Authors : Shrivani T.; Abhipsha Biswal; Kurinji Chelvan S.

Volume/Issue : Volume 10 - 2025, Issue 9 - September

Google Scholar : https://tinyurl.com/2x8vewam

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DOI : https://doi.org/10.38124/ijisrt/25sep918

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Abstract : Background Drooling occurs in nearly half of the population of individuals with cerebral palsy, with spastic cerebral palsy being the most prevalent type. This study aims at administration of oromotor therapy as a parent mediated intervention and in obtaining a quantified data of the measure of improvement among the children with spastic cerebral palsy.  Method A quasi-experimental study was conducted with parents, of children with spastic cerebral palsy that have drooling, as participants. Children with spastic cerebral palsy aged 5 to 15 years were screened using Modified Ashworth Scale (MAS), Gross Motor Function Classification Scale (GMFCS), drooling severity and frequency scale (DSFS). Oromotor Therapy (OMT) was administered to 20 children with spastic cerebral palsy via a parent mediated intervention, following which drooling was evaluated using the Drooling Impact Scale. Over the course of 10 weeks, a single group received OMT, with a frequency of three sessions per week, each session lasting thirty minutes.  Result From the statistical analysis, it is shown that there is a significant difference in the pre-test and post-test scores, and drooling significantly decreased which suggest the effectiveness of oromotor therapy through parent mediated intervention for drooling in children with spastic cerebral palsy.  Conclusion The result of the study concludes that there is a reduction in drooling through the administration of parent mediated intervention among the children with spastic cerebral palsy.

Keywords : Spastic Cerebral Palsy, Oromotor Therapy, Parent Mediated Intervention.

References :

1. 2025 ICD-10-CM Diagnosis Code G80.9: Cerebral palsy, unspecified [Internet]. [cited 2025 Jan 16]. Available from: https://www.icd10data.com/ICD10CM/Codes/G00-G99/G80-G83/G80-/G80.9
2. WH-1995-Sep-Oct-p22-23-eng. WHO; 2007.
3. Lakraj AA, Moghimi N, Jabbari B. Sialorrhea: anatomy, pathophysiology and treatment with emphasis on the role of botulinum toxins. Toxins. 2013 May 21;5(5):1010–31.
4. Stuchell RN, Mandel ID. Salivary gland dysfunction and swallowing disorders. Otolaryngol Clin North Am. 1988 Nov;21(4):649–61.
5. Awaad HM, Aly MG, Kamal HM. Kinesio Taping Versus Oromotor Training on Drooling in Children with Spastic Cerebral Palsy: Comparative Study. Egypt J Hosp Med. 2023 Apr 1;91(1):4462–7.
6. Min K chul, Seo S min, Woo H soon. Effect of oral motor facilitation technique on oral motor and feeding skills in children with cerebral palsy : a case study. BMC Pediatr. 2022 Nov 3;22(1):626.
7. Drooling of saliva in children with cerebral palsy—etiology, prevalence, and relationship to salivary flow rate in an Indian population - Hegde - 2009 - Special Care in Dentistry - Wiley Online Library [Internet]. [cited 2025 Jan 17]. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1754-4505.2009.00085.x
8. Chang SC, Lin CK, Tung LC, Chang NY. The association of drooling and health-related quality of life in children with cerebral palsy. Neuropsychiatr Dis Treat. 2012;8:599–604.
9. Walshe M, Smith M, Pennington L. Interventions for drooling in children with cerebral palsy. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews [Internet]. Chichester, UK: John Wiley & Sons, Ltd; 2012 [cited 2025 Jan 16]. p. CD008624.pub2. Available from: https://doi.wiley.com/10.1002/14651858.CD008624.pub2
10. Min K chul, Seo S min, Woo H soon. Effect of oral motor facilitation technique on oral motor and feeding skills in children with cerebral palsy : a case study. BMC Pediatr. 2022 Nov 3;22(1):626.
11. Joffe V, Pring T. Children with phonological problems: a survey of clinical practice. Int J Lang Commun Disord. 2008;43(2):154–64.
12. Kamal SM. The Use of Oral Motor Exercises among Speech Language Pathologists in Jordan. J Lang Teach Res. 2021 Jan 1;12(1):99–103.
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.
14. Kumin L. Speech intelligibility and childhood verbal apraxia in children with Down syndrome. Syndr Res Pract J Sarah Duffen Cent. 2006 Jul;10(1):10–22.
15. Rao VS, Srikanth N, Santosh S, Sathya Lakshmi Ps, Athira Nd, Sowmya Hr, et al. Parent Mediated Interventions for Children with Autism across India: A Qualitative Study. J Indian Assoc Child Adolesc Ment Health. 2024 Jan;20(1):59–64.
16. Iram H, Khan MSG, Maqsud M. Effectiveness of Non-Invasive Interventions in Controlling Drooling.
17. Fairhurst CBR, Cockerill H. Management of drooling in children. Arch Dis Child - Educ Pract. 2010 Dec 28;96(1):25–30.
18. Novak I, Cusick A. Home programmes in paediatric occupational therapy for children with cerebral palsy: Where to start? Aust Occup Ther J. 2006;53(4):251–64.
19. Cullenward J, Curtin M, Santos VD. Characteristics of effective parent-mediated interventions for parents of children with neurodevelopmental disorders in rural areas: a systematic review protocol. BMJ Open. 2024 Aug 1;14(8):e083464.
20. Mallick E, Sethy D, Bajpai P. Effect of Oral Sensorimotor Stimulation on Drooling and its Relationship with Feeding Behavior in Children with Spastic Cerebral Palsy. Indian J Physiother Occup Ther - Int J. 2017;11(4):105.
21. Malokar A, Mridha C, Kale K. To Study the Effectiveness of Roods Approach Versus Oromotor Stimulation Exercise on Drooling Cerebral Palsy Children - A Randomized Control Trial. Int J Health Sci Res. 2023 Nov 28;13(11):342–50.
22. Nimmy A, Priya S, Evans EC. Oromotor rehabilitation on drooling and feeding activities in children with cerebral palsy: A case study. Physiother - J Indian Assoc Physiother. 2024 Jan;18(1):57–60.
23. Bavikatte G, Sit PL, Hassoon A. Management of Drooling of saliva. 2012;5(1).
24. Zanon D. ResearchGate. [cited 2025 Jan 16]. Drooling Impact Scale. Available from: https://www.researchgate.net/figure/Drooling-Impact-Scale-13_fig1_355975967
25. Baghbadorani MK, Soleymani Z, Dadgar H, Salehi M. The Effect of Oral Sensorimotor Stimulations on Feeding Performance in Children with Spastic Cerebral Palsy.
26. Alexandar R. alexander1987. Thieme Medical Publishers, Inc., 381 Park Avenue South, New York,N.Y 10016; 2007.