![]() Since the I was recommending practicing at 80% of the patients OM-MIP, I used the dynamometer to determine which springs were needed to obtain 10 kgf for one CTAR repetition. Make sure to re-evaluate OM-MIP every week and adjust the intensity of CTAR in order to maintain the desired intensity level! In the video below, a patient's OM-MIP was measured at 12 kilograms of force (kgf) - which is >2 standard deviations below the mean for this person's age and sex. If working on low intensity endurance training, consider 60 seconds per rep, 1 rep/set, 3-5 sets/session. Chin tuck has been has been widely used to prevent aspiration in the patients with dysphagia. If doing moderate-to-high intensity strength training, consider 2-3 seconds per rep, 2-3 seconds rest between each rep, 10-12 reps/set, 3-4 sets/session, 2-3 minutes break between each set, 3-4 days/week. For moderate intensity, practice at ~60-80% of the patient's OM-MIP, and for high intensity, practice at ~80-100% of the patient's OM-MIP. For a low intensity CTAR, practice each repetition at ~50-60% of the patient's OMMIP. Then, compare this value, to the patient's OMMIP. Comparing swallowing sounds and swallowing accelerometry signals in the chin-tuck position The statistical differences found between our vibration and sound signals in the time domain were similar to those found in our previous work on swallows made in a neutral head position 22. The Shaker head-lift exercise (HLE) is a treatment originally developed to improve swallowing difficulties due to restricted UES opening. Then, press the device until one full compression is complete and read the value on the dynamometer. To do this, place the CTAR device onto the dynamometer. Lastly, determine the intensity level and dose of the CTAR exercise. ![]()
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