Evaluation of The Effect of Neck and Trunk Stabilization Exercises on Quality of Life and Communication in Children With Cerebral Palsy With Oral Motor Problem
Phase: NA
Conditions: Cerebral Palsy
Sponsor: Marmara University

 
 
 
 
“Evaluation of The Effect of Neck and Trunk Stabilization Exercises on 
Quality of Life and Communication in Children with Cerebral Palsy with 
Oral Motor Problem” 
 
NCT04214080 
 
23.03.2018 
 
 
 
 
 

STUDY PROTOCOL 
Scientific Background: 
Trunk control of children with CP has been affected by 
spasticity, weakness in the trunk muscles, incoordination 
activation of trunk extensor and flexor muscles. Trunk 
stabilization exercises are an essential component of the mobility 
of distal part of body, including neck movements. Strengthening 
the deep neck flexor muscles and bridge exercise improves trunk 
control in children with CP. The positive effects of neck and 
trunk stabilization exercises on static and dynamic trunk balance, 
on upper limb and visuoperceptual function in CP have been 
mentioned in the literature.  
Objectives: 
According to literature there was a relationship between vocal 
functions and posture, active trunk movements has an important 
role in sound production and lastly trunk stabilization, balance 
and activity level components are in relationship with each other. 
Thus in this study, it was aimed to investigate the effects of neck 
and trunk stabilization exercises on communication, activities of 
daily living and quality of life in children with CP with oral 
motor problem. 
Design: 
The effects of structured neck and trunk stabilization exercises 
program giving together with feeding and oral-motor 
intervention strategies in children with Cerebral Palsy with oral 
motor problem: a randomized, single-blind, placebo controlled 
study. In this study, children were divided into study and control 
groups using a randomized numbers table. Structured oral motor 
rehabilitation and Neurodevelopmental therapy method-Bobath 
concept (NDT-B) approach was performed to all of the children 
who were in accordance with the inclusion criteria and approved 
by their families. In addition to the structured oral motor 
rehabilitation and NDT-B approach, Study group was received 
intensive structured neck and trunk stabilization exercises based 
on NDT-B principles. 

Sponsor: 
Marmara University, Istanbul, Turkey 
Measured Parameters: 
-Gross motor functions,   
-Daily communication performance,  
-Speech production,  
-The capacity to do the activities in daily life,  
-The physical functions, psychosocial functions and school 
functionality independent of disease in children,   
-Evaluation of trunk in sitting position. 
Study Center: 
Marmara University Pendik Education And Research Hospital, 
Istanbul, Turkey 
All procedures performed in studies involving human participants were in accordance with 
the ethical standards of the institutional and/or national research committee and with the 1964 
Helsinki declaration and its later amendments or comparable ethical standards. Ethical 
approval was obtained from the Marmara University Faculty of Medicine Clinical Research 
Ethics Committee protocol code 09.2018.278.