The Effects of Neurodevelopmental Therapy on Feeding and Swallowing.

Marmara University

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Caregiver training related to feeding; Other: Structured neck and trunk stabilization exercises; Other: Feeding and oral motor intervention strategies

Study type: Interventional

Funder types: Other

Identifiers

NCT04403113

09.2018.278

Details and patient eligibility

About

Our study is planned to investigate the effects of neck and trunk stabilization exercises, which are structured from Neurodevelopmental therapy method-Bobath concept (NDT-B) principles, on feeding and swallowing activity in children with Cerebral Palsy (CP) who take feeding and oral motor intervention strategies. The cases were divided into two groups, which is the group receiving feeding and oral motor intervention strategies+structured neck and trunk stabilization exercises (n=20) (Study Group) and those receiving feeding and oral motor intervention strategies (n=20) (Control Group).

Full description

Feeding and oral motor interventions address different aspects of feeding difficulties, reflecting the range in specific problems associated with feeding and nutrition in CP.

The trunk plays an important role in the organization of postural control and balance reactions because it holds the centre of all body mass and holds therefore, the centre of gravity. The trunk also provides stable attachment points to those muscles that control the head and neck regions. "Neck and trunk stabilization exercises" were the basis of static and dynamic balance abilities, and that increased neck and trunk stability might have had a positive effect thereon.

To achieve the alignment of the head with the trunk, the pelvis must be stabilized. This has important consequences for the entire process of swallowing. If the head is not stable, then the fine movements of the jaw and tongue needed for feeding will be impaired. With feeding and oral motor interventions and structured neck and trunk stabilization exercises, these parameters are positively affected.

Enrollment: 40 patients

Sex: All

Ages: 18 to 54 months old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Cases with Cerebral Palsy who had difficulties in feeding/swallowing skills.
• Cases who were cooperative without communication barriers and volunteering to participate in the study were included.

Exclusion criteria

• In the Videoendoscopic Swallowing Study, he/she was not included in the study if he/she had an aspiration or aspiration risk, had advanced vision and hearing loss, used any pharmacological agent to inhibit spasticity, or had undergone orthopaedic surgery or Botulinum Toxin-A injection in the past six months.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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40 participants in 2 patient groups, including a placebo group

Study Group (SG)

Experimental group

Description:

feeding and oral motor intervention strategies+structured neck and trunk stabilization exercises+caregiver training related to feeding (Study Group)

Treatment:

Other: Feeding and oral motor intervention strategies

Other: Caregiver training related to feeding

Other: Structured neck and trunk stabilization exercises

Control Group (CG).

Placebo Comparator group

Description:

feeding and oral motor intervention strategies+caregiver training related to feeding (Control Group)

Treatment:

Other: Feeding and oral motor intervention strategies

Other: Caregiver training related to feeding