A study to assess the effectiveness of Chin Tuck Against Resistance (CTAR) exercise in improving swallowing ability among Cerebrovascular accident patients with dysphagia at selected hospital, Coimbatore

Santhosh Priya, N (2017) A study to assess the effectiveness of Chin Tuck Against Resistance (CTAR) exercise in improving swallowing ability among Cerebrovascular accident patients with dysphagia at selected hospital, Coimbatore. Masters thesis, PSG College of Nursing, Coimbatore.

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Abstract

BACKGROUND OF THE STUDY: Stroke is a life changing event. Dysphagia can be seen in 65% of the patients with stroke. In order to improve the overall outcome after stroke it is essential that the swallowing and feeding performance need to be improved through Chin Tuck Against Resistance (CTAR) Exercise. OBJECTIVES: The main objectives of the study was to evaluate the effectiveness of Chin Tuck Against Resistance (CTAR) exercise in improvement of swallowing ability among CVA patients of intervention group. RESEARCH METHODOLOGY: The study was conducted in PSG Hospitals, Coimbatore and the research method adopted was Quasi- experimental Time series design. As per the inclusion criteria, 32 samples were selected by purposive sampling and were divided into intervention and comparison group. Pre test data was collected from both the groups by interview and observation method. Then from next day onwards Chin Tuck Against Resistance Exercise was administered for 8 consecutive days, 3 times a day to the CVA patients who belonged intervention group and the comparison group received the routine care. Post test assessment of swallowing ability among CVA patients was assessed using GUSS (Gugging Swallowing Screen) & FOIS (Functional Oral Intake scale) in both the groups after the exercise during their next feeding time for 8 consecutive days, 3 times a day. RESULTS: The study finding revealed that in the pre test assessment of swallowing ability among CVA patients showed all 16 (100%) patients in the intervention group were having severe dysphagia. After administration of CTAR exercises gradually at the end of eight days of observation mostly 9 (56.25%) of them progressed to mild dysphagia and 5 (31.2%) of them progressed to no dysphagia category. In the intervention group, on day 1 the CVA patients were having severe dysphagia with the post test mean score of 4.38, they progressed to moderate dysphagia at the end of 6 days with the mean score of 11.56 and at the end of day 8 they progressed to mild dysphagia with a mean score of 16.36 which is also statistically significant with a t value 17.347 at the level of p<0.001. Thus it concludes, in the intervention group CTAR exercise is effective in improving the swallowing ability among CVA patients with dysphagia. CONCLUSION: Thus Chin Tuck Against Resistance Exercise was helpful in improving the swallowing ability among CVA patients with dysphagia.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Effectiveness ; Chin Tuck Against Resistance Exercise ; CVA patients ; Dysphagia.
Subjects: NURSING > Medical Surgical Nursing
Depositing User: Subramani R
Date Deposited: 21 Apr 2018 02:44
Last Modified: 21 Apr 2018 02:49
URI: http://repository-tnmgrmu.ac.in/id/eprint/7167

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