NCT07516860

Effect of SCS Technique on Oromotor Skills in Children With CP

Effect of Strain Counter Strain on Oromotor Functions in Children With Spastic Cerebral Palsy: A Randomized Controlled Trial

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (actual)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 4 Years – 8 Years
• Healthy volunteers: Not accepted

Summary

This study evaluates the clinical efficacy of the Strain Counter-Strain (SCS) technique on improving oromotor functions in children with spastic cerebral palsy. The intervention specifically targets the masseter, SCM, upper trapezius, scalenes, and suprahyoid muscles to release myofascial tension. The study aims to determine if modulating muscle tone through SCS can provide a stable postural foundation to enhance functional oral motor skills. Outcomes are measured after 4 weeks (one month) of intervention, focusing on mouth opening range, drooling frequency and severity, and overall oral motor functions

Detailed description

This study follows a Randomized Controlled Trial (RCT) design. Children with spastic cerebral palsy are screened for inclusion based on impaired oromotor control and persistent neck muscle tension. The Control Group receives a designed oral motor program aimed at improving oral motor functions, mouth opening, and drooling severity, conducted over 4 weeks (one month). The Study Group receives the same designed oral motor program, preceded by the Strain Counter-Strain (SCS) technique applied to the masseter, sternocleidomastoid (SCM), scalenes, upper trapezius, and suprahyoid muscles. The SCS technique aims to normalize cervical alignment and release restrictive tension in the orofacial region. Outcome Measures: Functional and physical changes are assessed at baseline and after the 4-week period. The primary outcomes include: Mouth opening range (measured in centimeters). Drooling frequency and severity (using standardized scales). Oral motor functions (evaluated through standardized scales). The comparison seeks to demonstrate how stabilizing the proximal postural base through SCS facilitates refined distal oromotor performance

Conditions

• Sialorrhea
• Spastic Cerebral Palsy (sCP)
• Strain Counterstrain Technique
• Oral Motor Functions
• Mouth Opening

Interventions

Type	Name	Description
PROCEDURE	Strain Counter-Strain (SCS)	A manual therapy technique used to release myofascial tightness and muscle tension in the head and neck region to provide a stable postural foundation for oromotor skills
PROCEDURE	Designed Oral Motor Program	A structured exercise program designed to enhance oral motor functions, including feeding efficiency, mouth opening range, and drooling

Timeline

• Start date: 2026-01-20
• Primary completion: 2026-04-15
• Completion: 2026-05-30
• First posted: 2026-04-08
• Last updated: 2026-04-14

Locations

1 site across 1 country: Egypt