Dysphagia Therapy – Singapore Swallowing Specialists

Cost effective treatment, dysphagia assessment, Dysphagia Therapy, Dysphagia Training, Objective assessment, Singapore swallowing therapy, speech therapy singapore, Swallowing Problem, swallowing therapy, Teaching

Second Workshop for Speech Therapy Association of Turkey: VFS & FEES Interpretation and Treatment Planning

21/07/2024 Yoon Wai Lam

Special thanks to Mr. Ahmet Erkut, the President of the Speech Therapy Association of Turkey, for inviting Mr. Yoon Wai Lam from Singapore Swallowing Specialists to present at the second Zoom workshop (23 & 30 June 2024) on “VFS & FEES Interpretation and Treatment Planning” to the Speech Therapy Association of Turkey. The workshop was attended by more than 140 enthusiastic speech therapists, resulting in lots of great questions and discussions.

We look forward to more future collaboration.

The following are some of the slides from the FEES Workshop:

FEES view at the Oropharynx and Laryngopharyx

FEES: Anatomy of the pharynx and larynx (Superior View)

FEES: Interesting case study on the “Rising Tide” presentation

The following are some of the slides from the VFS workshop:

**VFS: Case Study on the “Tennis Player”**
A chronic severe dysphagia client was successfully treated with therapy using sEMG biofeedback. This client managed to resume a regular diet and thin fluids and had his PEG tube removed.

Here are the photos of the workshop participants:

Dysphagia Training

FREE Webinar Nestle Health Science Gerontology Symposium 2021: Advances in Solutions to Age-Old Challenges in Aged Care

21/02/202117/03/2021 Yoon Wai Lam

Nestle Singapore will be organizing Nestle Health Science Gerontology Symposium 2021: Advances in Solutions to Age-Old Challenges in Aged Care.

Speech Therapy Works | Singapore Swallowing Specialists is honored to be invited to present in this symposium. Topic of our presentation is ‘Dysphagia Management for the Elderly‘.

The FREE online webinar for this symposium is open to all from any countries.

Date: 26 February 2021

Time: 7.00pm – 9.30pm (Singapore time)

Registration closing date: 23 February 2021

To register, click on the following link or scan the QR code:

Click http://Nestle Webinar Registration to register

Dysphagia Therapy

(Mandarin) Dysphagia Swallowing Therapy – Chin Tuck Against Resistance with Rubber Ball.吞咽障碍复健运动 – 缩下巴抗阻运动 (CTAR) 创始者示范运用橡皮球做练习

20/01/202125/01/2021 Yoon Wai Lam

Youtube Video on CTAR in Mandarin

**GDM would like to thank Mr Eng Tze Hao (Speech Therapist from Singapore) for his help in translation and presentation of the Mandarin Version of the CTAR video.**

The following Mandarin CTAR video and blog post are initiative of the Global Dysphagia Movement (GDM).
缩下巴抗阻运动能训练你的上舌骨肌群，以打开进食通道（上食道括约肌），让食物顺利的进入胃。

The Chin Tuck Against 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.
这个运动从袁伟琳先生于2013年创始后，就在国际间广为使用，我们希望这支影片可以提供更多执行运动的细节。我们计划将这只影片以及未来更多的影片翻成不同语言，提供世界各地使用。

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. There are plans to translate this video into different languages, so as to allow different people around the world to gain an understanding about the exercise and its proper usage.
如果你喜欢这个影片，请不吝按赞，同时记得分享及订阅我们的频道，以收看更多关于CTAR和吞咽的影片。想知道更多吞咽困难处置的有用资讯和方法，请追踪我们的部落格https://dysphagia.sg/news-and-updates/

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 https://dysphagia.sg/news-and-updates/ for more useful informations and tips on dysphagia management.
下载CTAR运动指导的PDF，请点击下方的连结: (To download a PDF copy of the CTAR exercise instructions):

Mandarin CTAR Handout Download

* Click to view CTAR videos in the following languages.

** 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.

Dysphagia Training

FREE Laryngology Webinar: Swallowing Update

31/10/202031/10/2020 Yoon Wai Lam

I am honoured to be invited to speak at this upcoming Laryngology Webinar alongside with the Legendary Dysphagia Guru, Professor Susan Langmore and all other renowned dysphagia experts.

The topic that I will be covering: “Clinical Application of sEMG in Dysphagia & Understanding Chin Tuck Against Resistance / CTAR”.

(Korean) Dysphagia Swallowing Therapy – Chin Tuck Against Resistance with Rubber Ball. 삼킴 장애 요법 – 고무공 사용하는 저항성 턱 당기기 (한국어)

25/10/202020/01/2021 Yoon Wai Lam

**GDM would like to thank Ms Sandy Lim (SLP from USA) for her help in translation and presentation of the Korean Version of the CTAR video.**

This Korean translated CTAR video and blog post are initiative of the Global Dysphagia Movement (GDM).

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.

저항성 턱 당기기 운동은 목뿔의근을 강화시켜 상부 식도 괄약근을 열어 음식이 위장에 들어갈수있게 해줍니다.

2013년 저항성 턱 당기기 운동이 소개 된 이후 운동 발명가 윤선생님께서는 전 세계에서 문의를 받고 있습니다. 이 동영상이 연습수행을 용이하게 하는데에 도움이 되길를 바랍니다. 이 동영상과 앞으로 나올 모든영상들은 여러 언어로 번역될 예정입니다.

The following is the CTAR exercise instructions. You may download a PDF copy of this instructions at the bottom of this page.

다음은 저항성 턱 당기기 운동 지침입니다. 이 페이지 하단에서 이 지침의 PDF사본을 다운로드 할 수 있습니다.

For clinicians, you may download the above QR code and print it on your exercise handouts to facilitate clients’ search for the above YouTube Video.

치료사일 경우, 위 QR 코드를 다운로드 받은 후 유인물에 인쇄하면 환자가 위의 YouTube 동영상을 쉽게 검색 할수있습니다.

저항성 턱 당기기 고무공 사용법

목적: 삼키는데 사용되는 목뿔위근육을 강화시키기 위함. 상부 식도 괄약근을 열어 음식이 위장에 들어갈수 있도록 하려면 목뿔위근이 중요하다.

준비물: 1. 고무공 2. 공기 펌프, 공 펌프 니들 밸브 (추가 필요물) – 공의 직경과 압력을 높이기 위해

설명:

1부: 지속적인 저항성 턱 당기기 (등척성)

바로 앉거나 서서 어깨를 뒤로 폅니다. 이 자세를 유지 하십시오.
손으로 공을턱 아래에 고정시키고 이 자세를 유지하십시오.
턱을 세게 당겨주세요; _____초 동안 유지하십시오.
언어 치료사가 권장하는대로 ____세트를 반복하십시오.
세트 사이 일분동안 휴식을 취하십시오.

2부: 반복적인 저항성 턱 당기기 (등장성)

바로 앉거나 서서 어깨를 뒤로 폅니다. 이 자세를 유지 하십시오.
손으로 공을턱 아래에 고정시키고 이 자세를 유지하십시오.
턱을 세게 당긴다음 턱을 드세요.
언어 치료사가 권장한 대로 위의 단계를 ____회 ____세트를 반복하십시오.
세트 사이 일분동안 휴식을 취하십시오.

YouTube 동영상을 보시려면

-다음 링크를 https://youtu.be/CExiSYvpcSo 클릭하면 YouTube 동영상으로 바로 연결됩니다.

To download a PDF copy of the CTAR exercise instructions, please click on:

저항성 턱 당기기 운동 지침의 PDF 사본을 다운로드 하시려면 ?? 눌러주십시오.

korean-exercise-instruction-for-ctar-with-ball Download

CTAR with Rubber Ball Exercise videos are available in the following languages:

* Click to view CTAR videos in the following languages.

** 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.

Dysphagia Training

Swallowing Therapy Training: The Rehabilitation of Dysphagia with The Biber Protocol

18/10/2020 Yoon Wai Lam

This training course pairs the principles of electrophysiology with traditional swallowing exercises in order to re-educate laryngeal muscles in patients with swallowing problems or difficulties. The course provides an overview of patient selection, a rationale for Neuromuscular Electrical Stimulation (NMES) parameter settings, and electrode placement.

Course Learning Outcomes: Upon successful completion of the training course, clinicians will be able to:
• Explain Neuromuscular Electrical Stimulation (NMES)
• Describe the properties of electrical stimulation and its impact on muscle tissue
• Describe the patient selection criteria for which NMES is indicated for the treatment of dysphagia
• Identify the characteristics of NMES
• Discuss the properties of Electrodes
• Discuss and demonstrate the application of therapeutic protocol in the treatment of dysphagia
• Describe and justify why there is a continued need for traditional swallowing exercises in conjunction with the therapeutic protocol
• Explain why adjusting the electrical parameters of the Biber Protocol is so important
• Demonstrate eﬀective communication skills in patient education and allied health professionals regarding the candidacy and use of NMES for the treatment of dysphagia

Download the application form to find out more on the course:

The Rehabilitation of Dysphagia with The Biber Protocol Download

#Swallowing therapy for strokes, head and neck cancer

Public awareness

FB Live SSLT Talk Show: Provision of Dysphagia Services Between Developed and Developing Country

17/09/202018/10/2020 Yoon Wai Lam

Speech Therapy Works | Singapore Swallowing Specialists have been invited to participate in this upcoming Facebook Live Talk Show organized by the Society of Speech & Language Therapists, Bangladesh.

This is also a Global Dysphagia Movement initiative to create better dysphagia awareness to international community.

#SSLT

All are welcome to watch the 9th episode of our SSLT TALK SHOW ‘Provision of Dysphagia Services Between Developed and Developing Country’ program.

Program Time (Event Time):

Bangladesh Time:

September 18, 2020 (Friday 8 pm).

Singapore Time:

18th September, 2020 (Friday, 10:00pm)

You can watch the FB Live talk show via this link:

https://www.facebook.com/SocietyofSLTs/

Dysphagia Therapy

(Taiwanese Minnan) Dysphagia Swallowing Exercise – Chin Tuck Against Resistance with Ball 臺灣閩南語（臺語) 吞嚥障礙復健運動-下巴阻抗運動 CTAR 創始者示範運用橡皮球做練習

08/09/202001/11/2020 Yoon Wai Lam

GDM would like to express our heartfelt thanks to the Taiwanese SLP team for their help in translation and presentation of the Taiwanese Minnan Version of the CTAR video.

This Taiwanese Minnan translated CTAR video and blog post are initiative of the Global Dysphagia Movement (GDM).

縮下巴阻抗運動能訓練你的上舌骨肌群，以打開進食通道（上食道括約肌），讓食物順利的進入胃。

這個運動從袁伟琳先生於2013年創始後，就在國際間廣為使用，我們希望這支影片可以提供更多執行運動的細節。我們計畫將這隻影片以及未來更多的影片翻成不同語言，提供世界各地使用。

如果你喜歡這個影片，請不吝按讚，同時記得分享及訂閱我們的頻道，以收看更多關於CTAR和吞嚥的影片。想知道更多吞嚥困難處置的有用資訊和方法，請追蹤我們的部落格https://dysphagia.sg/news-and-updates/

下載CTAR運動指導的PDF，請點擊下方的連結: (To download a PDF copy of the CTAR exercise instructions):

ctar-with-rubber-ball-taiwanese-minnan Download

CTAR with Rubber Ball Exercise videos are available in the following languages:

* Click to view CTAR videos in the following languages.

Chin Tuck Against Resistance / CTAR is suitable for individuals with:

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.

Dysphagia Therapy

(Japanese) Dysphagia Swallowing Exercise – Chin Tuck Against Resistance with Rubber Ball ゴムボールを使用した顎引き抵抗運動（CTAR）　

09/08/202001/11/2020 Yoon Wai Lam

YouTube Video on Japanese CTAR with Rubber Ball

GDM would like to express our heartfelt thanks to Dr Kotomi Sakai for her help in translation and presentation of the Japanese Version of the CTAR video.

This Japanese translated CTAR video and blog post are initiative of the Global Dysphagia Movement (GDM).

The following is the CTAR exercise instructions. You may download a PDF copy of this instructions at the bottom of this page.

下記にCTARの運動方法が記載してあります。このページの下でそのPDFがダウンロードできます。

Chin Tuck Against Resistance (CTAR) with a Rubber Ball

Purpose: To strengthen the suprahyoid muscles used in swallowing. The suprahyoid muscles are important to open your upper food pipe sphincter (upper esophageal sphincter) to allow food to enter your stomach.

Translation:

目的：嚥下に使用する舌骨上筋群の筋力を強化するため。舌骨上筋群は食物が胃にはいるように導く道の上部（上部食道入口部）が開くために重要な働きをします。

Equipment: a)Rubber ball, b)Air pump and ball pump needle valve (optional) – to increase diameter and pressure of the ball

Translation:

道具：１）ゴムボール、２）エアポンプとボール用空気注入針（オプション：ボールの大きさや圧を増加させるため）

Instructions:

Part 1: Sustained CTAR (Isometric)

Part 1:持続CTAR（等尺性）

Sit / stand upright and pull your shoulders back. Maintain this posture during the exercise.

まっすぐに座るか立って、肩を軽く後ろに引きます。この姿勢を運動中は維持するようにします。

Hold the ball under your chin with your hand and keep it in position during the exercise.

ボールを手で持って顎の下ではさんで、この姿勢を運動中は維持します。

Sustain chin tuck against the ball for as hard as possible; for the duration of _______ sec.

ボールに向かって可能な限り強く顎を引き続けます。持続時間は_______秒です。

Repeat _______ sets as recommended by your speech therapist / pathologist.

嚥下リハビリテーションの担当者の指示に基づいて_______セットを繰り返しましょう。

Rest for 1 minute in between each set of the exercise.

各セットの間は1分間の休憩をとりましょう。

Part 2: Repetitive CTAR (Isokinetic)

Part 2: 反復CTAR（等張性）

Sit / stand upright and pull your shoulders back. Maintain this posture during the exercise.

まっすぐに座るか立って、肩を軽く後ろに引きます。この姿勢を運動中は維持するようにします。

Hold the ball under your chin with your hand and keep it in position during the exercise.

ボールを手で持って顎の下ではさんで、この姿勢を運動中は維持します。

Tuck your chin in, as hard as possible against the ball; then lift your chin.

ボールに向かって可能な限り強く顎を引いて、そして力を抜きます。

Repeat the above steps for ________ times and ________ sets as recommended by your speech therapist / pathologist.

上記のステップを担当治療者の指示に基づいて________回、________セット繰り返します。

Rest for 1 minute in between each set of the exercise.

各セットの間は1分間の休憩をとるようにします。

To view the YouTube video, you may

scan on the following QR code with your mobile device camera access YouTube via https://youtu.be/E0qUYlihHNM

Translation:

YouTubeビデオをみるためには

-　QRコードをスキャンして

-　YouTubeサイト https://youtu.be/E0qUYlihHNM にアクセスをして下さい

Japanese CTAR with ball Handouts Download

QR Japanese CTAR with rubber ball Download

CTAR with Rubber Ball Exercise videos are available in the following languages:

* Click to view CTAR videos in the following languages.

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.

Dysphagia Therapy

(Bengali) Dysphagia Swallowing Exercise – Chin Tuck Against Resistance with Rubber Ball খাবার গলধকরনজনিত সমস্যার থেরাপি- রাবার বলের মাধ্যমে সি টি এ আর থেরাপি

01/08/202001/11/2020 Yoon Wai Lam

GDM would like to thank Mr Abul for his help in translation and presentation of the Bengali Version of the CTAR video.

This Korean translated CTAR video and blog post are initiative of the Global Dysphagia Movement (GDM).

উল্লেখিত সি টি এ আর ব্যায়ামের নির্দেশাবলী আপনি ডাউনলোড করতে হলে পৃষ্ঠার নিচে চলে যেতে হবে । থেরাপিস্টরা কিউ আর কোড ডাউনলোড করতে পারেন এবং প্রিন্ট করে নিতে পারেন যদি আপনার রুগীকে এই ইউটিঊব ভিডিওটি দেখাতে চান ।

রাবার বলের মাধ্যমে সি টি এ আর থেরাপি

উদ্দেশ্যঃ

সুপ্রাহাইওয়েড মাংসপেশির শক্তিবৃদ্ধির জন্য এবং সুপ্রাহাইওয়েড মাংসপেশির শক্তিবৃদ্ধির মাধ্যমে খাদ্যনালির উপরিভাগের মধ্যদিয়ে খাবার পাকস্থলীর মধ্যে যেতে সাহায্য করে

যন্ত্রপাতিঃ

সি টি এ আর এর জন্য জিনিসপত্রঃ

রাবারের বল , বল পাম্প দেওয়ার ভাল্ব (ঐচ্ছিক) – হস্তচালিত পাম্প (ঐচ্ছিক); বলের পরিধি কমানো বাড়ানোর জন্য

নির্দেশাবলীঃ

অংশ ১ঃ সাস্টেইন সি টি এ আরঃ

১। সোজা হয়ে বসা বা দাঁড়ানো অবস্থায় কাঁধটাকে শরীরের পিছনের দিকে তুলে ধরতে হবে এভাবে সঠিক দেহভঙ্গি নিয়ন্ত্রণ করতে হবে

২। থুতনির নিচে বলটি হাত দিয়ে ধরে রাখতে হবে

৩। থুতনির নিচে বলটি রাখার পর থেরাপিস্টের পরামর্শ অনুযায়ী থুতনিকে বলের বিপরীতে চাপ দিয়ে ধরে রাখতে হবে ___ সেকেন্ডের জন্য যতটুকু পর্যন্ত শক্তি প্রয়োগ করা যায়

৪। থেরাপিস্টের পরামর্শ অনুযায়ী __ বার করতে হবে

৫। প্রত্যেকবার ব্যায়াম করার মাঝখানে ১ মিনিট করে বিশ্রাম নিতে হবে

অংশ ২ঃ রিপিটিটিভ সি টি এ আরঃ

২। থুতনির নিচে বলটি হাত দিয়ে ধরে রাখতে হবে

৩। থুতনির নিচে বলটি রাখার পর থেরাপিস্টের পরামর্শ অনুযায়ী থুতনিকে বলের বিপরীতে চাপ দিয়ে ধরে রাখতে হবে এবং উপরের দিকে থুতনি উঠানো লাগবে

৪। রিপিটিটিভ সি টি এ আর এর ক্ষেত্রে কতবার পুনরাবৃত্তি করতে হবে এবং কতসময় করতে তা একমাত্র একজন গ্রাজুয়েট স্পিচ অ্যান্ড ল্যাঙ্গুয়েজ থেরাপিস্ট নির্ধারণ করবেন

৫। প্রত্যেকবার ব্যায়াম করার মাঝখানে ১ মিনিট করে বিশ্রাম নিতে হবে

ইউটিউব ভিডিওর জন্য-

– আপনার ফোনের ক্যামেরা দিয়ে কিউ আর কোড স্ক্যান করুন

– ইউটিউব লিঙ্ক https://youtu.be/Z-kmMnjsNd4

অনুবাদক

আবুল কাশেম সিহাব

স্পিচ অ্যান্ড ল্যাঙ্গুয়েজ থেরাপিস্ট

bengali-ctar-handouts

CTAR with Rubber Ball Exercise videos are available in the following languages:

* Click to view CTAR videos in the following languages.

Chin Tuck Against Resistance (CTAR) exercise is suitable for most patients with swallowing difficulties / dysphagia i.e.

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.