Decreasing Drooling With Oral Motor Stimulation in Children With Multiple Disabilities

Domaracki, Leigh Strawbridge; Sisson, Lori A.

doi:10.5014/ajot.44.8.680

Cited by 29 publications

(19 citation statements)

References 11 publications

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“…Two patients received oral motor training for 1 h on school days, but no reduction in drooling was observed. [13] In a different study of eight CP patients six of whom had moderate-to-severe mental retardation, oral motor training helped reduce drooling. [14] These contradictory findings may be the result of small patient populations, lack of control groups and differences in training programs and their duration.…”

Section: Discussionmentioning

confidence: 99%

Effects of oral motor therapy in children with cerebral palsy

Sığan

Uzunhan

Aydınli̇

et al. 2013

Ann Indian Acad Neurol

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Aim:Oral motor dysfunction is a common issue in children with cerebral palsy (CP). Drooling, difficulties with sucking, swallowing, and chewing are some of the problems often seen. In this study, we aimed to research the effect of oral motor therapy on pediatric CP patients with feeding problems.Materials and Methods:Included in this single centered, randomized, prospective study were 81 children aged 12-42 months who had been diagnosed with CP, had oral motor dysfunction and were observed at the Pediatric Neurology outpatient clinic of the Children's Health and Diseases Department, Istanbul Medical Faculty, Istanbul University. Patients were randomized into two groups: The training group and the control group. One patient from the training group dropped out of the study because of not participating regularly. Following initial evaluation of all patients by a blinded physiotherapist and pedagogue, patients in the training group participated in 1 h oral motor training sessions with a different physiotherapist once a week for 6 months. All patients kept on routine physiotherapy by their own physiotherapists. Oral motor assessment form, functional feeding assessment (FFA) subscale of the multidisciplinary feeding profile (MFP) and the Bayley scales of infant development (BSID-II) were used to evaluate oral motor function, swallowing, chewing, the gag reflex, the asymmetrical tonic neck reflex, tongue, jaw, and mouth function, severity of drooling, aspiration, choking, independent feeding and tolerated food texture during the initial examination and 6 months later.Results:When the initial and post-therapy FFA and BSID-II scores received by patients in the training and the study group were compared, the training group showed a statistically significant improvement (P < 0.05).Conclusion:Oral motor therapy has a beneficial effect on feeding problems in children with CP.

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Section: Discussionmentioning

confidence: 99%

Effects of oral motor therapy in children with cerebral palsy

Sığan

Uzunhan

Aydınli̇

et al. 2013

Ann Indian Acad Neurol

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“…The use of biofeedback systems to improve background swallowing frequency has also been looked at in some centres with a degree of success 13. Here, an auditory cue is used to remind an individual to swallow, helping them to develop a better pattern of control.…”

Section: Managementmentioning

confidence: 99%

Management of drooling in children

Fairhurst

Cockerill

2010

Archives of Disease in Childhood - Education and Practice

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“…Sixteen studies investigated the effects of OME on swallowing in children 14,25–39 . Eight studies examined the effects of OME on swallowing physiology (), six studies examined functional swallowing outcomes (), and five studies explored the effects of OME on drooling ().…”

Section: Resultsmentioning

confidence: 99%

“…Two of the five studies were controlled trials so all eight quality markers applied 25,34 . The remaining three were considered single‐subject designs so the eighth marker (intent‐to‐treat analysis) was not relevant 27,35,38 . Two of the single‐subject design studies provided an adequate description of included participants 35,38 and two used validated outcome measures 27,35 .…”

Section: Resultsmentioning

confidence: 99%

The effects of oral‐motor exercises on swallowing in children: an evidence‐based systematic review

Arvedson

Clark

Lazarus

et al. 2010

Develop Med Child Neuro

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AIM The aim of this unregistered evidence-based systematic review was to determine the state and quality of evidence on the effects of oral motor exercises (OME) on swallowing physiology, pulmonary health, functional swallowing outcomes, and drooling management in children with swallowing disorders.METHOD A systematic search of 20 electronic databases was completed to identify relevant peerreviewed literature published in English between 1960 and 2007. Experimental or quasi-experimental design studies examining OME as a treatment for children with swallowing disorders were appraised for methodological quality by two assessors and reviewed by a third.RESULTS Sixteen studies of varying methodological quality were included. No study examining the effects of OME on pulmonary health in children was identified. The included studies incorporated a wide variety of OME, and mixed findings were noted across all of the outcomes targeted in this review.INTERPRETATION Based on the results of this evidence-based systematic review, there is insufficient evidence to determine the effects of OME on children with oral sensorimotor deficits and swallowing problems. Well-designed studies are needed to provide clinicians with evidence that can be incorporated into the preferences of the client and the clinicians' knowledge of anatomy, physiology, and neurodevelopment in the management of this group of children.Swallowing disorders in children vary widely in terms of clinical presentation, etiology, severity, complexity, and impact on daily life. 1 These disorders range from transient and developmental to multidimensional and chronic or progressive. 2,3 For example, swallowing disorders are common in children with a variety of etiologies that include, but are not limited to, cerebral palsy (CP), genetic syndromes such as Down syndrome, and craniofacial anomalies. These swallowing disorders may involve multiple aspects of the feeding process (e.g. gathering food to the mouth, preparation, etc.), the swallowing process (e.g. bolus formation, oral phase abnormalities, impaired pharyngeal phase function, and reduced upper esophageal sphincter function), as well as difficulty with drooling or managing secretions. 4 Drooling (sialorrhea) most often occurs because of infrequent swallowing of saliva (secretions), and less frequently because of excess saliva production. 5,6 Moreover, these disorders may result in several health-related complications such as inadequate nutritional status and growth, reactive airway disease, and aspiration pneumonia. 7 Other children present with more mild developmental swallowing problems or oral-motor inefficiencies that may not have a negative impact on nutrition or overall health status. Although often considered less severe than other swallowing disorders, these oral motor disorders have been associated with dental malocclusion and mouth open resting posture. 8 Regardless of the etiology or severity, disruptions in the feeding and swallowing process may result in an increased burden to the caregiver, socia...

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Decreasing Drooling With Oral Motor Stimulation in Children With Multiple Disabilities

Cited by 29 publications

References 11 publications

Effects of oral motor therapy in children with cerebral palsy

Effects of oral motor therapy in children with cerebral palsy

Management of drooling in children

The effects of oral‐motor exercises on swallowing in children: an evidence‐based systematic review

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