Chin Tuck Against Resistance

How To Do The Chin Tuck Against Resistance

  1. Sit up straight
  2. Place a rolled-up hand towel gently against your neck
  3. Push your chin down—hard—into the towel and hold for 60 seconds
    • Repeat 3 times
  4. Next, push your chin down hard into the towel and hold for 3 seconds
    • Relax briefly
    • Repeat the 3-second hold then relax up to 30 times

Instead of a rolled-up hand towel, patients can use an inflatable rubber ball or dedicated device (such as the PhagiaFLEX™ device).


Chin tuck against resistance is not recommended for patients with chronic neck pain, a history of neck surgery, or a tracheostomy.

For premade dysphagia handouts and treatment guides, check out The Adult Speech Therapy Starter Pack!

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About Chin Tuck Against Resistance

chin tuck against resistance

Chin tuck against resistance is an evidenced-based swallowing exercise. Its goal is to improve oral pharyngeal swallowing in patients with dysphagia by strengthening the suprahyoid muscles.

The exercise aims to do this by increasing laryngeal elevation, epiglottic closure, and pharyngeal clearance.

When To Use Chin Tuck Against Resistance

chin tuck against resistance CTAR

Use Chin Tuck Against Resistance with the following signs of dysphagia:

  • Decreased hyolaryngeal elevation
  • UES dysfunction or decreased UES opening
  • Decreased airway protection
  • General weakness of the throat muscles


  • American Speech-Language-Hearing Association. (n.d.). Adult Dysphagia. (Practice Portal). Retrieved Feb, 22, 2023, from
  • Department of Veterans Affairs Department of Defense. (2019, July). VA/DoD clinical practice guideline for the management of stroke rehabilitation.
  • Duncan, S., McAuley, D.F., Walshe, M. et al. Interventions for oropharyngeal dysphagia in acute and critical care: a systematic review and meta-analysis. Intensive Care Med 46, 1326–1338 (2020).
  • Namasivayam-MacDonald, A., Rapley, M., Stewart, J., Webster, E., Quon, C., & Rogus-Pulia, N. (2022). Impact of Dysphagia Rehabilitation in Adults on Swallowing Physiology Measured With Videofluoroscopy: A Mapping Review. American journal of speech-language pathology31(5), 2195–2228.
  • Park, J. S., & Hwang, N. K. (2021). Chin tuck against resistance exercise for dysphagia rehabilitation: A systematic review. Journal of Oral Rehabilitation48(8), 968-977.
  • Speyer, R., Cordier, R., Sutt, A.-L., Remijn, L., Heijnen, B. J., Balaguer, M., Pommée, T., et al. (2022). Behavioural Interventions in People with Oropharyngeal Dysphagia: A Systematic Review and Meta-Analysis of Randomised Clinical Trials. Journal of Clinical Medicine11(3), 685. MDPI AG. Retrieved from

Patient Handouts

For evidence-based patient handouts, worksheets, templates, and much more, check out The Adult Speech Therapy Starter Pack!

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