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Recruiting Not applicable

Effect of Direct Chin-tuck Against Resistance on Swallowing Function

NCT07479680 · tracked via the Priya Life Science Taiwan tracker
Phase
Not applicable
Started
2024-08-14
Last updated
2026-03-18

Condition(s) studied

Dysphagia

Investigational drug(s) / intervention(s)

dCTAR

dCTAR: Perform repeated CTAR exercise training for 15 minutes a day for a total of about 10 times in two weeks. After training, the swallowing function (FOIS), the movement amount and speed of the hyoid-larynx complex during swallowing, the thickness and cross-sectional area of the suprahyoid muscles, and changes in tongue muscle strength were tracked.

Study summary

Chin-tuck Against Resistance (CTAR) is a widely used training method in swallowing rehabilitation that strengthens the suprahyoid muscles, enhancing their contraction during swallowing and promoting the anterior-superior movement of the hyoid-larynx complex, thus improving the swallowing process. In 2022, Dr. Meng et al. discovered that for a patient with ineffective relaxation of the cricopharyngeal muscle, swallowing while performing CTAR significantly increased the immediate relaxation of the cricopharyngeal muscle, allowing the contrast agent to enter the esophagus smoothly. This method is named direct Chin-tuck Against Resistance (dCTAR). This study aims to evaluate the effectiveness of dCTAR in improving swallowing function, its impact on suprahyoid muscle contraction and hyoid-larynx complex movement, and further explore the relationship between tongue strength and bite force with the effectiveness of dCTAR. The study will recruit healthy subjects and dysphagia patients to investigate the relationship between tongue strength, bite force, and the effectiveness of dCTAR. This study uses ultrasound to measure changes in the cross-sectional area of the suprahyoid muscles and the elevation of the hyoid-larynx complex during swallowing before and after dCTAR; and the changes in these parameters after a total of 10 repeated CTAR training sessions over two weeks.

Eligibility

Sex
ALL
Min age
18 Years
Max age
90 Years
Healthy volunteers
Accepted
Inclusion Criteria: * Age 18-90 years old * Be conscious and able to cooperate with the inspection * Patients with dysphagia after stroke (Functional oral intake scale, FOIS 1-6) or healthy subjects (FOIS 7) Exclusion Criteria: * Have a history of head and neck cancer * Other medical history known to cause dysphagia (such as neck surgery, intubation, etc.) * Ultrasound examination cannot be performed if there are wounds, air incisions or other structural abnormalities in the neck

Primary outcome measure(s)

  • hyoid-larynx movement — 2-3 weeks
    Use ultrasound to measure the movement of the hyoid-larynx complex during swallowing during normal swallowing and dCTAR movements.

Trial sites (1)

FacilityCityRegionStatus
National taiwan university hospital Taipei Taipei Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07479680 on ClinicalTrials.gov ↗ ← All trials in Taiwan