Investigation of The Effects of Different Exercise Methods on Swallowing Function in Stroke Patients

Investigation of The Effects of Different Exercise Methods on Swallowing Function in Stroke Patients

The aim of this study is to examine the effects of PNF (proprioceptive neuromuscular facilitation) and CTAR (Chin Tuck Against Resistance) exercises on swallowing rehabilitation in stroke patients. In addition another aim is to examine the effects of these exercises on the swallowing function, quality of life, functional independence and functional oral intake of individuals, and to investigate the superiority of the exercises to each other in line with these features.

Inclusion Criteria:

• 18 years and older,
• Who have been diagnosed with stroke
• At least one month has passed since the diagnosis of stroke
• Voluntarily participated in the research,
• Cooperative, able to take instructions (Mini Mental Test score of 24 and above) and
• Individuals with a score of 2 or higher on the Penetration Aspiration Scale will be included.

Exclusion Criteria:

• Lack of long-term sitting balance, unable to maintain an upright position with or without support,
• Have tumors or neoplastic disease in the head and neck region,
• Radiotherapy applied to the neck, swallowing disorders caused by radiotherapy applied to the head and neck region,
• With additional musculoskeletal disease that may cause swallowing disorders,
• With non-stroke neurological disease (Traumatic Brain Injury, Parkinson's, Dementia, ALS, MS, etc.),
• Individuals who have previously received dysphagia treatment will be excluded from the study.