Dysphagia Training

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

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

or

Dysphagia Therapy

(Mandarin) Dysphagia Swallowing Therapy – Chin Tuck Against Resistance with Rubber Ball.吞å’Ŋ障įĸå¤åĨčŋåЍ – įŧŠä¸‹åˇ´æŠ—é˜ģčŋåЍ (CTAR) åˆ›å§‹č€…į¤ē范čŋį”¨æŠĄįšŽįƒåšįģƒäš 

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).
įŧŠä¸‹åˇ´æŠ—é˜ģčŋåЍčƒŊ莭įģƒäŊ įš„ä¸ŠčˆŒéĒ¨č‚Œįž¤īŧŒäģĨ打åŧ€čŋ›éŖŸé€šé“īŧˆä¸ŠéŖŸé“æ‹ŦįēĻ肌īŧ‰īŧŒčŽŠéŖŸį‰ŠéĄēåˆŠįš„čŋ›å…Ĩčƒƒã€‚


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. 
čŋ™ä¸ĒčŋåЍäģŽčĸäŧŸįŗå…ˆį”ŸäēŽ2013嚴创始后īŧŒå°ąåœ¨å›Ŋ际间åšŋä¸ēäŊŋᔍīŧŒæˆ‘äģŦ希望čŋ™æ”¯åŊąį‰‡å¯äģĨæäž›æ›´å¤šæ‰§čĄŒčŋåŠ¨įš„įģ†čŠ‚ã€‚æˆ‘äģŦčŽĄåˆ’å°†čŋ™åĒåŊąį‰‡äģĨ及æœĒæĨæ›´å¤šįš„åŊąį‰‡įŋ쿈ä¸åŒč¯­č¨€īŧŒæäž›ä¸–į•Œå„åœ°äŊŋį”¨ã€‚


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.
åĻ‚æžœäŊ å–œæŦĸčŋ™ä¸ĒåŊąį‰‡īŧŒč¯ˇä¸åæŒ‰čĩžīŧŒåŒæ—ļčŽ°åž—åˆ†äēĢ及čŽĸ阅我äģŦįš„éĸ‘道īŧŒäģĨæ”ļįœ‹æ›´å¤šå…ŗäēŽCTAR和吞å’Ŋįš„åŊąį‰‡ã€‚ æƒŗįŸĨ道更多吞å’Ŋ困隞处įŊŽįš„æœ‰į”¨čĩ„čŽ¯å’Œæ–šæŗ•īŧŒč¯ˇčŋŊč¸Ē我äģŦįš„éƒ¨čŊæ ŧhttps://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čŊŊCTARčŋåŠ¨æŒ‡å¯ŧįš„PDFīŧŒč¯ˇį‚šå‡ģä¸‹æ–šįš„čŋžįģ“: (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, Uncategorized

(Korean) Dysphagia Swallowing Therapy – Chin Tuck Against Resistance with Rubber Ball. ė‚ŧ킴 ėžĨė•  ėš”ë˛• – ęŗ ëŦ´ęŗĩ ė‚ŦėšŠí•˜ëŠ” ė €í•­ė„ą 턱 당기기 (한ęĩ­ė–´)

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.

ė €í•­ė„ą 턱 당기기 ėš´ë™ė€ ëĒŠëŋ”ė˜ęˇŧė„ ę°•í™”ė‹œėŧœ 냁ëļ€ ė‹ë„ 괄ė•Ŋęˇŧė„ ė—´ė–´ ėŒė‹ė´ ėœ„ėžĨ뗐 ë“¤ė–´ę°ˆėˆ˜ėžˆę˛Œ í•´ė¤ë‹ˆë‹¤.

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.

2013년 ė €í•­ė„ą 턱 당기기 ėš´ë™ė´ ė†Œę°œ 된 ė´í›„ ėš´ë™ 발ëĒ…ę°€ ėœ¤ė„ ėƒë‹˜ęģ˜ė„œëŠ” ė „ ė„¸ęŗ„ė—ė„œ ëŦ¸ė˜ëĨŧ ë°›ęŗ  ėžˆėŠĩ니다. ė´ ë™ė˜ėƒė´ ė—°ėŠĩėˆ˜í–‰ė„ ėšŠė´í•˜ę˛Œ í•˜ëŠ”ë°ė— ë„ė›€ė´ 되길ëĨŧ 바랍니다. ė´ ë™ė˜ėƒęŗŧ ė•žėœŧ로 나ė˜Ŧ ëĒ¨ë“ ė˜ėƒë“¤ė€ ė—ŦëŸŦ ė–¸ė–´ëĄœ ë˛ˆė—­ë   ė˜ˆė •ėž…ë‹ˆë‹¤.

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

ë‹¤ėŒė€ ė €í•­ė„ą 턱 당기기 ėš´ë™ ė§€ėš¨ėž…ë‹ˆë‹¤. ė´ íŽ˜ė´ė§€ í•˜ë‹¨ė—ė„œ ė´ ė§€ėš¨ė˜ PDFė‚Ŧëŗ¸ė„ ë‹¤ėš´ëĄœë“œ 할 눘 ėžˆėŠĩ니다.

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.

ėš˜ëŖŒė‚Ŧėŧ ę˛Ŋ뚰, ėœ„ QR ėŊ”드ëĨŧ ë‹¤ėš´ëĄœë“œ ë°›ė€ 후 ėœ ė¸ëŦŧ뗐 ė¸ė‡„í•˜ëŠ´  í™˜ėžę°€ ėœ„ė˜ YouTube ë™ė˜ėƒė„ ė‰Ŋ枌 ę˛€ėƒ‰ í• ėˆ˜ėžˆėŠĩ니다.

ė €í•­ė„ą 턱 당기기 ęŗ ëŦ´ęŗĩ ė‚ŦėšŠë˛•

ëĒŠė : ė‚ŧ키는데 ė‚ŦėšŠë˜ëŠ” ëĒŠëŋ”ėœ„ęˇŧėœĄė„ ę°•í™”ė‹œí‚¤ę¸° ėœ„í•¨. 냁ëļ€ ė‹ë„ 괄ė•Ŋęˇŧė„ ė—´ė–´ ėŒė‹ė´ ėœ„ėžĨ뗐 ë“¤ė–´ę°ˆėˆ˜ ėžˆë„ëĄ 하려면 ëĒŠëŋ”ėœ„ęˇŧė´ ė¤‘ėš”í•˜ë‹¤.

ė¤€ëš„ëŦŧ: 1. ęŗ ëŦ´ęŗĩ  2. ęŗĩ기 펌프, ęŗĩ 펌프 니들 밸브 (ėļ”ę°€ í•„ėš”ëŦŧ) – ęŗĩė˜ 링ę˛Ŋęŗŧ ė••ë Ĩė„ ë†’ė´ę¸° ėœ„í•´

네ëĒ…:

1ëļ€: ė§€ė†ė ė¸ ė €í•­ė„ą 턱 당기기 (ë“ąė˛™ė„ą)

  1. 바로 ė•‰ęą°ë‚˜ ė„œė„œ ė–´ęš¨ëĨŧ 뒤로 폅니다. ė´ ėžė„¸ëĨŧ ėœ ė§€ í•˜ė‹­ė‹œė˜¤.
  2. 놐ėœŧ로 ęŗĩė„í„ą ė•„ëž˜ė— ęŗ ė •ė‹œí‚¤ęŗ  ė´ ėžė„¸ëĨŧ ėœ ė§€í•˜ė‹­ė‹œė˜¤.
  3. í„ąė„ ė„¸ę˛Œ 당겨ėŖŧė„¸ėš”; _____봈 ë™ė•ˆ ėœ ė§€í•˜ė‹­ė‹œė˜¤.
  4. 떏떴 ėš˜ëŖŒė‚Ŧ가 ęļŒėžĨ하는대로 ____ė„¸íŠ¸ëĨŧ 반ëŗĩí•˜ė‹­ė‹œė˜¤.
  5. ė„¸íŠ¸ ė‚Ŧė´ ėŧëļ„ë™ė•ˆ íœ´ė‹ė„ ėˇ¨í•˜ė‹­ė‹œė˜¤.

2ëļ€: 반ëŗĩė ė¸ ė €í•­ė„ą 턱 당기기 (등ėžĨė„ą)

  1. 바로 ė•‰ęą°ë‚˜ ė„œė„œ ė–´ęš¨ëĨŧ 뒤로 폅니다. ė´ ėžė„¸ëĨŧ ėœ ė§€ í•˜ė‹­ė‹œė˜¤.
  2. 놐ėœŧ로 ęŗĩė„í„ą ė•„ëž˜ė— ęŗ ė •ė‹œí‚¤ęŗ  ė´ ėžė„¸ëĨŧ ėœ ė§€í•˜ė‹­ė‹œė˜¤.
  3. í„ąė„ ė„¸ę˛Œ ë‹šę¸´ë‹¤ėŒ í„ąė„ ë“œė„¸ėš”.
  4. 떏떴 ėš˜ëŖŒė‚Ŧ가 ęļŒėžĨ한 대로 ėœ„ė˜ ë‹¨ęŗ„ëĨŧ ____회 ____ė„¸íŠ¸ëĨŧ 반ëŗĩí•˜ė‹­ė‹œė˜¤.
  5. ė„¸íŠ¸ ė‚Ŧė´ ėŧëļ„ë™ė•ˆ íœ´ė‹ė„ ėˇ¨í•˜ė‹­ė‹œė˜¤.

YouTube ë™ė˜ėƒė„ ëŗ´ė‹œë ¤ëŠ´

-ë‹¤ėŒ 링íŦëĨŧ https://youtu.be/CExiSYvpcSo 클ëĻ­í•˜ëŠ´ YouTube ë™ė˜ėƒėœŧ로 바로 ė—°ę˛°ëŠë‹ˆë‹¤.

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

ė €í•­ė„ą 턱 당기기 ėš´ë™ ė§€ėš¨ė˜ PDF ė‚Ŧëŗ¸ė„ ë‹¤ėš´ëĄœë“œ í•˜ė‹œë ¤ëŠ´ ?? 눌ëŸŦėŖŧė‹­ė‹œė˜¤.

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.

Public awareness

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

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 č‡ēįŖé–Šå—čĒžīŧˆč‡ēčĒž) 吞åšĨéšœį¤™åžŠåĨ運動-䏋厴é˜ģ抗運動 CTAR å‰ĩ始者į¤ēį¯„é‹į”¨æŠĄįšŽįƒåšįˇ´įŋ’

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).

į¸Žä¸‹åˇ´é˜ģ抗運動čƒŊ荓ᎴäŊ įš„ä¸ŠčˆŒéĒ¨č‚Œįž¤īŧŒäģĨæ‰“é–‹é€˛éŖŸé€šé“īŧˆä¸ŠéŖŸé“æ‹Ŧį´„č‚Œīŧ‰īŧŒčŽ“éŖŸį‰Šé †åˆŠįš„é€˛å…Ĩčƒƒã€‚

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. 

這個運動垞čĸäŧŸįŗå…ˆį”Ÿæ–ŧ2013åš´å‰ĩ始垌īŧŒå°ąåœ¨åœ‹éš›é–“åģŖį‚ēäŊŋᔍīŧŒæˆ‘們希望這支åŊąį‰‡å¯äģĨæäž›æ›´å¤šåŸˇčĄŒé‹å‹•įš„į´°į¯€ã€‚æˆ‘å€‘č¨ˆį•Ģ將這éšģåŊąį‰‡äģĨ及æœĒäž†æ›´å¤šįš„åŊąį‰‡įŋ쿈ä¸åŒčĒžč¨€īŧŒæäž›ä¸–į•Œå„åœ°äŊŋį”¨ã€‚

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. 

åĻ‚æžœäŊ å–œæ­Ąé€™å€‹åŊąį‰‡īŧŒčĢ‹ä¸åæŒ‰čŽšīŧŒåŒæ™‚č¨˜åž—åˆ†äēĢåŠč¨‚é–ąæˆ‘å€‘įš„é ģ道īŧŒäģĨæ”ļįœ‹æ›´å¤šé—œæ–ŧCTAR和吞åšĨįš„åŊąį‰‡ã€‚ æƒŗįŸĨ道更多吞åšĨ困雪處įŊŽįš„æœ‰į”¨čŗ‡č¨Šå’Œæ–šæŗ•īŧŒčĢ‹čŋŊčš¤æˆ‘å€‘įš„éƒ¨čŊæ ŧhttps://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čŧ‰CTARé‹å‹•æŒ‡å°Žįš„PDFīŧŒčĢ‹éģžæ“Šä¸‹æ–šįš„逪įĩ: (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ãƒŧãƒĢをäŊŋį”¨ã—ãŸéĄŽåŧ•きæŠĩ抗運動īŧˆCTARīŧ‰ã€€

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ãĢCTARãŽé‹å‹•æ–šæŗ•ãŒč¨˜čŧ‰ã—ãĻありぞす。こぎペãƒŧジぎ下でそぎPDFがダã‚Ļãƒŗãƒ­ãƒŧドできぞす。

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:

į›Žįš„īŧšåšĨ下ãĢäŊŋį”¨ã™ã‚‹čˆŒéĒ¨ä¸Šį­‹įž¤ãŽį­‹åŠ›ã‚’åŧˇåŒ–ã™ã‚‹ãŸã‚ã€‚čˆŒéĒ¨ä¸Šį­‹įž¤ã¯éŖŸį‰ŠãŒčƒƒãĢはいるようãĢ導く道ぎ上部īŧˆä¸Šéƒ¨éŖŸé“å…ĨåŖéƒ¨īŧ‰ãŒé–‹ããŸã‚ãĢ重čρãĒ働きをしぞす。

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

Translation:

道兎īŧšīŧ‘īŧ‰ã‚´ãƒ ãƒœãƒŧãƒĢ、īŧ’īŧ‰ã‚¨ã‚ĸãƒãƒŗãƒ—ã¨ãƒœãƒŧãƒĢᔍįŠēæ°—æŗ¨å…Ĩ針īŧˆã‚Ēãƒ—ã‚ˇãƒ§ãƒŗīŧšãƒœãƒŧãƒĢぎ大きさや圧をåĸ—加させるためīŧ‰

Instructions:

Part 1: Sustained CTAR (Isometric)

Part 1:持įļšCTARīŧˆį­‰å°ē性īŧ‰

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

ãžãŖã™ããĢåē§ã‚‹ã‹įĢ‹ãŖãĻã€č‚Šã‚’čģŊく垌ろãĢåŧ•きぞす。こぎå§ŋå‹ĸを運動中はįļ­æŒã™ã‚‹ã‚ˆã†ãĢしぞす。

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

ボãƒŧãƒĢã‚’æ‰‹ã§æŒãŖãĻéĄŽãŽä¸‹ã§ã¯ã•ã‚“ã§ã€ã“ãŽå§ŋå‹ĸを運動中はįļ­æŒã—ぞす。

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

ボãƒŧãƒĢãĢå‘ã‹ãŖãĻ可čƒŊãĒ限りåŧˇãéĄŽã‚’åŧ•きįļšã‘ぞす。持į™‚間は_______į§’ã§ã™ã€‚

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

åšĨ下ãƒĒハビãƒĒテãƒŧã‚ˇãƒ§ãƒŗãŽæ‹…åŊ“č€…ãŽæŒ‡į¤ēãĢåŸēãĨいãĻ_______ã‚ģãƒƒãƒˆã‚’įš°ã‚Ščŋ”しぞしょう。

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

各ã‚ģットぎ間は1分間ぎäŧ‘憊をとりぞしょう。

Part 2: Repetitive CTAR (Isokinetic)

Part 2: 反垊CTARīŧˆį­‰åŧĩ性īŧ‰

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

ãžãŖã™ããĢåē§ã‚‹ã‹įĢ‹ãŖãĻã€č‚Šã‚’čģŊく垌ろãĢåŧ•きぞす。こぎå§ŋå‹ĸを運動中はįļ­æŒã™ã‚‹ã‚ˆã†ãĢしぞす。

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

ボãƒŧãƒĢã‚’æ‰‹ã§æŒãŖãĻéĄŽãŽä¸‹ã§ã¯ã•ã‚“ã§ã€ã“ãŽå§ŋå‹ĸを運動中はįļ­æŒã—ぞす。

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

ボãƒŧãƒĢãĢå‘ã‹ãŖãĻ可čƒŊãĒ限りåŧˇãéĄŽã‚’åŧ•いãĻ、そしãĻ力を抜きぞす。

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

ä¸Šč¨˜ãŽã‚šãƒ†ãƒƒãƒ—ã‚’æ‹…åŊ“æ˛ģį™‚č€…ãŽæŒ‡į¤ēãĢåŸēãĨいãĻ________回、________ã‚ģãƒƒãƒˆįš°ã‚Ščŋ”しぞす。

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

各ã‚ģットぎ間は1分間ぎäŧ‘憊をとるようãĢしぞす。

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ã‚ĒをãŋるためãĢは

- QRã‚ŗãƒŧãƒ‰ã‚’ã‚šã‚­ãƒŖãƒŗã—ãĻ

- YouTubeã‚ĩイトhttps://youtu.be/E0qUYlihHNM ãĢã‚ĸクã‚ģ゚をしãĻ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 Therapy

(Bengali) Dysphagia Swallowing Exercise – Chin Tuck Against Resistance with Rubber Ball āĻ–āĻžāĻŦāĻžāϰ āĻ—āϞāϧāĻ•āϰāύāϜāύāĻŋāϤ āϏāĻŽāĻ¸ā§āϝāĻžāϰ āĻĨ⧇āϰāĻžāĻĒāĻŋ- āϰāĻžāĻŦāĻžāϰ āĻŦāϞ⧇āϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āϏāĻŋ āϟāĻŋ āĻ āφāϰ āĻĨ⧇āϰāĻžāĻĒāĻŋ

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).

āωāĻ˛ā§āϞ⧇āĻ–āĻŋāϤ āϏāĻŋ āϟāĻŋ āĻ āφāϰ āĻŦā§āϝāĻžāϝāĻŧāĻžāĻŽā§‡āϰ āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀ āφāĻĒāύāĻŋ āĻĄāĻžāωāύāϞ⧋āĻĄ āĻ•āϰāϤ⧇ āĻšāϞ⧇ āĻĒ⧃āĻˇā§āĻ āĻžāϰ āύāĻŋāĻšā§‡ āϚāϞ⧇ āϝ⧇āϤ⧇ āĻšāĻŦ⧇ āĨ¤ āĻĨ⧇āϰāĻžāĻĒāĻŋāĻ¸ā§āϟāϰāĻž āĻ•āĻŋāω āφāϰ āϕ⧋āĻĄ āĻĄāĻžāωāύāϞ⧋āĻĄ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āύ āĻāĻŦāĻ‚ āĻĒā§āϰāĻŋāĻ¨ā§āϟ āĻ•āϰ⧇ āύāĻŋāϤ⧇ āĻĒāĻžāϰ⧇āύ āϝāĻĻāĻŋ āφāĻĒāύāĻžāϰ āϰ⧁āĻ—ā§€āϕ⧇ āĻāχ āχāωāϟāĻŋāϊāĻŦ āĻ­āĻŋāĻĄāĻŋāĻ“āϟāĻŋ āĻĻ⧇āĻ–āĻžāϤ⧇ āϚāĻžāύ āĨ¤

āϰāĻžāĻŦāĻžāϰ āĻŦāϞ⧇āϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āϏāĻŋ āϟāĻŋ āĻ āφāϰ āĻĨ⧇āϰāĻžāĻĒāĻŋ

āωāĻĻā§āĻĻ⧇āĻļā§āϝāσ

āϏ⧁āĻĒā§āϰāĻžāĻšāĻžāχāĻ“āϝāĻŧ⧇āĻĄ āĻŽāĻžāĻ‚āϏāĻĒ⧇āĻļāĻŋāϰ āĻļāĻ•ā§āϤāĻŋāĻŦ⧃āĻĻā§āϧāĻŋāϰ āϜāĻ¨ā§āϝ āĻāĻŦāĻ‚ āϏ⧁āĻĒā§āϰāĻžāĻšāĻžāχāĻ“āϝāĻŧ⧇āĻĄ āĻŽāĻžāĻ‚āϏāĻĒ⧇āĻļāĻŋāϰ āĻļāĻ•ā§āϤāĻŋāĻŦ⧃āĻĻā§āϧāĻŋāϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ āĻ–āĻžāĻĻā§āϝāύāĻžāϞāĻŋāϰ āωāĻĒāϰāĻŋāĻ­āĻžāϗ⧇āϰ āĻŽāĻ§ā§āϝāĻĻāĻŋāϝāĻŧ⧇ āĻ–āĻžāĻŦāĻžāϰ āĻĒāĻžāĻ•āĻ¸ā§āĻĨāϞ⧀āϰ āĻŽāĻ§ā§āϝ⧇ āϝ⧇āϤ⧇ āϏāĻžāĻšāĻžāĻ¯ā§āϝ āĻ•āϰ⧇

āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋāσ 

āϏāĻŋ āϟāĻŋ āĻ āφāϰ āĻāϰ āϜāĻ¨ā§āϝ āϜāĻŋāύāĻŋāϏāĻĒāĻ¤ā§āϰāσ  

āϰāĻžāĻŦāĻžāϰ⧇āϰ āĻŦāϞ , āĻŦāϞ āĻĒāĻžāĻŽā§āĻĒ āĻĻ⧇āĻ“āϝāĻŧāĻžāϰ āĻ­āĻžāĻ˛ā§āĻŦ (āϐāĻšā§āĻ›āĻŋāĻ•) – āĻšāĻ¸ā§āϤāϚāĻžāϞāĻŋāϤ āĻĒāĻžāĻŽā§āĻĒ (āϐāĻšā§āĻ›āĻŋāĻ•); āĻŦāϞ⧇āϰ āĻĒāϰāĻŋāϧāĻŋ āĻ•āĻŽāĻžāύ⧋ āĻŦāĻžāĻĄāĻŧāĻžāύ⧋āϰ āϜāĻ¨ā§āϝ

āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻžāĻŦāϞ⧀āσ

āĻ…āĻ‚āĻļ ā§§āσ āϏāĻžāĻ¸ā§āĻŸā§‡āχāύ āϏāĻŋ āϟāĻŋ āĻ āφāϰāσ

ā§§āĨ¤ āϏ⧋āϜāĻž āĻšāϝāĻŧ⧇ āĻŦāϏāĻž āĻŦāĻž āĻĻāĻžāρāĻĄāĻŧāĻžāύ⧋ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāϝāĻŧ āĻ•āĻžāρāϧāϟāĻžāϕ⧇ āĻļāϰ⧀āϰ⧇āϰ āĻĒāĻŋāĻ›āύ⧇āϰ āĻĻāĻŋāϕ⧇ āϤ⧁āϞ⧇ āϧāϰāϤ⧇ āĻšāĻŦ⧇ āĻāĻ­āĻžāĻŦ⧇ āϏāĻ āĻŋāĻ• āĻĻ⧇āĻšāĻ­āĻ™ā§āĻ—āĻŋ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇

⧍āĨ¤ āĻĨ⧁āϤāύāĻŋāϰ āύāĻŋāĻšā§‡ āĻŦāϞāϟāĻŋ  āĻšāĻžāϤ āĻĻāĻŋāϝāĻŧ⧇ āϧāϰ⧇ āϰāĻžāĻ–āϤ⧇ āĻšāĻŦ⧇

ā§ŠāĨ¤ āĻĨ⧁āϤāύāĻŋāϰ āύāĻŋāĻšā§‡ āĻŦāϞāϟāĻŋ āϰāĻžāĻ–āĻžāϰ āĻĒāϰ āĻĨ⧇āϰāĻžāĻĒāĻŋāĻ¸ā§āĻŸā§‡āϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āĻĨ⧁āϤāύāĻŋāϕ⧇ āĻŦāϞ⧇āϰ āĻŦāĻŋāĻĒāϰ⧀āϤ⧇ āϚāĻžāĻĒ āĻĻāĻŋāϝāĻŧ⧇ āϧāϰ⧇ āϰāĻžāĻ–āϤ⧇ āĻšāĻŦ⧇ ___ āϏ⧇āϕ⧇āĻ¨ā§āĻĄā§‡āϰ āϜāĻ¨ā§āϝ āϝāϤāϟ⧁āϕ⧁ āĻĒāĻ°ā§āϝāĻ¨ā§āϤ āĻļāĻ•ā§āϤāĻŋ āĻĒā§āϰāϝāĻŧā§‹āĻ— āĻ•āϰāĻž āϝāĻžāϝāĻŧ

ā§ĒāĨ¤ āĻĨ⧇āϰāĻžāĻĒāĻŋāĻ¸ā§āĻŸā§‡āϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ __ āĻŦāĻžāϰ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇

ā§ĢāĨ¤ āĻĒā§āϰāĻ¤ā§āϝ⧇āĻ•āĻŦāĻžāϰ āĻŦā§āϝāĻžāϝāĻŧāĻžāĻŽ āĻ•āϰāĻžāϰ āĻŽāĻžāĻāĻ–āĻžāύ⧇ ā§§ āĻŽāĻŋāύāĻŋāϟ āĻ•āϰ⧇ āĻŦāĻŋāĻļā§āϰāĻžāĻŽ āύāĻŋāϤ⧇ āĻšāĻŦ⧇

āĻ…āĻ‚āĻļ ⧍āσ āϰāĻŋāĻĒāĻŋāϟāĻŋāϟāĻŋāĻ­ āϏāĻŋ āϟāĻŋ āĻ āφāϰāσ

ā§§āĨ¤ āϏ⧋āϜāĻž āĻšāϝāĻŧ⧇ āĻŦāϏāĻž āĻŦāĻž āĻĻāĻžāρāĻĄāĻŧāĻžāύ⧋ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāϝāĻŧ āĻ•āĻžāρāϧāϟāĻžāϕ⧇ āĻļāϰ⧀āϰ⧇āϰ āĻĒāĻŋāĻ›āύ⧇āϰ āĻĻāĻŋāϕ⧇ āϤ⧁āϞ⧇ āϧāϰāϤ⧇ āĻšāĻŦ⧇ āĻāĻ­āĻžāĻŦ⧇ āϏāĻ āĻŋāĻ• āĻĻ⧇āĻšāĻ­āĻ™ā§āĻ—āĻŋ āύāĻŋāϝāĻŧāĻ¨ā§āĻ¤ā§āϰāĻŖ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇

⧍āĨ¤ āĻĨ⧁āϤāύāĻŋāϰ āύāĻŋāĻšā§‡ āĻŦāϞāϟāĻŋ  āĻšāĻžāϤ āĻĻāĻŋāϝāĻŧ⧇ āϧāϰ⧇ āϰāĻžāĻ–āϤ⧇ āĻšāĻŦ⧇

ā§ŠāĨ¤ āĻĨ⧁āϤāύāĻŋāϰ āύāĻŋāĻšā§‡ āĻŦāϞāϟāĻŋ āϰāĻžāĻ–āĻžāϰ āĻĒāϰ āĻĨ⧇āϰāĻžāĻĒāĻŋāĻ¸ā§āĻŸā§‡āϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āĻĨ⧁āϤāύāĻŋāϕ⧇ āĻŦāϞ⧇āϰ āĻŦāĻŋāĻĒāϰ⧀āϤ⧇ āϚāĻžāĻĒ āĻĻāĻŋāϝāĻŧ⧇ āϧāϰ⧇ āϰāĻžāĻ–āϤ⧇ āĻšāĻŦ⧇ āĻāĻŦāĻ‚ āωāĻĒāϰ⧇āϰ āĻĻāĻŋāϕ⧇ āĻĨ⧁āϤāύāĻŋ āωāĻ āĻžāύ⧋ āϞāĻžāĻ—āĻŦ⧇

ā§ĒāĨ¤ āϰāĻŋāĻĒāĻŋāϟāĻŋāϟāĻŋāĻ­ āϏāĻŋ āϟāĻŋ āĻ āφāϰ āĻāϰ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ āĻ•āϤāĻŦāĻžāϰ  āĻĒ⧁āύāϰāĻžāĻŦ⧃āĻ¤ā§āϤāĻŋ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇ āĻāĻŦāĻ‚ āĻ•āϤāϏāĻŽāϝāĻŧ  āĻ•āϰāϤ⧇ āϤāĻž āĻāĻ•āĻŽāĻžāĻ¤ā§āϰ āĻāĻ•āϜāύ āĻ—ā§āϰāĻžāϜ⧁āϝāĻŧ⧇āϟ āĻ¸ā§āĻĒāĻŋāϚ āĻ…ā§āϝāĻžāĻ¨ā§āĻĄ āĻ˛ā§āϝāĻžāĻ™ā§āϗ⧁āϝāĻŧ⧇āϜ āĻĨ⧇āϰāĻžāĻĒāĻŋāĻ¸ā§āϟ āύāĻŋāĻ°ā§āϧāĻžāϰāĻŖ āĻ•āϰāĻŦ⧇āύ

ā§ĢāĨ¤ āĻĒā§āϰāĻ¤ā§āϝ⧇āĻ•āĻŦāĻžāϰ āĻŦā§āϝāĻžāϝāĻŧāĻžāĻŽ āĻ•āϰāĻžāϰ āĻŽāĻžāĻāĻ–āĻžāύ⧇ ā§§ āĻŽāĻŋāύāĻŋāϟ āĻ•āϰ⧇ āĻŦāĻŋāĻļā§āϰāĻžāĻŽ āύāĻŋāϤ⧇ āĻšāĻŦ⧇

āχāωāϟāĻŋāωāĻŦ āĻ­āĻŋāĻĄāĻŋāĻ“āϰ āϜāĻ¨ā§āϝ-

– āφāĻĒāύāĻžāϰ āĻĢā§‹āύ⧇āϰ āĻ•ā§āϝāĻžāĻŽā§‡āϰāĻž āĻĻāĻŋāϝāĻŧ⧇ āĻ•āĻŋāω āφāϰ āϕ⧋āĻĄ āĻ¸ā§āĻ•ā§āϝāĻžāύ āĻ•āϰ⧁āύ

– āχāωāϟāĻŋāωāĻŦ āϞāĻŋāĻ™ā§āĻ•  https://youtu.be/Z-kmMnjsNd4

āĻ…āύ⧁āĻŦāĻžāĻĻāĻ•

āφāĻŦ⧁āϞ āĻ•āĻžāĻļ⧇āĻŽ āϏāĻŋāĻšāĻžāĻŦ

āĻ¸ā§āĻĒāĻŋāϚ āĻ…ā§āϝāĻžāĻ¨ā§āĻĄ āĻ˛ā§āϝāĻžāĻ™ā§āϗ⧁āϝāĻŧ⧇āϜ āĻĨ⧇āϰāĻžāĻĒāĻŋāĻ¸ā§āϟ

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.
Dysphagia Training

Free Webinar by NFOSD: Managing Dysphagia in Adults with Intellectual Disability

Date and Time: Wednesday, June 17, 5:00 pm Pacific (June 18, 8.00am Singapore / Malaysia / Philippine )

Webinar Description:  

Adults with intellectual disability are at risk for dysphagia.  The unique swallowing, feeding, and behavioral challenges experienced in this population are vital considerations in the assessment and treatment of these patients.  This webinar will discuss the nature of dysphagia management in adults with intellectual disability by exploring the current evidence in this area and discuss the clinical experiences of speech pathologists who assess and treat adults with intellectual disability in the Intermediate Care Setting.

At the completion of this webinar, participants will:

  • Understand the impacts of dysphagia in people with intellectual disability
  • Identify the systems that must be considered in the assessment and treatment of dysphagia in those with intellectual disability
  • Anticipate the physical-nutritional needs of those with intellectual disability as they age
  • Describe the interdisciplinary team collaborations required to manage dysphagia in this population

Click here to register for the FREE webinar:

https://register.gotowebinar.com/register/76969519229535757

NFOSD website:

Dysphagia & Special Populations: Managing Dysphagia in Adults with Intellectual Disability

swallowing therapy

Dysphagia Swallowing Therapy – Chin Tuck Against Resistance (CTAR) with Rubber Ball

Video on CTAR by using the rubber ball

Singapore Swallowing Specialists (SSS) network has just released their very first swallowing therapy video on Chin Tuck Against Resistance (CTAR) by using the rubber ball (Series 1). We plan to produce more series on CTAR and other swallowing therapy exercises / strategies and translate all the videos to different languages from around the world. SSS hope to reach out to benefit more people worldwide.

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

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.

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.

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

Instructions:

Part 1: Sustained CTAR (Isometric)

  1. Sit / stand upright and pull your shoulders back. Maintain this posture during the exercise.
  2. Hold the ball under your chin with your hand and keep it in position during the exercise.
  3. Sustain chin tuck against the ball for as hard as possible; for the duration of _______ sec.
  4. Repeat _______ sets as recommended by your speech therapist / pathologist.
  5. Rest for 1 minute in between each set of the exercise.

Part 2: Repetitive CTAR (Isokinetic)

  1. Sit / stand upright and pull your shoulders back. Maintain this posture during the exercise.
  2. Hold the ball under your chin with your hand and keep it in position during the exercise.
  3. Tuck your chin in, as hard as possible against the ball; then lift your chin.
  4. Repeat the above steps for ________ times and ________ sets as recommended by your speech therapist / pathologist.
  5. Rest for 1 minute in between each set of the exercise.

Click on the following to download the exercise instructions and/or the QR code to access the YouTube video:

YouTube video URL: https://youtu.be/zBoZSr19zWo

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:

  • 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.