Feasibility Of Oral Sensorimotor Stimulation On Oropharyngeal Dysphagia In Children With Spastic Cerebral Palsy

Feasibility Of Oral Sensorimotor Stimulation And Sequenced Trunk Co-Activation On Oropharyngeal Dysphagia In Children With Spastic Cerebral Palsy: A Randomized Controlled Trial

Children with CP encounter swallow and feeding impairments, especially in infancy and childhood with long meal times with late development of oral motor skills resulting in poor growth.

this study will be conducted to explore the feasibility of oral sensorimotor stimulation combined with sequenced trunk co-activation on oropharyngeal dysphagia in children with spastic quadriplegic CP.

Inclusion criteria

• Diagnosed as spastic quadrilepgic CP
• Both genders
• Aged from 12 to 48 months
• Scored ≤ 10 on an initial evaluation of Oral Motor Assessment Scale.
• Having at least a problem of oral motor functions (drooling, swallowing, and/or sucking); independent feeding
• Grade ≥ 2 spasticity according to the MAS
• Level IV and V motor function according to the GMFCS-R&E.
• Partial head and trunk control. Exclusion criteria
• Gum and/or dental problems
• Congenital problems of mouth and soft plate
• Uncontrolled seizures
• Any metabolic disorders
• Cardiopulmonary disorders
• Significant mental problems.