Effects of CTAR and a Swallowing Pressure Ball in Older Stroke Adults
Effectiveness of Combining Chin Tuck Against Resistance Swallowing Training and an Innovative Swallowing Pressure Measurement Ball on the Swallowing Function and Quality of Life in Home-Based Older Adults With Stroke
Chimei Medical Center
132 participants
Mar 18, 2026
INTERVENTIONAL
Conditions
Summary
This study aims to investigate the effectiveness of resistance swallowing rehabilitation using Chin Tuck Against Resistance (CTAR) exercises combined with an innovative swallowing pressure ball in improving swallowing function and swallowing-related quality of life among home-based older stroke patients with dysphagia. Participants will receive a 12-week swallowing rehabilitation program conducted in the home-care setting. Outcome measures include swallowing function assessments, swallowing-related quality of life, and rehabilitation adherence. The study is designed as a randomized controlled trial to explore the feasibility and clinical benefits of resistance-based swallowing rehabilitation in community and home-care environments.
Eligibility
Inclusion Criteria7
- Age between 65 and 90 years.
- Diagnosed with ischemic or hemorrhagic stroke more than 6 months prior to enrollment.
- Receiving home care services from participating home care agencies.
- Able to follow instructions and participate in swallowing training.
- MMSE score ≥24, or adjusted according to education level.
- Passed the second stage of the 3-step swallowing screening test.
- Presence of post-stroke dysphagia symptoms.
Exclusion Criteria7
- History of head and neck cancer or head and neck radiotherapy.
- History of cervical spine surgery or tracheostomy.
- Severe neurological or neuromuscular diseases affecting swallowing function.
- Severe unstable medical conditions.
- Current use of medications significantly affecting swallowing function or muscle tone.
- Unable to complete the intervention or follow-up assessments.
- Receiving tube feeding without oral intake ability.
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Interventions
Participants receive Chin Tuck Against Resistance (CTAR) swallowing training combined with an innovative swallowing pressure measurement ball intervention twice daily for 12 weeks.
Participants receive conventional swallowing rehabilitation including tongue resistance exercise and oral motor control training.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07620210