Published Paper


Effect of Chin Tuck Against Resistance (CTAR) Exercise to Improve Swallowing Capacity among Stroke Patients with Dysphagia: A Randomized Controlled Trial

Kavitha S, Kumari MJ , Ramkumar S , Jayachandran
India
Page: 149-156
Published on: 2023 December

Abstract

Objective: Dysphagia after stroke affects more than 50% of stroke survivors. It can adversely impact the quality of life. Totally 41% of patients with dysphagia experience anxiety or panic during mealtimes and more than 33% of patients avoid eating with others because of dysphagia. Chin tuck against resistance (CTAR) exercise is one of the swallowing exercises, which will regenerate the neurons and improve the suprahyoid muscle activation.  This study evaluate the effect of the CTAR exercise along with conventional therapy in comparison with only conventional therapy in improving swallowing capacity among stroke patients with dysphagia Material and Methods: A randomized controlled trial was conducted among 40 stroke patients with dysphagia in tertiary care hospital and they were selected by using a simple random sampling method. Using Gugging swallowing scale (GUSS) and Functional oral intake (FOIS) Scale pre and post swallowing assessment was done in both the groups. CTAR exercise along with conventional therapy was administered to the study group for 14 consecutive days and the control group received the only conventional therapy.  Results: This study revealed that the mean± SD of GUSS pre-assessment in the study group was 7.15± 3.031 and 6.45± 3.692 in the control group and the post-assessment mean value had progressed to 15.45± 4.006 in the study group and 11.65 ± 3.660 in the control group with the p-value (p-0.003), which shows the study significantly improves the swallowing capacity among stroke patients with dysphagia.  Conclusions: CTAR exercise along with the conventional therapy improves to swallowing capacity when compared to only the conventional therapy group.

 

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