![]() ![]() The results revealed that CTAR exercise is effective in improving swallowing safety (MD, −1.43 95% CI, −1.81 to −1.06 P < 0.0001) and oral intake ability (SMD, −1.82 95% CI, −3.28 to −0.35 P = 0.01) compared with no exercise intervention, CTAR exercise is superior to Shaker exercise in improving swallowing safety (MD, −0.49 95% CI, −0.83 to −0.16 P = 0.004). The mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CIs) were calculated. 8 studies were included in the meta-analysis using RevMan 5.4 software. ![]() Results: After screened and assessed the methodological quality of the studies, nine studies with 548 stroke survivors were included in the systematic review. Materials and methods: The Cochrane Library, PubMed, Web of Science, EMBASE, CINAHL and four Chinese databases were searched for randomized controlled trails (RCTs) and quasi-RCTs from inception to February 2022. Objective: To investigate the effects of Chin tuck against resistance (CTAR) exercise on the swallowing function and psychological condition in stroke survivors compared to no exercise intervention and the Shaker exercise. The effects of CTAR exercise in stroke survivors needs to be validated. 2Nursing School, Peking University, Beijing, Chinaīackground: Chin tuck against resistance (CTAR) exercise was introduced to substitute for the commonly used Shaker exercise for dysphagia rehabilitation.1School of Nursing, Naval Medical University, Shanghai, China. ![]() Jing Liu 1 †, Qiuyi Wang 1 †, Jing Tian 1, Wanqiong Zhou 1, Yitian Gao 1, Xuemei Chen 1, Wei Zhang 1, Yajing Gao 2 and Lanshu Zhou 1 * ![]()
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