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

Primary Purpose

Mastication Disorder

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Functional Chewing Training
Classical Oral Motor Exercises
Sponsored by
Hacettepe University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mastication Disorder focused on measuring drooling, tongue thrust

Eligibility Criteria

4 Years - 6 Years (Child)All SexesDoes not accept healthy volunteers

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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Functional Chewing Training

    Control

    Arm Description

    Children with CP and have tongue thrust included this group.

    Children with CP and have tongue thrust included this group.

    Outcomes

    Primary Outcome Measures

    Tongue Thrust Rating Scale
    Tongue thrust for each child is scored while they are feeding.

    Secondary Outcome Measures

    The Drooling Severity and Frequency Scale
    Parents were asked how often and in which severity experiencing drooling their children.

    Full Information

    First Posted
    June 13, 2017
    Last Updated
    June 19, 2017
    Sponsor
    Hacettepe University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03194048
    Brief Title
    Effect of Functional Chewing Training on Tongue Thrust and Drooling in Children With Cerebral Palsy
    Official Title
    Effect of Functional Chewing Training on Tongue Thrust and Drooling in Children With Cerebral Palsy: A Randomised Controlled Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    December 16, 2015 (Actual)
    Primary Completion Date
    December 20, 2015 (Actual)
    Study Completion Date
    April 1, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Hacettepe University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Mastication Disorder
    Keywords
    drooling, tongue thrust

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    32 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Functional Chewing Training
    Arm Type
    Experimental
    Arm Description
    Children with CP and have tongue thrust included this group.
    Arm Title
    Control
    Arm Type
    Active Comparator
    Arm Description
    Children with CP and have tongue thrust included this group.
    Intervention Type
    Other
    Intervention Name(s)
    Functional Chewing Training
    Other Intervention Name(s)
    FuCT
    Intervention Description
    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
    Intervention Name(s)
    Classical Oral Motor Exercises
    Intervention Description
    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
    Primary Outcome Measure Information:
    Title
    Tongue Thrust Rating Scale
    Description
    Tongue thrust for each child is scored while they are feeding.
    Time Frame
    12 weeks
    Secondary Outcome Measure Information:
    Title
    The Drooling Severity and Frequency Scale
    Description
    Parents were asked how often and in which severity experiencing drooling their children.
    Time Frame
    12 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    4 Years
    Maximum Age & Unit of Time
    6 Years
    Accepts Healthy Volunteers
    No
    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
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Özgü İnal
    Organizational Affiliation
    Hacettepe University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided
    Citations:
    Citation
    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.
    Results Reference
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    Effect of Functional Chewing Training on Tongue Thrust and Drooling in Children With Cerebral Palsy

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