![]() The submandibular push exercise may be effective as a swallowing muscle exercise owing to its superiority in inducing selective contractions of the supra- and infrahyoid muscles. In terms of both the maximum and mean RMS values of the suprahyoid muscle, the Shaker exercise and submandibular push exercise showed a larger RMS value than the CTAR exercise in patients with swallowing difficulty (p < 0.05). In terms of both the maximum and mean RMS values of the suprahyoid muscle, the submandibular push exercise showed a larger RMS value than the CTAR and Shaker exercises in healthy subjects (p < 0.05). Differences in the activity of swallowing muscles among the three different exercises were analyzed using one-way repeated measured analysis of variance. During the three different types of exercises, the root mean square (RMS) values of the sternocleidomastoid (SCM), suprahyoid (anterior belly of the digastric and mylohyoid muscles), and infrahyoid (sternothyroid and thyrohyoid muscles) muscles were analyzed using surface EMG. Twenty-five healthy subjects and 20 patients experiencing swallowing difficulty were enrolled. This study is a prospective non-randomized controlled study. ![]() In this study, we compared the effectiveness of the CTAR, submandibular push, and Shaker exercises for the induction of selective supra- and infrahyoid muscle contractions using surface electromyography (EMG). To focus on strengthening, gradually work up to slightly lifting your head off the table and holding for a duration of time.Several exercise methods, such as the Shaker exercise, tongue press exercise, chin tuck against resistance (CTAR) exercise, and submandibular push exercise, have been introduced to strengthen the muscles involved in swallowing. You can use this as part of reverse posturing, repeated movements, or for deep neck flexor strengthening. ![]() I will often instruct to use your hands on each side of your head to help with the rotational movement around the dowel concept. I usually start lying down to prevent the jamming back movement. This movement can be performed both standing (or sitting in your car, wink, wink…) and lying on your back. I tell my patients to focus on feeling a stretching sensation in their suboccipital region. You want to rotate your head around this dowel and essentially perform a nodding motion. Perhaps this is just nomenclature, but the visual shouldn’t be “jam your head straight back” but rather to imagine a dowel going through your head between both ears. Rather than aggressively shear your upper cervical spine, you may want to start with more of a chin nod rather than a chin tuck. My good friend and excellent therapist Todd Howatt turned me on to this over a decade ago. You don’t want to jam you neck straight back and combine upper cervical flexion with a shear force. While I do use the chin tuck exercise, I do sometimes find that it can be performed too aggressively by some, especially if you are having some acute neck pain. I like using it as part of my reverse posturing series of exercises to get out of the forward head, rounded shoulder posture that we see so often, essentially Janda’s Upper Body Cross Syndrome. The chin tuck exercise essentially works on upper cervical extension and lower cervical flexion. The chin tuck is a pretty common exercises used for neck pain and postural adaptations. Today’s post is a quick and dirty video technique post on the chin tuck exercise technique.
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