Chin tuck against resistance (CTAR): new method for enhancing suprahyoid muscle activity using a Shaker-type exercise

Dysphagia
Wai Lam YoonSusan J Rickard Liow

Abstract

For patients with dysphagia resulting from upper esophageal sphincter dysfunction, strengthening the suprahyoid muscles through therapeutic exercise has proved effective in restoring oral feeding. The aim of this study was to compare the maximum and mean surface electromyography (sEMG) activity of the suprahyoid muscles during the Chin Tuck Against Resistance (CTAR) exercise and the Shaker exercise for both isokinetic and isometric tasks. During the CTAR exercises, the participant is seated while tucking the chin to compress an inflatable rubber ball, whereas during the Shaker exercise, the participant is lay supine while lifting the head to look at the feet. Forty healthy participants (20 males, 20 females) aged 21-39 years completed all four tasks in counterbalanced order, with measures of resting activation taken prior to each exercise. Although subjective feedback suggested that the sitting position for CTAR is less strenuous than the supine position for Shaker, the results of separate analyses showed significantly greater maximum sEMG values during the CTAR isokinetic and isometric exercises than during the equivalent Shaker exercises, and significantly greater mean sEMG values were observed for the CTAR isometric exercise...Continue Reading

References

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Citations

Dec 15, 2015·Archives of Physical Medicine and Rehabilitation·Teresa Hughes, Christopher R Watts
Sep 21, 2015·Dysphagia·Avinash MishraGeorgia A Malandraki
Dec 27, 2016·Current Physical Medicine and Rehabilitation Reports·David G Smithard
Jan 11, 2019·European Journal of Physical and Rehabilitation Medicine·Avraam PloumisAlexander Beris
Dec 25, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Cetin SayacaAyse Karaduman
May 23, 2020·The Journal of Spinal Cord Medicine·Shaolyn DickAnna Miles
Nov 30, 2018·Clinical Oral Investigations·Carlos Eduardo FassicolloCláudia Maria de Felício
Apr 6, 2019·Journal of Speech, Language, and Hearing Research : JSLHR·Robert Brinton FujikiGeorgia A Malandraki
Apr 26, 2019·Gastroenterology Research and Practice·Radish Kumar BalasubramaniamSuprasanna K
Nov 2, 2019·Neuromodulation : Journal of the International Neuromodulation Society·Mao OgawaEiichi Saitoh
May 26, 2017·CoDAS·Irina Claudia Fernandes Alves, Claudia Regina Furquim de Andrade
May 11, 2019·American Journal of Speech-language Pathology·James A CurtisSarah L Schneider
Jul 12, 2020·American Journal of Speech-language Pathology·Emily ZimmermanGeorgia A Malandraki
May 24, 2020·Dysphagia·Alba Paris-AlemanyJorge Chamorro-Sánchez
May 28, 2019·Journal of Back and Musculoskeletal Rehabilitation·Ji-Su ParkMoon-Young Chang
Dec 4, 2020·Journal of Speech, Language, and Hearing Research : JSLHR·Sana SmaouiCatriona M Steele
May 12, 2021·Journal of Oral Rehabilitation·Ji-Su Park, Na-Kyoung Hwang

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