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Dysphagia Swallowing Exercise - Chin Tuck Against Resistance with Ball by CTAR Inventor (English)

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  • Опубликовано: 30 май 2020
  • 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...
    Please LIKE , SHARE and SUBSCRIBE to our channel for more upcoming CTAR series and swallowing exercises tips in different languages.
    Follow us at our blog at dysphagia.sg/ne... for more useful informations and tips on dysphagia management.
    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.

Комментарии • 79

  • @kimanajohnson-galvez8646
    @kimanajohnson-galvez8646 Год назад +10

    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

    • @cypherspace1148
      @cypherspace1148 Год назад +4

      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

    • @wardabenzema8703
      @wardabenzema8703 9 месяцев назад

      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.

    • @bhaveshsharma8422
      @bhaveshsharma8422 Месяц назад

      ​@@cypherspace1148 did you feel any better

    • @cypherspace1148
      @cypherspace1148 Месяц назад

      @@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🤝

  • @r.t.esenberg7348
    @r.t.esenberg7348 5 месяцев назад +1

    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.

  • @singaporeswallowingspecial735
    @singaporeswallowingspecial735  5 месяцев назад

    We are glad that you find the info in this video helpful. Indeed posture is very is important. Best of luck

  • @afiqahabdullah2798
    @afiqahabdullah2798 4 года назад +2

    Nice video, easy to understand. Tq sifu :) and good luck for your next project

  • @MrRuobas
    @MrRuobas 3 месяца назад

    great, it was very helpful, thanks!

  • @hassanhawat2490
    @hassanhawat2490 Год назад

    تحية طيبة
    تحية كبيرة من سوريا

  • @sepandee
    @sepandee 17 дней назад

    Isn't this shaker exercise lite?

  • @sajidayasmeen9586
    @sajidayasmeen9586 Год назад +1

    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

  • @sanasheikh9578
    @sanasheikh9578 3 года назад +6

    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?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  3 года назад +3

      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.

    • @godservant1066
      @godservant1066 3 года назад

      Doc, I have the very same problem accompanied with Gastric Reflux, isnit advisable to take this Exercise

    • @superkid5957
      @superkid5957 2 года назад

      Did it work for u?

  • @sitiamirahmatsaad110
    @sitiamirahmatsaad110 4 года назад +1

    Good luck sifu!

  • @nunivo
    @nunivo Год назад +1

    Thank you verry much for this interesting video. What ball size would be the best?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  Год назад

      The size will depend on the individual's neck length. we used 12cm diameter rubber ball for the research.

  • @godservant1066
    @godservant1066 3 года назад +1

    Thankyou Doc

  • @kevenhope5677
    @kevenhope5677 Год назад +1

    what is the diamitter of the ball?

  • @ethanwhitney6168
    @ethanwhitney6168 7 месяцев назад +1

    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?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  7 месяцев назад +1

      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.

    • @JohnDoe-on6ru
      @JohnDoe-on6ru 7 месяцев назад +1

      I read somewhere it might, making your jaw appear sharper

  • @shobhad9246
    @shobhad9246 Год назад +1

    My father is 86 years he had ryls tube can he do this exercise he is suffering from Parkinson plus

  • @minniya
    @minniya 7 месяцев назад

    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?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  6 месяцев назад

      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.

  • @botekate
    @botekate 2 года назад +2

    In your opinion, would this movement help raise the hyoid structure if it is lower than normal?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  2 года назад +4

      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

  • @muhammadatif6342
    @muhammadatif6342 3 года назад +1

    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.

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  3 года назад

      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.

  • @clementslp3418
    @clementslp3418 2 года назад

    Great

  • @klikkerTV
    @klikkerTV Год назад

    Are u know any exercises for omohyoid strengthening?

  • @inaroselyna4681
    @inaroselyna4681 4 года назад

    Thanks wai lam ☺️

  • @manaswinidodderi2846
    @manaswinidodderi2846 2 года назад

    Thank you for this video. I am curious to know the optimal air pressure to be maintained for the exercise to be effective.

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  Год назад +1

      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

    • @manaswinidodderi2846
      @manaswinidodderi2846 Год назад

      @@singaporeswallowingspecial735 thanks a lot!!

  • @translationmix8883
    @translationmix8883 3 года назад

    What the name of background music.....

  • @Roblox1-sv5fw
    @Roblox1-sv5fw 6 месяцев назад

    does this improve the hyoid?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  6 месяцев назад

      Yes, CTAR strengthen the suprahyoid muscles that contributes to the forward movement of the hyoid movement.

  • @blink99v
    @blink99v 3 года назад

    If one has trouble swallowing doing a chin tuck what does this men, weak supra hyoid? tight SCMs? also have posterior tongue tie present

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  3 года назад

      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.

    • @blink99v
      @blink99v 3 года назад

      @@singaporeswallowingspecial735 posterior tongue for swallow not the tuck. More so with the seal so air doesnt get swallowed.

  • @mdsajibmia1612
    @mdsajibmia1612 3 года назад

    How can I get Doctor in Bangladesh.

  • @dineshphysio7462
    @dineshphysio7462 3 года назад

    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

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  3 года назад

      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.

    • @dineshphysio7462
      @dineshphysio7462 3 года назад

      @@singaporeswallowingspecial735 tracheostomy was decanulated long back now he can do chin tucks sir

  • @anthonysaxton9126
    @anthonysaxton9126 3 года назад

    How do I suppose to do that

  • @krishnanseenivasan9709
    @krishnanseenivasan9709 3 года назад +1

    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

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  3 года назад +1

      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.

  • @superkid5957
    @superkid5957 2 года назад

    Will it work for upper esophagus dysmotality.my muscles fail to relax

  • @physiowithgan
    @physiowithgan 4 года назад +1

    May I know usually u will prescribe CTAR for which type of patients?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  4 года назад +1

      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.

  • @layarxplorer8305
    @layarxplorer8305 3 года назад

    Hi. Is this suitable for lingual dystonia. Thank you.

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  3 года назад +1

      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.

  • @anisderbel9565
    @anisderbel9565 3 года назад

    Hi, I have a problem with initiating the swallowing with no other symptoms, does your exercice could help with this kind of Dysphagia ?

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  3 года назад +2

      Hi, this exercise does not target on swallowing initiation.

    • @anisderbel9565
      @anisderbel9565 3 года назад

      @@singaporeswallowingspecial735 thanks for your quick reply, I was wondering if you are planning to share an exercice video to target swallowing initiation.Thanks.

  • @sanabaig7934
    @sanabaig7934 2 года назад +1

    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

    • @singaporeswallowingspecial735
      @singaporeswallowingspecial735  2 года назад

      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.

    • @sanabaig7934
      @sanabaig7934 2 года назад

      @@singaporeswallowingspecial735 okay thank u

    • @priyajessy
      @priyajessy Год назад

      Did you find any solution? How are you now?

  • @buttergurls6401
    @buttergurls6401 2 года назад

    Does it help with GERD?

  • @paribanuli9872
    @paribanuli9872 Год назад

    2:20

  • @muhammadshan838
    @muhammadshan838 3 года назад +1

    Hello