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

NCT ID: NCT03194048

Last Updated: 2017-06-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-12-16
• Study Completion Date: 2016-04-01

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.

Conditions

Mastication Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Functional Chewing Training

Children with CP and have tongue thrust included this group.

Group Type: EXPERIMENTAL

Functional Chewing Training

Intervention Type: OTHER

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

Control

Children with CP and have tongue thrust included this group.

Group Type: ACTIVE_COMPARATOR

Classical Oral Motor Exercises

Intervention Type: OTHER

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

Interventions

Functional Chewing Training

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

Intervention Type: OTHER

Classical Oral Motor Exercises

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

Intervention Type: OTHER

Other Intervention Names

FuCT

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

• Minimum Eligible Age: 4 Years
• Maximum Eligible Age: 6 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hacettepe University

OTHER

Sponsor Role: lead

Responsible Party

Özgü İNAL

Özgü İNAL

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Özgü İnal

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

References

Rempel GR, Colwell SO, Nelson RP. Growth in children with cerebral palsy fed via gastrostomy. Pediatrics. 1988;82:857-862. Allen MC, Capute A. The evolution of primitive reflexes in extremely premature infants. Pediatr Res. 1986;20:1284-1289. Blasco PA. Primitive reflexes: their contribution to the early detection of cerebral palsy. Clinical pediatrics. 1994;33:388-397. Singh S, Dua P, Jain S. Habit breaking appliance for tongue thrusting-a modification. Indian J Dent Sci. 2011;3:10.

Reference Type: BACKGROUND

Other Identifiers

özgü inal

Identifier Type: -

Identifier Source: org_study_id