NCT04524559

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

Feasibility Of Oral Sensorimotor Stimulation And Sequenced Trunk Co-Activation On Oropharyngeal Dysphagia In Children With Spastic Cerebral Palsy: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 64 (actual)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 12 Months – 48 Months
• Healthy volunteers: Accepted

Summary

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.

Detailed 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.

Conditions

• Physical Therapy

Interventions

Type	Name	Description
OTHER	conventional physical therapy training	The program focused on regaining typical movement, prohibiting abnormal muscle tone, promoting postural reactions and enhancing postural mechanisms. The program was applied via certified physical therapists five days/week for 4 successive months. The intended goals of the treatment program were achieved through: * Neurodevelopmental based training (NDT) * Functional stretching exercises to preserve muscle and soft tissues elasticity * Sequenced trunk co-activation (STA) exercises * Righting and protective reactions It is worth mentioned that the exercises applied in each session was influenced by the age and the specific functional abilities within the selected activity.
OTHER	oral motor training.	Children in the experimental group 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. The utmost aims of the protocol were to decrease hypersensitivity of oral structures, increase jaws movement, and reinforce muscle strength, improve tongue movement and enhance oral motor organization

Timeline

• Start date: 2018-11-01
• Primary completion: 2019-12-31
• Completion: 2019-12-31
• First posted: 2020-08-24
• Last updated: 2020-09-01

Locations

1 site across 1 country: Egypt