The Effects of Chin Tuck Against Resistance Exercise on Acute Stroke Patients With Dysphagia

Inclusion Criteria: 1. Patients diagnosed with hemorrhagic or ischemic stroke, including those with initial diagnoses or recurrent strokes. 2. Patients who did not pass the swallowing screening based on the standard swallowing scale. 3. Adults aged 18 years and older. 4. Vital signs are stable: systolic blood pressure (hemorrhagic \< 160 mmHg, ischemic \< 220 mmHg), heart rate 40-130 beats per minute, and oxygen saturation \> 92%. 5. The patient's consciousness is clear, able to express themselves, can communicate in Mandarin or Taiwanese, and can follow commands to perform actions. 6. The patient can be in a seated position. Exclusion Criteria: 1. Patients who have had a stroke for more than one month (inclusive). 2. Patients with a history of depression or related mental health disorders. 3. Patients with a history of neck pain, injury, or disease. 4. Patients who have previously undergone tracheostomy or have a tracheostomy tube in place.