Effects of Oral Motor Therapy in Children With Cerebral Palsy

Study Overview
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Brief Summary
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: CP is a neurodevelopmental condition. A set of irreversible impairments of movement and posture development, resulting in activity limitation. Acquired CP can be the outcome of a variety of issues that arise after the first 28 days of a baby's existence. A CP diagnosis can now be made as early as 16 weeks. speech-language pathologists (SLPs) began collaborating with OTs and PTs for Infants and toddlers who also struggle with speech impediments, feeding and swallowing disorder. Oral motor exercises (OMEs), also known as mouth exercises, non-speech oral motor training, and oral motor treatment were designed for their treatment. The objective of this study was to assess the effects of oral motor exercises in children with cerebral palsy having feeding and swallowing difficulties.

Detailed Description
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Over 17 million people throughout the world are living with cerebral palsy (CP), making it the most common physical disability among children. CP is a neurodevelopmental condition[1]. Cerebral palsy is a fitting classification of the condition and its associated deficits because the word cerebral means pertaining to the brain and palsy means loss of muscle control. A set of irreversible impairments of movement and posture development, resulting in activity limitation, that are linked to non-progressive disruptions that occurred in the developing foetus or infant brain, was chosen as the official definition of CP in 2005 by the International Consensus [2]. It's important to keep in mind that the phrase cerebral palsy refers to a spectrum of conditions, each of which has its own unique appearance, set of symptoms, and prevalence rate within the general population. In addition to the musculoskeletal and neurological symptoms of CP, epilepsy and other sensory and cognitive impairments are also common

Official Title
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Effects of Oral Motor Therapy in Children With Cerebral Palsy ; A Randomized Control Trial

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Oral Motor Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: CP children already diagnosed with feeding and swallowing difficulties. Age range: 4 to13 years Exclusion Criteria: Patients with any co morbid conditions like uncontrolled epilepsy. Patients on NG or feeding tube.

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 13 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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Oral Motor Therapy<br>These are exercises designed to increase the range of movement in tongue, lips, and jaw, which helped in speech and/or swallow functioning. It is important to move the designated area as far as can in each direction until feel the muscles stretch. Stop if feel any pain, and mention it to speech therapist or doctor. Practice these exercises, once through, 10 times a day. | Other: Oral Motor Therapy<br>* In Traditional therapy we will give cognitive and articulation therapy to the patients.<br>* Other names: Traditional Therapy;|
| Other: Traditional Therapy<br>weeks traditional Speech Therapy was provided. Pre-language skills (vocalizations) manual sign languages, gestures, picture communication boards, voice output communication devices were used. Playing and talking, using pictures, books, objects, or ongoing events to help language development. Use of repetition exercises to build speech and language skills. | Other: Oral Motor Therapy<br>* In Traditional therapy we will give cognitive and articulation therapy to the patients.<br>* Other names: Traditional Therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feeding Oral Motor scale | This tool is used to evaluate the posture, jaw mobility, tongue activity, lips, feeding behavior, abnormal reflexes and breathing control | upto 16 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Drooling severity and frequency scale | This tool is used to check the severity of drooling | upto 24 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Oral Motor Therapy, Cerebral palsy, Drooling scale, Feeding and Swallowing