Feasibility Of Oral Sensorimotor Stimulation On Oropharyngeal Dysphagia In Children With Spastic Cerebral Palsy

Cairo University (CU)

Status: Completed

Conditions: Physical Therapy

Treatments: Other: conventional physical therapy training; Other: oral motor training.

Study type: Interventional

Funder types: Other

Identifiers

NCT04524559

Oral Sensorimotor Stimulation

Details and patient eligibility

About

Children with CP encounter swallow and feeding impairments, especially in infancy and childhood with long meal times with late development of oral motor skills resulting in poor growth.

Full description

this study will be conducted to explore the feasibility of oral sensorimotor stimulation combined with sequenced trunk co-activation on oropharyngeal dysphagia in children with spastic quadriplegic CP.

Enrollment: 64 patients

Sex: All

Ages: 12 to 48 months old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria

• Diagnosed as spastic quadrilepgic CP
• Both genders
• Aged from 12 to 48 months
• Scored ≤ 10 on an initial evaluation of Oral Motor Assessment Scale.
• Having at least a problem of oral motor functions (drooling, swallowing, and/or sucking); independent feeding
• Grade ≥ 2 spasticity according to the MAS
• Level IV and V motor function according to the GMFCS-R&E.
• Partial head and trunk control. Exclusion criteria
• Gum and/or dental problems
• Congenital problems of mouth and soft plate
• Uncontrolled seizures
• Any metabolic disorders
• Cardiopulmonary disorders
• Significant mental problems.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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64 participants in 2 patient groups, including a placebo group

conventional physical therapy training

Placebo Comparator group

Description:

received 90 minutes conventional physical therapy training focused on regaining typical movement, prohibiting abnormal muscle tone, promoting postural reactions and enhancing postural mechanisms.

Treatment:

Other: conventional physical therapy training

oral stimulation

Experimental group

Description:

received 30 minutes of oral motor training five days week. The training included oral stimulation (facilitation) conducted before the child's actual meal time. The designed protocol comprised modified perioral and intraoral maneuvers based on Fucile's protocol

Treatment:

Other: conventional physical therapy training

Other: oral motor training.