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This study investigated whether fixed- and progressive-resistance chin tuck against resistance (CTAR) protocols improve perihyoid strength, measured using open-mouth maximum isometric pressure (OM-MIP), in healthy adults. Forty-two healthy adults were randomly assigned to one of three intervention groups: traditional fixed-resistance CTAR using an inflatable ball, fixed-resistance CTAR using a novel spring-loaded device, or progressive-resistance CTAR using the same novel device. Participants completed a six-week home-based training program. Perihyoid strength was quantified at baseline and post-intervention using the OM-MIP protocol with a handheld dynamometer. Adherence was tracked using a digital home exercise platform. All groups demonstrated statistically significant within-group improvements in OM-MIP. Median paired gains were observed in the traditional fixed-resistance group (+\u20093.65 kgF), novel fixed-resistance group (+\u20092.25 kgF), and progressive-resistance group (+\u20093.20 kgF). Between-group comparisons of change scores were not statistically significant (\n                    <jats:italic>p<\/jats:italic>\n                    = .371), indicating that no single training approach resulted in superior OM-MIP gains. Adherence did not differ significantly across groups and did not significantly predict post-intervention OM-MIP when included as a covariate. Traditional fixed-resistance, novel fixed-resistance, and novel progressive-resistance CTAR protocols were associated with improved OM-MIP in healthy adults following six weeks of home-based training. These findings support the physiologic feasibility of CTAR-based perihyoid strengthening approaches but do not establish effects on swallowing biomechanics or functional swallowing outcomes. Further research is needed to optimize resistance progression, examine dose-response relationships, and determine whether gains in OM-MIP translate to clinically meaningful swallowing outcomes in dysphagic populations.\n                  <\/jats:p>","DOI":"10.1007\/s00455-026-10998-5","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T02:20:51Z","timestamp":1787538051000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Perihyoid Muscle Strength Associated with Fixed and Progressive Resistance Exercise in Healthy Adults"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2526-1410","authenticated-orcid":false,"given":"Kelly","family":"Salmon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"10998_CR1","unstructured":"Logemann JA. 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