Effect of SCS Technique on Oromotor Skills in Children With CP

This study follows a Randomized Controlled Trial (RCT) design. Children with spastic cerebral palsy are screened for inclusion based on impaired oromotor control and persistent neck muscle tension.

The Control Group receives a designed oral motor program aimed at improving oral motor functions, mouth opening, and drooling severity, conducted over 4 weeks (one month).

The Study Group receives the same designed oral motor program, preceded by the Strain Counter-Strain (SCS) technique applied to the masseter, sternocleidomastoid (SCM), scalenes, upper trapezius, and suprahyoid muscles. The SCS technique aims to normalize cervical alignment and release restrictive tension in the orofacial region.

Outcome Measures: Functional and physical changes are assessed at baseline and after the 4-week period. The primary outcomes include:

Mouth opening range (measured in centimeters). Drooling frequency and severity (using standardized scales). Oral motor functions (evaluated through standardized scales). The comparison seeks to demonstrate how stabilizing the proximal postural base through SCS facilitates refined distal oromotor performance

Inclusion criteria

• Chronological age was 4 - 8 years from gender was selected
• Their degrees of spasticity were 1, 1+ according to modified Ashworth scale.
• They had moderate drooling according to modified drooling questionnaire.
• Mouth opening limitation was less than 3 cm.
• Their levels of motor function were II - III- IV according to gross motor function classification system.
• Their levels of feeding abilities were III on Eating and Drinking Ability Classification System.
• Children were able to follow instruction

Exclusion criteria

• Any history of jaw, head, and face trauma.
• Facial or dental developmental abnormalities.
• Any history of head and neck surgical intervention.
• Congenital abnormalities of head and neck