


To strengthen the deep neck flexors (muscles in the front of your neck) and improve head/neck posture. If you experience any pain or discomfort during or after any exercise, stop immediately and let us know. 29 confirmed that the application of the chin-tuck maneuver in patients with weak pharyngeal constrictor muscles may cause difficulty in swallowing and. When performed correctly, none of these exercises should cause any pain.

Step 2: while maintaining the chin tuck position, instruct the client to contract their deep neck flexor muscles by attempting to lift their head off of the towel roll, however their head should not raise off the towel, rather they are performing an isometric contraction of the deep flexor muscles. Shaker exercise chin tuck deglutition deglutition disorder suprahyoid swallowing rehabilitation.× WARNING!!! Please do not perform any of these exercises unless they have been prescribed to you by one of our doctors. Beginner: Step 1: instruct the client to perform a chin tuck (moving their chin straight back). Because it is less strenuous than Shaker exercise, it requires less physical burden and effort, allowing greater compliance. In addition, five articles reported that CTAR exercise was effective in improving swallowing function and oral diet stage in the pharyngeal phase, including reduction of airway aspiration in patients with dysphagia after stroke.ĬTAR exercise more selectively activates the suprahyoid muscle and is an effective therapeutic exercise for improving swallowing function in patients with dysphagia. The articles were categorised on the basis of four criteria: study design and quality, training protocol, outcome measures and clinical effect.įour articles reported that CTAR exercise not only helped activate the suprahyoid muscle in healthy adults, but also activated the sternocleidomastoid muscle less than Shaker exercise. We searched for studies related to CTAR exercise using electronic databases and selected nine articles for review. The present study investigated the exercise protocols, methods and tools used in various studies of CTAR exercise and summarised their findings. However, due to the differences in exercise protocols, methods and the tools used across studies of CTAR exercise, an overall systematic review of these studies is necessary. Chin tuck against resistance (CTAR) exercise has been recently reported to be a new therapeutic exercise method that can help improve swallowing function in patients with dysphagia.
