Dysphagia Exercises

Dysphagia Exercises Instructional Video

There is research to support using the Chin Tuck Against Resistance (CTAR) and JOAR exercises in dysphagia treatment. They are widely accepted as Evidence Based Practice. Many well respected hospitals, rehabilitation centers, and universities have reviewed the available research and approved the purchase of the ISO-CTAR Device for use by their Speech Language Pathologists.

Presentation Packet

Many people suffer with swallowing difficulty and symptoms such as trouble swallowing food or pills, coughing or choking while eating or drinking, coughing after eating, persistent cough, constant cough, feeling like food is stuck in throat, and aspiration pneumonia. Swallowing disorders (dysphagia) may be improved by therapy exercises and/or compensatory swallowing techniques learned during dysphagia therapy with a speech language pathologist

The ISO-CTAR Device can be used as an alternative to the Shaker exercise for dysphagia, the CTAR (Chin Tuck Against Resistance) exercise, the JOAR (Jaw Opening Against Resistance) exercise for improved chewing and swallow function, and the ESAR (Effortful Swallow Against Resistance) exercise for dysphagia treatment. 

The ISO-CTAR Device is a patent pending flexible device, designed to be a more convenient, less strenuous alternative to the Shaker exercise for dysphagia. Like the Shaker exercise, it targets the suprahyoid muscles under the chin (Geniohyoid, Mylohyoid, Stylohyoid, and Digastric). These muscles primarily assist in elevating the hyolaryngeal complex and opening the upper esophageal sphincter (UES) during the swallow. The Mylohyoid also helps to elevate the tongue and the floor of the oral cavity.

The ISO-CTAR Device also targets the neck flexor muscles to improve posture and jaw alignment and stabilization for improved swallowing pressure, function, and safety. 

The ISO-CTAR Device is a flexible, durable device used for dysphagia treatment to strengthen the suprahyoid muscles in the throat for people who have difficulty swallowing, called dysphagia. 

Difficulty Swallowing Causes

There are many different causes of difficulty swallowing, also called dysphagia. Most commonly dysphagia is caused by a weakness in the muscles in the mouth and/or throat involved in the swallowing process. These muscles can often be strengthened by swallowing exercises to rehabilitate the swallow function. The weakness in these muscles can originate from many different causes and can cause a variety of difficulty swallowing symptoms. 

Many patients who have survived a stroke have difficulty swallowing, which may result in a PEG tube, pureed diet, thickened liquids or mechanical soft diet being ordered due weakness in the muscles in the mouth and/or in the throat which cause dysphagia.

Diseases/conditions such as Parkinson's disease, Alzheimer's disease, Huntington's disease, Multiple Sclerosis, dementia, traumatic brain injury, and Down's Syndrome are also common causes of difficulty swallowing due to muscle weakness which may respond well to swallowing exercises such as CTAR and JOAR with the ISO-CTAR Device.

Below is an instructional Video for use of the ISO-CTAR Device in dysphagia treatment:

You can use the video below in your dysphagia treatment sessions or for home practice for guidance through the dysphagia exercises.

The ISO-CTAR Throat Exerciser  has optional removable chin pad covers.

The  Small  ISO-CTAR Device was designed for children's smaller bodies, chins, and hands.

The Small ISO-CTAR Device was designed for children's smaller bodies, chins, and hands.


Try it for 60 days risk free!

If you are unsatisfied with the ISO-CTAR Device for any reason, simply return it within 60 days for a full refund of the purchase price.

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ASHA approved CEU course                                    Voice Exercises                                            Dysphagia Exercises


"I know this device is going to help many people."  - Steve Blackburn, M.D.

"Seeing so much benefit from other therapists' raving reviews! I would love to add this to my toolbox, and I love, and appreciate, your initiative, and thinking outside the box!" - Charissa Skinner, SLP

"We love our CTAR and our patients do too!! We could certainly use a second as they always request one to keep in their room for exercises overnight!" - Jessie Madden, SLP

"I've used this product before, and I love it!" - Sarah Kathryn Alexander, SLP

"Very Nice EBP device." - Kris Torres, SLP

"I've ordered two of these already."  - Speech Language Pathologist

"I use this and it is awesome!"  - Speech Language Pathologist

"I am a Speech Pathologist in Australia working in adult rehabilitation. Another Speech Pathologist has mentioned your device and that she is having success using it with patients..." - Speech Language Pathologist

"...I have previously purchased several of your devices and have allowed colleagues to "borrow" them; needless to say, I never got them back :( I need to be a little more stern with the terms "borrow". Thanks again for creating this! Take care!"  - Speech Language Pathologist

"...We highly recommend the use of the ISO device as an essential device to regain the ability to swallow properly."  - Customer

"...I should also share that clinically speaking, this device has allowed two of my patients to have their PEG tubes removed!"  - Speech Language Pathologist

"I want to congratulate you on the ISO. It has done wonders for my wife, who had acute dysphagia problems due to radiation treatments. It has helped to greatly improve her swallowing, and her doctor is very pleased with her progress. She is also pleased, considering the fact that her first Speech Therapist wanted to put in a feeding tube... "  - Customer 

"I am an SLP in Palm Bch. County, FL who has a home health pt. equipped with an iso-S. He loves exercising with it and I have felt that this tool can benefit dysphagia pts."  - Speech Language Pathologist

"..I think that you have a great product and it has been very helpful to me."  - Customer 

"I was curious if you had a wholesale price so as to purchase ISO devices for the outpatient center where I work to resale to patients.  Often times patients after trying the device that I have on site want to be able to leave with one..."  - Speech Language Pathologist

"...A few months ago, we had recommended to a friend of ours in Appleton, WI, whose husband had dysphagia and she bought an ISO from you. They are very pleased with the results from using it. He is now eating after passing the swallowing test." - Customer 

Some of Our Valued Customers

The Mayo Clinic
Visiting Nurse and Hospice Care  
Genesis Health System 
Choctaw Regional Medical Center
Valdosta State University 
McLaren Northern Michigan Hospital
Sir Charles Gairdner Hospital
Saint Simeons 
Fremantle Hospital
Palmetto Health Baptist Parkridge
St John of God Health Care
Palmetto Health Baptist
Bunbury Regional Hospital
Houston Methodist St. Catherine Hospital – Long-Term Acute Care  
Franklin Health and Rehab
Good Samaritan Home 
Liberty Village of Maryville Skilled Nursing & Rehabilitation Center 
University of Tennessee Health and Science Center 
Connex Rehab Group 
Regional One Health  
Landspitali Hospital
Bothwell Regional Health Center
Meridian Health 
Select Rehab
Rehab Solutions
Hansen Family Hospital
Biron Health Group
Fiona Stanley Hospital, Allied Health Dept
Columbine Health Systems
Cedar County Memorial Hospital
Fairmount Rehab
Sault Area Hospital
Allied Services Integrated Health System
Sprenger Health Care Systems
Presbyterian Homes and Services
HealthSouth Bakersfield Rehabilitation Hospital
Doctor's Hospital at Renaissance

ISO-CTAR Throat Exerciser  

How to use disposable chin pad covers with the ISO-CTAR Device:

1. Separate the adhesive chin pad cover from the protective paper
2. Place on chin pad with adhesive side down, 
    lining up corners of the cover with the corners
    of the chin pad, and wrapping it around to the underneath
3. After use with one patient, peel the chin pad cover off and dispose
4. Clean the entire device (including the chin pad) with a disinfectant wipe