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”.
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.
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 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
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:
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.
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.
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):
YouTube Video on Japanese CTAR with Rubber BallGDM 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.
Speech Therapy Works and Singapore Swallowing Specialists collaborated with 20dB Hearing Sdn Bhd, Malaysia to present this interesting topic Live on Facebook on 22 July 2020 at 8.00pm (SGT).
We had audiences from all around the world. Great questions were asked during the presentation. Feedback on the live presentation has been good.
Speech Therapy Works and Singapore Swallowing Specialists will organize more Live Facebook presentation in future. Topic would include speech, language and swallowing difficulties for stroke / dementia / neurodegenerative diseases including Parkinson’s disease and etc. Do follow our blog or Facebook to receive notification on the future Facebook Live presentation.
We are happy to announce that the president from the OneHeart Support Group (A Nasopharyngeal Cancer support group in Singapore) has opened their support to individuals or cancer survivors especially the NPC survivors. OneHeart Support Group will provide emotional and psychological support. For those interested to seek support from OneHeart, please contact Dave at +65 9101 8223. We will include a copy of OneHeart Support group brochure in this post once we receive it.
Please see attached for the handouts for this presentation.
This 1-hour webinar, hosted by Ed Bice, M.Ed., CCC-SLP, introduces participants to the IOPI Pro and IOPI Trainer, demonstrates the standard methods for measuring tongue and lip strength and endurance, and explains how to use this system for biofeedback during exercise.
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
Video latihan menelan Chin Tuck Against Resistance / CTAR GDM would like to express our heartfelt thanks to Ms Siti Amirah for her help in translation of the Malay Version of the CTAR video.
Video latihan menelan Chin Tuck Against Resistance / CTAR ini merupakan video Bahasa Melayu pertama yang dihasilkan oleh Singapore Swallowing Specialists.
Chin Tuck Against Resistance (CTAR) dengan Bola Getah
Tujuan: Untuk menguatkan otot suprahyoid yang digunakan semasa menelan. Otot-otot suprahyoid penting untuk membuka sfinkter paip makanan atas anda (sfinkter esofagus atas) untuk membolehkan makanan memasuki perut anda.
Peralatan: 1) Bola getah, 2) jarum pam udara dan pam udara (pilihan) – untuk meningkatkan diameter dan tekanan bola
Arahan:
Bahagian 1: CTAR berkekalan (Isometrik)
Duduk / berdiri tegak dan tarik bahu ke belakang. Kekalkan postur ini semasa latihan.
Pegang bola di bawah dagu dengan tangan anda dan kekalkan posisi bola sepanjang latihan.
Tundukkan dagu anda pada bola sekeras mungkin; dan kekalkan selama _______ saat.
Ulangi _______ set seperti yang disyorkan oleh terapis / patologis pertuturan anda.
Rehat selama 1 minit di antara setiap set latihan.
Bahagian 2: CTAR berulang (Isokinetik)
Duduk / berdiri tegak dan tarik bahu ke belakang. Kekalkan postur ini semasa latihan.
Pegang bola di bawah dagu dengan tangan anda dan kekalkan posisi bola sepanjang latihan.
Tundukkan dagu anda, sekeras mungkin pada bola; kemudian angkat dagu.
Ulangi langkah di atas untuk ________ kali dan set ________ seperti yang disyorkan oleh terapis / patologis pertuturan anda.
Rehat selama 1 minit di antara setiap set latihan.
Klik pada yang berikut untuk memuat turun (download) arahan latihan:
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
Singapore Swallowing Specialists 