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  • CTAR vs. Shaker for Treating Pharyngeal Dysphagia

CTAR vs. Shaker for Treating Pharyngeal Dysphagia

December 12, 2022

The Chin tuck against resistance (CTAR) exercise has been gaining popularity as a therapeutic exercise to improve swallowing function since its introduction in 2013. CTAR has similar effects to the tried-and-true Shaker exercise.  When comparing CTAR with Shaker, the research suggests CTAR may be more effective, less strenuous and improve compliance with the prescribed swallow rehabilitation program.

Clinical Benefits of CTAR1

  • Activates the suprahyoid muscle
  •  Effectively improves the swallowing function
  • Advances oral diet stage in the pharyngeal phase
  • Reduces aspiration in patients with dysphagia after stroke

Clinical Advantages Compared to Shaker

  • More selectively activates the suprahyoid muscle1
  •  Less strenuous than Shaker1
  •  Increased anterior tongue pressure2
  •  Increased compliance, motivation, and enjoyment completing CTAR3
  •  Significantly higher effectiveness4
  •  Significantly lower Self-Rating Depression Scale Scores in CTAR group versus patients with cerebral infarction4
  •  No requirements for the patient to lie flat

Using the Right Tool

AliMed created the SupraBall specifically designed for speech-language pathologists using the CTAR exercise with their patients. The AliMed® SupraBall® offers a consistent level of resistance and makes it easy for the patient to complete the exercise outside of therapy. The SupraBall is a game-changer and will further motivate your patients to work towards meeting their swallowing goals.

Authored by: Jennifer Llado, MS, MS, CCC-SLP

References

  1. Chin tuck against resistance exercise for dysphagia rehabilitation: A systematic review 
  2. The Effects of Different Exercise Trainings on Suprahyoid Muscle Activation, Tongue Pressure Force and Dysphagia Limit in Healthy Subjects
  3.  Effects of game-based chin tuck against resistance exercise vs head-lift exercise in patients with dysphagia after stroke: An assessor-blind, randomized controlled trial
  4.  Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction. 

Disclaimer

AliMed, Inc. is a manufacturer and distributor of medical supply products, and is not a medical authority. The contents contained in this article, including text, graphics, imagery, and other materials, are for informational and educational purposes only. AliMed does not provide or intend to provide medical advice, diagnosis, or treatment, and the information contained here should not be treated as such. If you have questions about a specific medical condition or specific personal use of a medical device, always consult your physician or other qualified healthcare provider.

Although every effort has been made to present information that is accurate and true to the best of our knowledge, this content may contain omissions or errors. AliMed does not regularly update information or resources for this content and does not guarantee, make any warranties, and accepts no liability for the accuracy or completeness of the information presented.

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