a thorough assessment and possibly an instrumental examination to find out the cause. Then the therapy can be more targeted to your dad’s
Condition. If it is due to poor epiglottis retroflexion or reduced upper esophageal sphincter opening then CTAR may help. Please consult a speech therapist.
Are u know any exercises for omohyoid strengthening?
Thank you for this video. I am curious to know the optimal air pressure to be maintained for the exercise to be effective.
No specific optimal pressure. Higher pressure may provide more resistance. Most important is the angle of chin tuck - the subject needs to be able to chin tuck at least 20 degrees to activate the suprahyoid muscles during CTAR
@@singaporeswallowingspecial735 thanks a lot!!
How do I suppose to do that
What the name of background music.....
If one has trouble swallowing doing a chin tuck what does this men, weak supra hyoid? tight SCMs? also have posterior tongue tie present
Just wondering how the chin tuck being performed? What is the angle? If tuck all the way down till maximum range, it would be difficult to swallow. I have consulted some dysphagia expert before, I was told that Chin tuck should only be performed around 45 degrees. Posterior tongue tie unlikely would have any effect on chin tuck.
@@singaporeswallowingspecial735 posterior tongue for swallow not the tuck. More so with the seal so air doesnt get swallowed.
Good evening.. I have a query.. One of my uncle has a dyphagia after tracheostomy.. He gets vomit after taking any food through mouth.. He is suffering from hemeplegia ( PCA STROKE).. is this exercise can i use for him
hi, this exercise is not suitable for him due to the presence of the tracheostomy, as he most likely would not be able to perform a chin tuck well.
@@singaporeswallowingspecial735 tracheostomy was decanulated long back now he can do chin tucks sir
Hi, I have a problem with initiating the swallowing with no other symptoms, does your exercice could help with this kind of Dysphagia ?
Hi, this exercise does not target on swallowing initiation.
@@singaporeswallowingspecial735 thanks for your quick reply, I was wondering if you are planning to share an exercice video to target swallowing initiation.Thanks.
Hi. Is this suitable for lingual dystonia. Thank you.
hi, CTAR specifically targeting the suprahyoid muscles. It is not targeting the tongue muscles but it would be suitable if the suprahyoid muscles are affected.
Will it work for upper esophagus dysmotality.my muscles fail to relax
Sorry for late reply. It would not work for esophageal dysmotility
How can I get Doctor in Bangladesh.
May I know usually u will prescribe CTAR for which type of patients?
Can be performed on patients who has swallowing difficulties due to stroke, deconditioning, head and neck cancer patients, and other medical conditions. Not suitable for patients with known history of neck or cervical problem. Thank you for asking.
does this improve the hyoid?
Yes, CTAR strengthen the suprahyoid muscles that contributes to the forward movement of the hyoid movement.
Sir I have dysphagia last month I was gone with dilation tube but unfortunately it came back does this exercise will help to swallow pills?
Pls rly and help me I don't want another dilation or I don't want my food pipe narrow again ..its very very scary
Pls help me sir ...what can I do ...does exercises will help and another thing I really want to get rid with acid reflux ...what can I do sir ....please tell me
This dysphagia is very scary 😔😔😔😔😔
Please replay help me and tell me what I do plss sir
Hi Sara, this exercise targets the upper esophageal sphincter due to insufficient elevation or the suprahyoid muscles. I am not sure of the location of dilatation and your Medical condition causing your dysphagia. It is better for you to consult a speech therapist to ascertain the suitability of this exercise for your condition. This exercise would not get rid of acid reflux.
@@singaporeswallowingspecial735 okay thank u
Did you find any solution? How are you now?
Does it help with GERD?
Hi CTAR does not help GERD.
@@singaporeswallowingspecial735 thank you so much for your response
My wife is a Parkinson patient she has swallowing problems will this work I think she has dysphagia help me with any other exercise or medication
Hi, your wife may practice this exercise as it helps to strengthen the suprahyoid muscles / act as maintenance exercise. As for other exercises/medication, it would be better for you to consult a speech pathologist and a doctor.
2:20
Hello
Hi Muhammad
My esophagus very much pain and i think food pipe cancer 😭
Dysphagia problem last 1 year
@@muhammadshan838 hi I hope you have consulted the doctor to get your condition diagnosed. Take care