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The Effects of Chin Tuck Against Resistance Exercise on Acute Stroke Patients With Dysphagia
The aim of this study is to investigate the effects of chin tuck against resistance exercise on swallowing function, depression, and quality of life in acute stroke patients with dysphagia.
ClinicalTrials.gov IDNCT06674356
PhaseNA
Enrollment74
SponsorNational Taiwan University Hospital
Age18 Years
SexALL
Conditions studied
Acute Stroke, Dysphagia
About this study
The aim of this study is to investigate the effects of chin tuck against resistance exercise on swallowing function, depression, and quality of life in acute stroke patients with dysphagia.
Interventions
- Behavioral: chin tuck against resistance exercise — Both groups of patients will receive traditional swallowing rehabilitation therapy; however, the experimental group will additionally perform CTAR exercises. The procedure is as follows:Ask the patient to sit, then, press the chin firmly against the inflatable rubber ball, for isometric exercise, the chin is pressed down against the resistance of the ball and held for 60 seconds as one round, with a total of three rounds. And for isotonic exercise, the chin presses down against the resistance of the ball and holds for one second per repetition, with a total of 30 repetitions. Performing both isometric and isotonic exercises constitutes one set of exercises. For isometric exercise, the chin is pressed down against the resistance of the ball and held for 60 seconds as one round, with a total of three rounds. For isotonic exercise, the chin presses down against the resistance of the ball and holds for one second per repetition, with a total of 30 repetitions.
Primary outcomes
- swallowing function (before intervention and up to 6 weeks)
Eligibility information
Inclusion Criteria:
1. Patients diagnosed with hemorrhagic or ischemic stroke, including those with initial diagnoses or recurrent strokes.
2. Patients who did not pass the swallowing screening based on the standard swallowing scale.
3. Adults aged 18 years and older.
4. Vital signs are stable: systolic blood pressure (hemorrhagic \< 160 mmHg, ischemic \< 220 mmHg), heart rate 40-130 beats per minute, and oxygen saturation \> 92%.
5. The patient's consciousness is clear, able to express themselves, can communicate in Mandarin or Taiwanese, and can follow commands to perform actions.
6. The patient can be in a seated position.
Exclusion Criteria:
1. Patients who have had a stroke for more than one month (inclusive).
2. Patients with a history of depression or related mental health disorders.
3. Patients with a history of neck pain, injury, or disease.
4. Patients who have previously undergone tracheostomy or have a tracheostomy tube in place.
Study locations
- Department of Nursing, National Taiwan University, Taipei, Taiwan
Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.