Effect of Functional Chewing Training on Tongue Thrust and Drooling in Children With Cerebral Palsy

Study Overview
=================
Brief Summary
-----------------
This study examined the effect of Functional Chewing Training(FuCT) on tongue thrust and drooling in children with cerebral palsy.

Detailed Description
-----------------
Children were divided into two groups: The FuCT group and control group receiving classical oral motor exercises. Each group received training for 12 weeks. Oral motor assessment was performed. Chewing performance level was determined with the Karaduman Chewing Performance Scale(KCPS). Tongue thrust severity was evaluated with the Tongue Thrust Rating Scale(TTRS). The Drooling Severity and Frequency Scale(DSFS) was used to evaluate drooling severity and frequency. The evaluations were performed before and after treatment.

Official Title
-----------------
Effect of Functional Chewing Training on Tongue Thrust and Drooling in Children With Cerebral Palsy: A Randomised Controlled Trial

Conditions
-----------------
Mastication Disorder

Intervention / Treatment
-----------------
* Other: Functional Chewing Training
* Other: Classical Oral Motor Exercises


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: diagnosed with cerebral palsy aged between 4-6 years fed by orally had tongue thrust Exclusion Criteria: children who were unable the sitting position

Ages Eligible for Study
-----------------
Minimum Age: 4 Years
Maximum Age: 6 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Functional Chewing Training<br>Children with CP and have tongue thrust included this group. | Other: Functional Chewing Training<br>* FuCT; Family training Providing optimal sitting posture for children to support oral sensorimotor functions Positioning the food to the molar area during every meal to stimulate lateral and rotational tongue movements Massage of the upper and lower gums through the front teeth to molar area Chewing training to stimulate lateral and rotational tongue movements Gradually increasing the food consistency, for 12 weeks in 5 sets (1 set = 20 min) each day<br>* Other names: FuCT;|
| Active Comparator: Control<br>Children with CP and have tongue thrust included this group. | Other: Classical Oral Motor Exercises<br>* Classical Oral Motor Exercises; Family training passive and active lip and tongue exercises, for 12 weeks in 5 sets (1 set = 20 min) each day<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tongue Thrust Rating Scale | Tongue thrust for each child is scored while they are feeding. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Drooling Severity and Frequency Scale | Parents were asked how often and in which severity experiencing drooling their children. | 12 weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
drooling, tongue thrust