Effect of Oral Motor Facilitation Technique on Oral Motor and Feeding Skills in Children with Cerebral Palsy : a Case Study

Overview

Journal BMC Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2022 Nov 3

PMID 36324103

Authors

Kyoung-Chul Min

Sang-Min Seo

Hee-Soon Woo

Affiliations

Soon will be listed here.

Abstract

Background: Deficiencies in oral motor function and feeding skills are common in children with cerebral palsy (CP). Oral motor therapy is a useful method to improve oral motor function and feeding skills. Oral motor facilitation technique (OMFT) is a newly designed comprehensive oral motor therapy, including postural control, sensory adaptation, breathing control, sensorimotor facilitation, and direct feeding.

Methods: This study was performed to identify the effect of OMFT on oral motor function and feeding skills in children with CP. A total of 21 children with CP (3-10 years, GMFCS III-V) participated in 16 weeks (16 sessions) of OMFT. The effects on oral motor function and feeding skills were assessed using the Oral Motor Assessment Scale (OMAS) before the treatment, 8 and 16 weeks after OMFT. Data were analyzed using the Friedman test and post-hoc analysis.

Results: Significant improvement was found in oral motor function and feeding skills including mouth closure, lip closure on the utensil, lip closure during deglutition, control of the food during swallowing, mastication, straw suction, and control of liquid during deglutition after OMFT. Mouth closure was the most effective and mastication was the least effective item. Sixteen weeks is more effective than 8 weeks of OMFT.

Conclusion: OMFT could be an effective and useful oral motor therapy protocol to improve oral motor function and feeding skills in children with CP.

Citing Articles

The effect of novel Head and Trunk Control Rehabilitation (HATCoRe) device in children with cerebral palsy: Single-Subject multiple baseline protocol.

Shakya S, Gopalakrishnan S, Anaby D, Madapura S S, Balakrishna Shetty H, Shah H MethodsX. 2024; 12:102649.

PMID: 39687345 PMC: 11647776. DOI: 10.1016/j.mex.2024.102649.

Nutritional management and autism spectrum disorder: A systematic review.

Al-Beltagi M World J Clin Pediatr. 2024; 13(4):99649.

PMID: 39654662 PMC: 11572612. DOI: 10.5409/wjcp.v13.i4.99649.

The Effect of Oral Diet Training in Indwelling Nasogastric Tube Patients with Prolonged Dysphagia.

Choi B, Lee S, Choi E, Lee S, Lee J Nutrients. 2024; 16(15).

PMID: 39125305 PMC: 11314472. DOI: 10.3390/nu16152424.

The evolution of nutrition management in children with severe neurological impairment with a focus on cerebral palsy.

Oftedal S, McCormack S, Stevenson R, Benfer K, Boyd R, Bell K J Hum Nutr Diet. 2024; 38(1):e13277.

PMID: 38196166 PMC: 11589402. DOI: 10.1111/jhn.13277.

Relationship between Sensory Processing Skills and Feeding Behaviors in Children Aged 3-6 Years with Cerebral Palsy with Cerebral Visual Impairment.

Cemali M, Cemali O, Gunal A, Pekcetin S Children (Basel). 2023; 10(7).

PMID: 37508685 PMC: 10378492. DOI: 10.3390/children10071188.

References

Snider L, Majnemer A, Darsaklis V . Feeding interventions for children with cerebral palsy: a review of the evidence. Phys Occup Ther Pediatr. 2010; 31(1):58-77. DOI: 10.3109/01942638.2010.523397. View

Serel Arslan S, Demir N, Karaduman A . Effect of a new treatment protocol called Functional Chewing Training on chewing function in children with cerebral palsy: a double-blind randomised controlled trial. J Oral Rehabil. 2016; 44(1):43-50. DOI: 10.1111/joor.12459. View

Field D, Garland M, Williams K . Correlates of specific childhood feeding problems. J Paediatr Child Health. 2003; 39(4):299-304. DOI: 10.1046/j.1440-1754.2003.00151.x. View

Reilly S, Skuse D, Poblete X . Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a community survey. J Pediatr. 1996; 129(6):877-82. DOI: 10.1016/s0022-3476(96)70032-x. View

Sigan S, Uzunhan T, Aydinli N, Eraslan E, Ekici B, Caliskan M . Effects of oral motor therapy in children with cerebral palsy. Ann Indian Acad Neurol. 2013; 16(3):342-6. PMC: 3788277. DOI: 10.4103/0972-2327.116923. View

Kaviyani Baghbadorani M, Soleymani Z, Dadgar H, Salehi M . The effect of oral sensorimotor stimulations on feeding performance in children with spastic cerebral palsy. Acta Med Iran. 2014; 52(12):899-904. View

Benfer K, Weir K, Bell K, Ware R, Davies P, Boyd R . Longitudinal cohort protocol study of oropharyngeal dysphagia: relationships to gross motor attainment, growth and nutritional status in preschool children with cerebral palsy. BMJ Open. 2012; 2(4). PMC: 3425902. DOI: 10.1136/bmjopen-2012-001460. View

Reilly S, Skuse D . Characteristics and management of feeding problems of young children with cerebral palsy. Dev Med Child Neurol. 1992; 34(5):379-88. DOI: 10.1111/j.1469-8749.1992.tb11449.x. View

Gisel E, Benson J, BOSMA J . Oral-motor skills following sensorimotor therapy in two groups of moderately dysphagic children with cerebral palsy: aspiration vs nonaspiration. Dysphagia. 1996; 11(1):59-71. DOI: 10.1007/BF00385801. View

10.

Gisel E . Oral-motor skills following sensorimotor intervention in the moderately eating-impaired child with cerebral palsy. Dysphagia. 1994; 9(3):180-92. DOI: 10.1007/BF00341263. View

11.

Rogers B . Feeding method and health outcomes of children with cerebral palsy. J Pediatr. 2004; 145(2 Suppl):S28-32. DOI: 10.1016/j.jpeds.2004.05.019. View

12.

de Oliveira Lira Ortega A, Ciamponi A, Mendes F, Santos M . Assessment scale of the oral motor performance of children and adolescents with neurological damages. J Oral Rehabil. 2009; 36(9):653-9. DOI: 10.1111/j.1365-2842.2009.01979.x. View

13.

Arvedson J, Clark H, Lazarus C, Schooling T, Frymark T . The effects of oral-motor exercises on swallowing in children: an evidence-based systematic review. Dev Med Child Neurol. 2010; 52(11):1000-13. DOI: 10.1111/j.1469-8749.2010.03707.x. View

14.

Speyer R, Cordier R, Kim J, Cocks N, Michou E, Wilkes-Gillan S . Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta-analyses. Dev Med Child Neurol. 2019; 61(11):1249-1258. DOI: 10.1111/dmcn.14316. View

15.

Calis E, Veugelers R, Sheppard J, Tibboel D, Evenhuis H, Penning C . Dysphagia in children with severe generalized cerebral palsy and intellectual disability. Dev Med Child Neurol. 2008; 50(8):625-30. DOI: 10.1111/j.1469-8749.2008.03047.x. View

16.

Arvedson J . Feeding children with cerebral palsy and swallowing difficulties. Eur J Clin Nutr. 2013; 67 Suppl 2:S9-12. DOI: 10.1038/ejcn.2013.224. View

17.

Gisel E, Alphonce E, Ramsay M . Assessment of ingestive and oral praxis skills: children with cerebral palsy vs. controls. Dysphagia. 2000; 15(4):236-44. DOI: 10.1007/s004550000033. View