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

Mastication Disorder Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03194048
• Other study ID #: özgü inal
• Status: Completed
• Phase: N/A
• First received: June 13, 2017
• Last updated: June 19, 2017
• Start date: December 16, 2015
• Est. completion date: April 1, 2016

Study information

• Verified date: June 2017
• Source: Hacettepe University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study examined the effect of Functional Chewing Training(FuCT) on tongue thrust and drooling in children with cerebral palsy.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 32
• Est. completion date: April 1, 2016
• Est. primary completion date: December 20, 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 4 Years to 6 Years

Eligibility

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

Related Conditions & MeSH terms

• Cerebral Palsy
• Mastication Disorder
• Sialorrhea

Intervention

Other:
• 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
• 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

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Hacettepe University

References & Publications (1)

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.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Tongue Thrust Rating Scale	Tongue thrust for each child is scored while they are feeding.	12 weeks
Secondary	The Drooling Severity and Frequency Scale	Parents were asked how often and in which severity experiencing drooling their children.	12 weeks