Author(s):
Vinnoli. K, Kanchana. G, Sasikala. D, Vijayalakshmi. K, Latha Venkatesan
Email(s):
kanchanasatish2010@gmail.com
DOI:
10.52711/2454-2660.2022.00055
Address:
Vinnoli. K1, Kanchana. G2, Sasikala. D3, Vijayalakshmi. K4, Latha Venkatesan5
1Lecturer, MMM College of Nursing, Chennai.
2Reader, Apollo College of Nursing, Chennai.
3Professor, Apollo College of Nursing, Chennai.
4Professor, Apollo College of Nursing, Chennai.
5Professor Cum Principal, AIIMS College of Nursing, Delhi.
*Corresponding Author
Published In:
Volume - 10,
Issue - 3,
Year - 2022
ABSTRACT:
Stroke is a medical emergency. It is the second leading cause of death worldwide. Dysphagia presents in approximately 55% of all acute stroke patients admitted to hospital. In order to improve the overall outcome after stroke it is essential that the feeding performance need to be improved through Chin Tuck Against Resistance (CTAR) Exercise. This study was aimed to evaluate the effectiveness of Chin Tuck Against Resistance (CTAR) exercise in improvement of feeding performance among patients with CVA. Methods: A Quasi- experimental study was conducted after obtaining ethical clearance and setting permission. The data was collected after obtaining consent from 70 CVA patients, who were selected by consecutive sampling technique. Pretest data was collected from both the groups by predetermined and pretested tools such as demographic variable Performa, clinical variable proforma and FOIS (Functional Oral Intake scale) through interview and observation method. Chin Tuck Against Resistance Exercise was administered for 8 consecutive days, 3 times a day for experimental group of patients with CVA. Posttest assessment of feeding performance in both the groups was conducted after one week of intervention. Results: Study findings revealed that there was no significant different in mean pretest score of feeding performance in the control group (M=2.63, S.D+1.12) and experimental group (M=2.05, S.D+1.28) with ‘t’ value 1.95(p>0.05).Whereas, there was a significant difference in the posttest scores of feeding performance in the experimental group (M=6.4,S.D+3.25) which was higher than control group (M=3.13,S.D+1.23) with ‘t’ value of 18.22, (p<0.001). It can be attributed to the effectiveness of CTAR exercise to improve suprahyoid muscle activity and tongue pressure Conclusion: Chin Tuck Against Resistance Exercise was helpful in improving the feeding performance upon patients with CVA dysphagia.
Cite this article:
Vinnoli. K, Kanchana. G, Sasikala. D, Vijayalakshmi. K, Latha Venkatesan. Effectiveness of Chin Tuck Against Resistance (CTAR) Exercise upon Feeding Performance of patients with Cerebrovascular Accident. International Journal of Nursing Education and Research. 2022; 10(3):235-8. doi: 10.52711/2454-2660.2022.00055
Cite(Electronic):
Vinnoli. K, Kanchana. G, Sasikala. D, Vijayalakshmi. K, Latha Venkatesan. Effectiveness of Chin Tuck Against Resistance (CTAR) Exercise upon Feeding Performance of patients with Cerebrovascular Accident. International Journal of Nursing Education and Research. 2022; 10(3):235-8. doi: 10.52711/2454-2660.2022.00055 Available on: https://ijneronline.com/AbstractView.aspx?PID=2022-10-3-11
REFERENCES:
1. Ekberg, O. (2014). Defective closure of the laryngeal vestibule during deglutition. Journal of Acta Otolaryngology, Mar-Apr; 93 (3-4):309-17.
2. Logemann, J.A., Rademaker, A., Pauloski, B.R., Kelly, A., Stangl-McBreen, C., Antinoja, J., Grande, B., Frquharson, J., Kern, M., Easterling, C., & Shaker, R. (2013). A randomized study comparing the Shaker exercise with traditional therapy: A preliminary study. Journal of Speech Language Hearing Research 24:403-411.
3. Yoon, W. L., Khoo, J. K. P., Rickard Liow, S. J. (2013). Chin Tuck Against Resistance (CTAR): New method for enhancing suprahyoid muscle activity using a Shaker-type Exercise. Journal of Dysphagia, 29(2), 243-248. doi: 10.1007/s00455-013-9502-9
4. Park, J. S., Lee, G., & Jung, Y. J. (2019). Effects Of Game-Based Chin Tuck Against Resistance Exercise Vs Head-Lift Exercise In Patients With Dysphagia After Stroke: An Assessor-Blind, Randomized Controlled Trial. Journal of Rehabilitation Medicine, 51(10), 749-754.
5. Johnson, D.N., Herring, H.J.& Daniels, S.K. (2014). Dysphagia management in stroke rehabilitation. Current Physical Medicine and Rehabilitation Report, 2:207-218
6. Kim, H. H., & Park, J. S. (2019). Efficacy of modified chin tuck against resistance exercise using hand‐free device for dysphagia in stroke survivors: A randomised controlled trial. Journal of Oral Rehabilitation, 46(11), 1042-1046.
7. SanthoshPriya, N. (2017). A study to assess the effectiveness of Chin Tuck Against Resistance (CTAR) exercise in improving swallowing ability among Cerebrovascular accident patients with dysphagia at selected hospital, Coimbatore (Doctoral dissertation, PSG College of Nursing, Coimbatore).
8. Sze, W.P., Yoon,W.L.,Escoffier, N., &Liow,S.J.R.(2013). Evaluating the training effects of two swallowing rehabilitation therapies using surface electromyography Chin tuck against resistance (CTAR) xerciseandtheShakerexercise.Dysphagia,31(2),195-205.