The Effects of Neurodevelopmental Therapy on Feeding and Swallowing.
Condition: Cerebral Palsy
MeSH terms: Cerebral Palsy
Study type: Interventional

Summary: 
      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).
    

Detailed 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.
    

Intervention name(s): Structured neck and trunk stabilization exercises; Feeding and oral motor intervention strategies; Caregiver training related to feeding
Intervention type(s): Other; Other; Other
Intervention description(s): Intensive structured neck and trunk stabilization exercises based on Neurodevelopmental therapy method-Bobath concept principles. These exercises were performed for 6 weeks, 2 days a week, 45 minutes for a total of 12 sessions.; Feeding and oral motor intervention strategies program were performed for 6 weeks, 2 days a week, 45 minutes for a total of 12 sessions.; In caregiver training related to feeding; a) positioning and feeding technique during feeding, b) ensuring safety for aspiration, c) using suitable containers and ingredients, d) adjusting (adapting) food consistency properly, e) preparing small amounts of high-calorie, balanced diet and f) reducing food spillage while feeding and how to ensure efficacy for shortening the feeding time, g) providing appropriate postural and physical support for self-feeding. All of these activities were continued for 6 weeks with a home program.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Neck-trunk stabilization exercise. Feeding. Swallowing