Systematic review : Effect of oromotor exercises on feeding in children with cerebral palsy / Rania Faried Elsayed Elnagar ; Supervised Faten Hassan Abdelaziem , Alaa Fahmy Hassan Alnemr

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

Background: Feeding problems are prevalent in children with cerebral palsy. Oromotor exercises should be started as soon as possible to enhance chewing and drooling. Aim of this systematic review: to systematically review the effect of oromotor exercises on feeding; chewing and drooling in children with cerebral palsy. Methods: A search was made in databases PubMed, Cochrane Library, Google Scholar and PEDro from August 2019 to December 2020. The inclusion criteria were: All published study designs studying the effect of oromotor exercises in children with cerebral palsy except non-randomized controlled AB single subject research design, bench research, case study or report, expert opinion, common sense/anecdotes and review articles. Studies included children ranging in age from 18 months to 18 years old with cerebral palsy which demonstrated the effect of oromotor exercises in the form of active exercises, passive exercises and sensory stimulation.The primary outcomes were chewing and drooling.Two independent reviewers assessed the methodological quality and extracted data of included studies. Results: Only 7 articles were met the inclusion criteria underwent quality appraisal. The existing data wasn{u2019}t homogenous.The current studies were analyzed using descriptive analysis. Oromotor exercises are effective in improving drooling while not effective in improving chewing with weak evidence in both drooling and chewingparticipants in the included studies and different techniques of oromotor exercises

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