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THIS PRODUCT IS NOT RETURNABLE DUE TO IT BEING A MEDICAL/HEALTHCARE PRODUCT. CTAR Ball Original. This product is based on research by Yoon WL et al. (2014), “New Method For Enhancing Suprahyoid Activity Using a Shaker-type Exercise”. CTAR Ball Chin Tuck Against Resistance is a swallowing rehabilitation method used for enhancing suprahyoid muscle activity in lieu of using a sustained head lift (Shaker-type) exercise. Use of the CTAR BALL works to help with the opening of the upper esophagus which allows food to enter the stomach. It works well with elderly clients and for those with neck difficulties who are unable to do the sustained head lift. The CTAR BALL can be used for both isometric (sustained) and isokinetic (sustained) exercises. It also can be used for jaw rehabilitation- JOAR Jaw Opening Against Resistance exercises. Included is a wallet-sized instructional card which can be written on to designate the prescribed number of exercises the clinician recommends for the patient. Ideal addition to any pharyngeal swallow prevention program for radiation patients.