{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:05:05Z","timestamp":1787025905968,"version":"build-2736575974"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,3,12]],"date-time":"2018-03-12T00:00:00Z","timestamp":1520812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation: An International, Interdisciplinary Journal"],"published-print":{"date-parts":[[2018,3,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Recently, chin tuck against resistance exercise (CTAR) has been reported as a remedial treatment for pharyngeal dysphagia. However, the clinical evidence of the effect is still lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>This study investigated the effect of CTAR on the swallowing function in patients with dysphagia following subacute stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>The patients were randomly assigned to an experimental ( n\u200a=\u200a11) or a control group ( n\u200a=\u200a11). The experimental group performed CTAR using the CTAR device. The control group received only conventional dysphagia treatment. Both groups received training on five days a week, for four weeks. The swallowing function was measured using functional dysphagia scale (FDS) and penetration-aspiration scale (PAS), based on a videofluoroscopic swallowing study (VFSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The experimental group showed more improvements in the oral cavity, laryngeal elevation\/epiglottic closure, residue in valleculae, and residue in pyriform sinuses of FDS and PAS compared to the control group ( p\u200a&lt;\u200a0.05, all).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>This study demonstrated that CTAR is effective in improving the pharyngeal swallowing function in patients with dysphagia after stroke. Therefore, we recommend CTAR as a new remedial training alternative to HLE.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/nre-172250","type":"journal-article","created":{"date-parts":[[2018,3,13]],"date-time":"2018-03-13T15:56:11Z","timestamp":1520956571000},"page":"191-197","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":45,"title":["Effect of chin tuck against resistance exercise on patients with dysphagia following stroke: A randomized pilot study"],"prefix":"10.1177","volume":"42","author":[{"given":"Ji-Su","family":"Park","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duk-Hyun","family":"An","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Inje University, Gimhae, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Hwan","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Kyungdong University, Wonju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moon-Young","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Inje University, Gimhae, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,3,12]]},"reference":[{"key":"ref001","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-161305"},{"issue":"5","key":"ref002","first-page":"748","volume":"257","author":"Cook I. 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