Clinical trial Recruiting at 1 site Interventional Ages 18 to 90

Direct Chin-tuck Against Resistance (dCTAR) to improve swallowing

Official title: Effect of Direct Chin-tuck Against Resistance on Swallowing Function

Run by National Taiwan University Hospital · NCT07479680 · Data updated 2026-11-12

This trial sees if direct Chin-tuck Against Resistance (dCTAR) can improve swallowing in adults with post-stroke dysphagia and in healthy volunteers.

More Dysphagia trials

Quick facts

Study typeInterventional
Ages18 Years to 90 Years
SexAll
Enrollment60 (estimated)
SponsorNational Taiwan University Hospital
Academic / other
Locations1 site (Taipei, Taipei)
StatusRecruiting
StartedAugust 14, 2024
Main results expectedJuly 10, 2026
Study endsJuly 10, 2026
Registry record updatedMarch 18, 2026
Trial IDNCT07479680 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–90 who are conscious and cooperative and either have post-stroke dysphagia (FOIS 1–6) or are healthy volunteers (FOIS 7) are eligible.

Probably not a fit

Patients whose dysphagia is due to structural causes such as head or neck cancer, prior neck surgery or prolonged intubation, or who cannot undergo neck ultrasound are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study tests a modified chin-tuck exercise (dCTAR) that combines resistive chin tuck with swallowing to strengthen the suprahyoid muscles and promote forward-upward hyoid‑larynx movement. Researchers will recruit both adults with post-stroke dysphagia and healthy control participants and perform dCTAR while measuring muscle contraction and hyoid-larynx displacement. Outcome measures include ultrasound and functional swallowing metrics, and the protocol will explore how tongue strength and bite force relate to the treatment effect. The design aims to confirm prior single-case observations that dCTAR can improve cricopharyngeal relaxation and bolus passage.

Why it matters

Potential benefit: If successful, dCTAR could strengthen swallowing muscles and improve hyoid-larynx movement to reduce choking, aspiration, and feeding difficulties in people with post-stroke dysphagia.

How similar studies have gone: Conventional CTAR is widely used and has shown effectiveness in strengthening suprahyoid muscles, but dCTAR is a newer variant first reported in 2022 with only limited clinical evidence so far.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18-90 years old
* Be conscious and able to cooperate with the inspection
* Patients with dysphagia after stroke (Functional oral intake scale, FOIS 1-6) or healthy subjects (FOIS 7)

Exclusion Criteria:

* Have a history of head and neck cancer
* Other medical history known to cause dysphagia (such as neck surgery, intubation, etc.)
* Ultrasound examination cannot be performed if there are wounds, air incisions or other structural abnormalities in the neck

Where it's running

  • National taiwan university hospital
    Taipei, Taipei, Taiwan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.