Kinesio Taping Versus Oromotor Training on Drooling in Children With Spastic Cerebral Palsy

Study Overview
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Brief Summary
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Statement of the problem : Which is more effective for treatment of drooling in children with spastic cerebral palsy; kinesio taping or oromotor training? Null Hypothesis: There will be no difference between the effectiveness of kinesio taping and oromotor training on drooling in children with spastic cp.

Detailed Description
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Subjects: The Study targets the children with spastic cerebral palsy from both sexes , sample size estimation will be carried out to determine the recruited number of children ,Children participating in this study will be selected randomly from Cairo pediatric physical therapy centers to participate in this study. Study Design: A comparative experimental design (Prospective pre-test post-test design with 2 months follow-up evaluation) . Children will be assessed by measuring the drooling before and after two months of receiving intervention.

Official Title
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Kinesio Taping Versus Oromotor Training on Drooling in Children With Spastic Cerebral Palsy

Conditions
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Drooling, Kinesiotape, Cerebral Palsy

Intervention / Treatment
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* Other: KINESIOTAPE
* Other: oromotor training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A diagnosis of spastic cerebral palsy with drooling problem. The age of the selected children will range from 4to 8 years old. Severe degree of drooling according to Drooling Severity and Frequency Scale. Child with good head control Exclusion Criteria: Congenital problems of mouth and soft palate such as cleft lip and palate, jaw anomalies and salivary gland pathologies. Epilepsy. Child receiving drugs that could affect saliva production or other treatments to control drooling just before or during the study. Allergic reactions to the kinesio tape.

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 8 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: 2
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: groupA(Kinesiotape)<br>kinesio tape on orbicularis oris muscle for 45 minute /3times per week for 2 successive months | Other: KINESIOTAPE<br>* kinesiotape will be applied on orbicularis oris muscle<br>|
| Experimental: group B(oromotor training)<br>oromotor training for 45 minute/ 3 times per week for 2 successive months | Other: oromotor training<br>* selected oromotor training: Perioral sensory stimulation ,Tapping,Tongue pressure,Jaw exercises andIntraoral stimulation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| assessment of drooling severity | by using The 5-minute drooling quotient.it is expressed as a percentage of observed drooling episodes. | 2 months for each participant | 
| assessment of drooling severity and frequency | by using The Drooling Severity and Frequency Scale. at severity: score 1:no drool ,score5:profuse drooling. at frequency: score 1:never drool ,score4: constant drool | 2months for each participant |