Efficacy of modified chin tuck against resistance exercise using hand‐free device for dysphagia in stroke survivors: A randomised controlled trial

Background Chin tuck against resistance exercise was recently reported as a novel method for improving the swallowing function of patients with post‐stroke dysphagia. However, as this exercise involves holding and fixing the device using the hand, physically weak patients may find it difficult to pe...

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Bibliographic Details
Published in:Journal of oral rehabilitation 2019-11, Vol.46 (11), p.1042-1046
Main Authors: Kim, Hwan‐Hee, Park, Ji‐Su
Format: Article
Language:English
Subjects:
aspiration
Chin
chin tuck against resistance
Deglutition
Deglutition Disorders
Dentistry
dietary
Dysphagia
Humans
Isometric
Jaw
Resistance Training
Statistical analysis
Stroke
Survivors
Swallowing
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Summary:Background Chin tuck against resistance exercise was recently reported as a novel method for improving the swallowing function of patients with post‐stroke dysphagia. However, as this exercise involves holding and fixing the device using the hand, physically weak patients may find it difficult to perform it. Objectives This study aimed to investigate the effect of modified chin tuck against resistance (mCTAR) exercise on patients with post‐stroke dysphagia. Methods In total, 30 patients with dysphagia were recruited in this study. They were randomly assigned to either the experimental or control group. The experimental group performed mCTAR exercise and received traditional dysphagia treatment, whereas the control group received only traditional dysphagia treatment. mCTAR exercise involved isometric and isotonic exercises. Aspiration and oral diet were evaluated using penetration‐aspiration scale (PAS) and functional oral intake scale (FOIS), respectively. Moreover, the rate of nasogastric tube removal was analysed. Results Compared with the control group, the experimental group showed statistically significant improvement in PAS and FOIS (P 
ISSN:0305-182X
1365-2842
DOI:10.1111/joor.12837