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

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):

* 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

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”.

Other exciting topics include:

– Fiberoptic Endoscopic Evaluation of Swallowing (FEES) & Videofluoroscopy (VFS) interpretation

– Transnasal Oesophagoscopy

– High Resolution Manometry

– Endoscopic Management of GERD

– Surgical Management of Dysphagia

– Therapeutic Considerations in Dysphagia Following Stroke

Date of Webinar: 8 November 2020

Time: 8.30am to 1.30pm (Indian Standard Time) / 11.00am to 4.00pm (Singapore / Malaysia Time)

Please download the following PDF flyer for more details of this webinar:

You may click on the following link to register for this FREE Webinar.

https://webinaronline.in/pentax004/

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

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。

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. 

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。

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. 

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/

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 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) 

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)

  1. 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)

  1. 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

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

NFOSD Dysphagia Webinar Series: Transitional Foods – Updates on Their Behavior, Use and Benefits in Adult & Pediatric Populations

Date and time: Thu, Jul 23, 2020 8:00 AM – 9:30 AM SGT

Webinar Description:  

This webinar is for healthcare providers, patients and caregivers impacted by dysphagia, and students learning about swallowing disorders.

This presentation will define and categorize types of transitional foods.  We will discuss the potential benefits of improved choices, increased textures and ultimately improved dining enjoyment. Use of transitional foods in the pediatric population will be discussed with examples of use presented in specific special needs populations. The IDDSI testing method for transitional foods will be reviewed and the variation in results obtained with this test will be demonstrated between known transitional foods. We will share two research methods of evaluating the dissolution patterns of transitional foods in the oral environment will be described with relevant clinical implications.  The external environment (air, humidity, length of exposure) play a significant role in the transitional behavior of these foods and ultimately their safety. The oral environment (amount of saliva, degree of tongue pressure, anterior-posterior transit time) also has a significant impact as well.  Both groups of factors will be discussed in detail providing a broader scope of understanding of patient selection, and proper use.  Ultimately expanding our knowledge of transitional foods will improve our understanding of use with the goal of improving patient engagement and outcomes.

Learner Outcomes: 

  • Understand the difference between transitional food behaviors in the mouth in comparison to  IDDSI benchtop methods.
  • Classification of transitional foods and the importance of the oral environment
  • Learn the role transitional foods can play in dysphagia management

Click here to register of the Free Webinar: https://swallowingdisorderfoundation.com/webinar-transitional-foods/