Effect of Kinesio Tape on Oral and Pharangeal Swallowing Phases in Children With Spastic Cerebral Palsy

Study Overview
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Brief Summary
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The purpose of current study is to investigate the effect of kinesio tape in children with spastic cerebral palsy having oropharyngeal dysphagia

Detailed Description
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The study tageted rhe children with spastic cerebral palsy from both sexes will be selected from hospital of Tanta university Inclusion criteria: Age ranges from 2 to 7 years. The degree of dysphagia ranges from 4 to 6 level according to functional oral intake scale (appendix II). Diagnosed as spastic diplegia or quadriplegia. Able to understand and follow instructions. Exclusion criteria: Children will be excluded if they have any of the following criteria: Severe visual and auditory problems. History of maxillary, head or neck surgical procedures. Botulinum toxin treatment of upper esophageal sphincter dysfunction, esophageal dysphagia and/or gastroesophageal reflux disease during the previous six months.

Official Title
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Effect of Kinesio Tape on Oral and Pharangeal Swallowing Phases in Children With Spastic Cerebral Palsy

Conditions
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Dysphagia, Oropharyngeal, Cerebral Palsy

Intervention / Treatment
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* Other: Kinesio tape


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ranges from 3 to 7 years. The degree of dysphagia ranges from 4 to 6 level according to functional oral intake scale (appendix II). Diagnosed as spastic diplegia or quadriplegia. Able to understand and follow instructions. Exclusion Criteria: Children will be excluded if they have any of the following criteria: Severe visual and auditory problems. History of maxillary, head or neck surgical procedures. Botulinum toxin treatment of upper esophageal sphincter dysfunction, esophageal dysphagia and/or gastroesophageal reflux disease during the previous six months.

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 7 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: Active Comparator: Kinesiotape Group In active group, KT was applied in masseter muscle, orbicularis oris and infrahyoid muscles for facilitating suprahyoid muscle and oral sensorimotor exercise In sham group will receive the oral sensorimotor exercise only
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Hamza<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Sham Comparator: Noor mohamed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Janna ahmed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Hamza salah<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Sham Comparator: Mohammed asel<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Ali ahmed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Sham Comparator: Malek Mohamed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Sayed Mohamed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Omar ahmed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Sham Comparator: Ahmed Mohamed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Sham Comparator: Yousef salah<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Rofan ahmed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Sham Comparator: Kinesio tape hasnot assigned to arm group Exercise only<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Fareda salah<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|
| Active Comparator: Abd elrahman ahmed<br> | Other: Kinesio tape<br>* Kinesiotape is applied on masseter muscle, orbi and infrahyoid muscles for facilitating suprahyoid muscle<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oral motor assessment sacle | Assessment for oral phase | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ultrasonography | Assessment of pharangal phase | 1 month |