Trial reportScientific reports2024
Effects of multi directional chin tuck against resistance exercise on tongue pressure and thickness and suprahyoid muscle activity.
Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Neuromuscular-related interventions for post-stroke dysphagia: a comprehensive narrative review.Frontiers in neuroscience · 2026Pooled it
- Does Proprioceptive Neuromuscular Facilitation Approach Have an Effect on Swallowing Function, Muscle Morphology and Quality of Life in Dysphagic Stroke Patients? A Randomised Controlled Trial.Journal of oral rehabilitation · 2025Trial
- Effect of progressive chin tuck against resistance exercise on community-dwelling older adults with age-related dysphagia: a randomized controlled trial.European geriatric medicine · 2025Trial
- The crux of NPO paradox revealed by increased pneumonia incidence in post-stroke dysphagia patients with dietary restrictions.Scientific reports · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
The chin tuck against resistance (CTAR) exercise is a therapeutic method developed to activate and strengthen the oropharyngeal muscles related to swallowing in patients experiencing post-stroke dysphagia. However, existing CTAR exercises could be improved by considering the complex characteristics of the suprahyoid muscles. To investigate the efficacy of multidirectional (md-) CTAR on tongue pressure and suprahyoid muscle activity in older adults. Thirty-four older adults were enrolled and randomly assigned to two groups (n = 17/group). Group 1 performed md-CTAR exercises in the left and right diagonal and vertical directions, using the prototype device developed for this study. In contrast, group 2 performed only the vertical-directional (vd-) CTAR exercise using the same device as group 1. Both groups performed the same exercise for 5 days over 6 weeks. Outcome measures were tongue pressure, tongue thickness, and suprahyoid muscle activity, which were evaluated using the Iowa Oral Performance Instrument, ultrasound, and surface electromyography, respectively. As a results, group 1 exhibited significantly higher maximal tongue pressure, tongue thickness, and suprahyoid muscle activity during swallowing than group 2 (p < .05). In conclusion, This study demonstrated that the md-CTAR exercise was more effective than the vd-CTAR exercise in activating the suprahyoid muscles while promoting greater maximal tongue pressure and thickness in older adults.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.