The Effects of Oral Facial Facilitation and Oral Motor Therapy in Dysphagia

Официальное название

The Effects of Oral Facial Facilitation and Oral Motor Therapy in Dysphagia with Spastic Cerebral Palsy

Обзор

The objective of this research is to investigate the impact of oral facial facilitation and oral motor therapy dysphagia in individuals with spastic cerebral palsy. Specifically, the study aims to: * Evaluate changes in dysphagia and severity following a regimen of oral motor therapy and oral facial facilitation. * Assess improvements in swallowing function, including ease of swallowing and reduction in dysphagia symptoms, after implementing oral motor therapy and oral facial facilitation.

Вмешательства

• Другое ORAL FACIAL FACILITATION
  A group will receive oral facial facilitation which included exercise for given, 1. Brushing 2. Vibration 3. Manipulation (stroking and tapping) 4. Oral motor sensory exercise (lip, tongue, swallowing exercises)
• Другое ORAL MOTOR THERAPY
  B group will receive oral motor therapy which included exercise for given, 1. A volcano bubbles 2. Party blower target 3. Bubble blowing 4. Curly straws
• Другое ORAL FACIAL FACILITATION WITH ORAL MOROR THERAY
  C group will receive oral facial facilitation and oral motor therapy which included exercise for given, 1. Brushing 2. Vibration 3. Manipulation (stroking and tapping) 4. Oral motor sensory exercise (lip, tongue, swallowing exercises) 5. A volcano bubbles 6. Party blower target 7. Bubble blowing 8. Curly straws

Первичные конечные точки

• functional oral intake scale [Срок оценки: through study completion, an average of 6 months]
• Simplified dysphagia severity rating scale [Срок оценки: through study completion, an average of 6 months]
• Eating Assessment Tool-10 [Срок оценки: through study completion, an average of 6 months]

Критерии участия

Критерии включения

• 1\. Confirmed diagnosis of spastic cerebral palsy (CP) by a qualified medical professional.

2\. Participants aged 3 to 7 years, as this is a common demographic affected by spastic CP.

3\. Clinical diagnosis of dysphagia, confirmed by a speech-language pathologist or related healthcare provider.

4\. No recent significant changes in neurological status or medical condition within the last six months.

5\. Sufficient cognitive ability to follow simple instructions during therapy sessions, as assessed by a qualified professional.

6\. Parental or guardian consent obtained for participants under 18, along with assent from participants when appropriate.

7\. No recent (within the last three months) oral motor therapy interventions that could confound results.

8\. Willingness and ability of the participant to engage in therapy sessions consistently.

9\. Clearance from a physician to participate in oral motor therapy and related interventions.

Критерии исключения

• 1\. Diagnosis of other neurological disorders or conditions that may affect swallowing or motor skills.

2\. Serious medical conditions or comorbidities that could interfere with therapy (e.g., severe respiratory issues).

3\. Any surgical interventions affecting the oral or pharyngeal region within the last year.

4\. Concurrent participation in other clinical trials or interventions that could affect swallowing outcomes.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Другое

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Публикации

• Furkim AM, Behlau MS, Weckx LLM. The use of cervical auscultation in tracheal aspiration in children with cerebral palsy. Rev. CEFAC. 2009;11(4):624-9.
• IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 8 Ver. VI (Aug. 2015), PP 09-13
• Kumari P., Nikkitha E. To compare the effects of oral facial facilitation and oral motor therapy in decreasing drooling in children with spastic cerebral palsy. Int. J. Pharm. Biol. Sci. 2018;8:397-402.
• Ottenbacher K, Scoggins A, Wayland J. The effectiveness of a program of oral sensory-motor therapy with the severely and profoundly developmentally disabled. Occup Ther J Res 1981; 1: 147-60
• Walton K, Daniel AI, Mahood Q, Vaz S, Law N, Unger SL, O'Connor DL. Eating Behaviors, Caregiver Feeding Interactions, and Dietary Patterns of Children Born Preterm: A Systematic Review and Meta-Analysis. Adv Nutr. 2022 Jun 1;13(3):875-912. doi: 10.1093/advances/nmac017. PMID 35157009
• Simons A, Hamdy S. The Use of Brain Stimulation in Dysphagia Management. Dysphagia. 2017 Apr;32(2):209-215. doi: 10.1007/s00455-017-9789-z. Epub 2017 Mar 28. PMID 28353151
• Sigan SN, Uzunhan TA, Aydinli N, Eraslan E, Ekici B, Caliskan M. Effects of oral motor therapy in children with cerebral palsy. Ann Indian Acad Neurol. 2013 Jul;16(3):342-6. doi: 10.4103/0972-2327.116923. PMID 24101813
• Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14. PMID 17370477

Идентификаторы

NCT: NCT06785220 · OMT and OFF in Dysphagia

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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