The Role of Medical Rehabilitation: Management of Oromotor Dysfunction (Mechanical and Kinetic Movement Dysfunction) and Speech Therapy in Children with Cerebral Palsy

Authors

Anak Agung Ayu Niti Wedayani , Nurul Ullyani , Novia Andansari Putri Restuningdyah , Linda Silvana Sari , Aris Doyan

DOI:

10.29303/jppipa.v10i11.7580

Published:

2024-11-25

Issue:

Vol. 10 No. 11 (2024): November

Keywords:

Cerebral Palsy, Oromotor dysfunction, Speech therapy, Oral motor

Research Articles

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Wedayani, A. A. A. N., Ullyani, N., Restuningdyah, N. A. P., Sari, L. S., & Doyan, A. (2024). The Role of Medical Rehabilitation: Management of Oromotor Dysfunction (Mechanical and Kinetic Movement Dysfunction) and Speech Therapy in Children with Cerebral Palsy. Jurnal Penelitian Pendidikan IPA, 10(11), 9879–9885. https://doi.org/10.29303/jppipa.v10i11.7580

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Abstract

Cerebral palsy (CP) is a non-progressive motor disorder caused by prenatal, perinatal, and postnatal factors, leading to movement and posture abnormalities. In Indonesia, around 0.60% of the total child population has CP (9 cases per 1000 live births). Speech and swallowing difficulties are common, affecting children’s nutritional status and development. Speech and oral motor therapy are effective in improving speaking and oromotor dysfunction. To determine the effectiveness of oromotor and speech therapy in improving swallowing, chewing, and speech abilities in children with CP. A case study was conducted at the "Lombok Care" Children with Disabilities Foundation. Language development was assessed with the Messay Language Test, and oromotor dysfunction was evaluated using Debra C. Gangale’s method. Pre and post-therapy assessments were performed to assess changes in motor and speech functions. The evaluation of 5 respondents showed an increase in speaking skills after speech therapy and swallowing skills after oromotor therapy. Both are shown to be effective in improving communication skills and oropharyngeal muscle coordination, as well as reducing the risk of aspiration. Speech and oral motor therapy are essential and effective in improving eating, swallowing, and speaking abilities in children with CP, and are an important part of holistic medical rehabilitation.

References

Azmi, B. D. H., Handajani, N. I., & Ranuh, I. G. M. R. G. (2020). Clinical Profile of Drooling in Cerebral Palsy Patients at Physical Medicine and Rehabilitation Department Dr. Soetomo General Hospital Surabaya Period January 1st, 2016 – December 31st, 2017. JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, 11(2). https://doi.org/10.20473/juxta.V11I22020.56-60

Banzato, A., Cerchiari, A., Pezzola, S., Ranucci, M., Scarfò, E., Berardi, A., Tofani, M., & Galeoto, G. (2022). Evaluation of the Effectiveness of Functional Chewing Training Compared with Standard Treatment in a Population of Children with Cerebral Palsy: A Systematic Review of Randomized Controlled Trials. Children, 9(12), 1876. https://doi.org/10.3390/children9121876

Borel, S., Gatignol, P., Smail, M., Monin, M. L., Ewenczyk, C., Bouccara, D., & Durr, A. (2019). Oral mobility reflects rate of progression in advanced Friedreich’s ataxia. Annals of Clinical and Translational Neurology, 6(9), 1888–1892. https://doi.org/10.1002/acn3.50879

Dutra, E. F., Gomes, A. F., Yamamoto, R. C. de C., Benedetti, F. J., Martins, J. S., & Vargas, C. L. (2019). Cerebral palsy: Association between nutritional status and occurrence of oropharyngeal dysphagia. Revista CEFAC, 21, e5519. https://doi.org/10.1590/1982-0216/20192155519

El Nagar, R., AL-Nemr, A., & Abdelazeim, F. (2021). Effect of oromotor exercises on feeding in children with cerebral palsy: Systematic review. Bulletin of Faculty of Physical Therapy, 26(1), 35. https://doi.org/10.1186/s43161-021-00054-8

Friedman, J. M., van Essen, P., & van Karnebeek, C. D. M. (2022). Cerebral palsy and related neuromotor disorders: Overview of genetic and genomic studies. Molecular Genetics and Metabolism, 137(4), 399–419. https://doi.org/10.1016/j.ymgme.2021.11.001

Gibson, N., Blackmore, A. M., Chang, A. B., Cooper, M. S., Jaffe, A., Kong, W.-R., Langdon, K., Moshovis, L., Pavleski, K., & Wilson, A. C. (2021). Prevention and management of respiratory disease in young people with cerebral palsy: Consensus statement. Developmental Medicine & Child Neurology, 63(2), 172–182. https://doi.org/10.1111/dmcn.14640

Hafifah, C. N., Setyanto, D. B., Putra, S. T., Mangunatmadja, I., Sari, T. T., & Wulandari, H. F. (2017). Gross motor dysfunction as a risk factor for aspiration pneumonia in children with cerebral palsy. Paediatrica Indonesiana, 57(5), 229–233. https://doi.org/10.14238/pi57.5.2017.229-33

Jayaraman, D. K., & Das, J. M. (2024). Dysarthria. StatPearls Publishing. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK592453/

Kürtül Çakar, M., & Cinel, G. (2021). The respiratory problems of patients with cerebral palsy requiring hospitalization: Reasons and solutions. Pediatric Pulmonology, 56(6), 1626–1634. https://doi.org/10.1002/ppul.25306

Mariblanca, M., & Cano de la Cuerda, R. (2019). Mobile applications in children with cerebral palsy. Neurología (English Edition), 36. https://doi.org/10.1016/j.nrleng.2019.07.002

Marpole, R., Blackmore, A. M., Gibson, N., Cooper, M. S., Langdon, K., & Wilson, A. C. (2020). Evaluation and Management of Respiratory Illness in Children with Cerebral Palsy. Frontiers in Pediatrics, 8. https://doi.org/10.3389/fped.2020.00333

Marzouqah, R., Kulkarni, M., Dharmakulaseelan, L., Jairam, T., Xiong, K., Colelli, D., Yunusova, Y., & Boulos, M. (2021). Strengthening Oropharyngeal Muscles as a Novel Approach to Treat Obstructive Sleep Apnea after Stroke: A Randomized Feasibility Study (4767). Neurology, 96(15_supplement). https://doi.org/10.1212/WNL.96.15_supplement.4767

McCoy, S. W., Palisano, R., Avery, L., Jeffries, L., Laforme Fiss, A., Chiarello, L., & Hanna, S. (2020). Physical, occupational, and speech therapy for children with cerebral palsy. Developmental Medicine and Child Neurology, 62(1), 140–146. https://doi.org/10.1111/dmcn.14325

McInerney, M., Imms, C., Carding, P. N., & Reddihough, D. S. (2021). Evaluation of an intensive voice treatment to reduce anterior drooling in children with cerebral palsy: Protocol for a concurrent multiple-baseline, single case experimental design study. Contemporary Clinical Trials Communications, 24(May), 100872. https://doi.org/10.1016/j.conctc.2021.100872

Mei, C., Reilly, S., Bickerton, M., Mensah, F., Turner, S., Kumaranayagam, D., Pennington, L., Reddihough, D., & Morgan, A. T. (2020). Speech in children with cerebral palsy. Developmental Medicine and Child Neurology, 62(12), 1374–1382. https://doi.org/10.1111/dmcn.14592

Mouilly, M., El Midaoui, A., & El Hessni, A. (2022). The Effects of Swallowing Disorders and Oral Malformations on Nutritional Status in Children with Cerebral Palsy. Nutrients, 14(17). https://doi.org/10.3390/nu14173658

Novak, I., Morgan, C., Fahey, M., Finch-Edmondson, M., Galea, C., Hines, A., Langdon, K., Namara, M. M., Paton, M. C., Popat, H., Shore, B., Khamis, A., Stanton, E., Finemore, O. P., Tricks, A., te Velde, A., Dark, L., Morton, N., & Badawi, N. (2020). State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Current Neurology and Neuroscience Reports, 20(2). https://doi.org/10.1007/s11910-020-1022-z

Nugraha, A. S., & Sinaga, N. (2023). The Relationship Between Speech Delay with Cerebral Palsies in Children at Rs Haji Medan. Journal of Social Research, 2(7), 2426–2432. https://doi.org/10.55324/josr.v2i7.1129

Paul, S., Nahar, A., Bhagawati, M., & Kunwar, A. J. (2022). A Review on Recent Advances of Cerebral Palsy. Oxidative Medicine and Cellular Longevity, 2022. https://doi.org/10.1155/2022/2622310

Saconato, M., Chiari, B. M., Lederman, H. M., & Gonçalves, M. I. R. (2014). Effectiveness of Chin-tuck Maneuver to Facilitate Swallowing in Neurologic Dysphagia. International Archives of Otorhinolaryngology, 20(1), 13–17. https://doi.org/10.1055/s-0035-1564721

Sadowska, M., Sarecka-Hujar, B., & Kopyta, I. (2020). Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatric Disease and Treatment, 16, 1505–1518. https://doi.org/10.2147/NDT.S235165

Sant, N., Hotwani, R., Palaskar, P., Naqvi, W. M., & Arora, S. P. (2021). Effectiveness of Early Physiotherapy in an Infant with a High Risk of Developmental Delay. Cureus, 13(7). https://doi.org/10.7759/cureus.16581

Setyono, B. (2000). Terapi Wicara Untuk Praktisi Pendidikan dan Kesehatan. Penerbit Buku Kedokteran EGC.

Singh, P., Malshe, N., Kallimath, A., Garegrat, R., Verma, A., Nagar, N., Maheshwari, R., & Suryawanshi, P. (2023). Randomised controlled trial to compare the effect of PIOMI (structured) and routine oromotor (unstructured) stimulation in improving readiness for oral feeding in preterm neonates. Frontiers in Pediatrics, 11(November), 1–9. https://doi.org/10.3389/fped.2023.1296863

Siregar, D. N., Laoli, N. K., Pasaribu, D. A. br, & Silangit, N. N. (2024). The Effectiveness of Oromotor Massage Stimulation on the Development of Language and Speech Skills in Babies Aged 12-18 Months. Indonesian Journal of Global Health Research, 6(4). https://doi.org/10.37287/ijghr.v6i4.3253

Speyer, R., Cordier, R., Kim, J. H., Cocks, N., Michou, E., & Wilkes-Gillan, S. (2019). Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: A systematic review and meta-analyses. Developmental Medicine and Child Neurology, 61(11), 1249–1258. https://doi.org/10.1111/dmcn.14316

Stipancic, K. L., Kuo, Y. L., Miller, A., Ventresca, H. M., Sternad, D., Kimberley, T. J., & Green, J. R. (2021). The effects of continuous oromotor activity on speech motor learning: Speech biomechanics and neurophysiologic correlates. Experimental Brain Research, 239(12), 3487–3505. https://doi.org/10.1007/s00221-021-06206-5

Swara, D. Y. (2014). Manfaat Terapi Wicara Bagi Anak Tuna Daksa Dengan Mampu Didik Terhadap Interaksi Sosial di Yayasan Pembinaan Anak Cacat Jakarta. UIN Syarif Hidayatullah.

Taqiyah, D. B., & Mumpuniarti, M. (2022). Intervensi Dini Bahasa dan Bicara Anak Speech Delay. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 6(5), 3992–4002. https://doi.org/10.31004/obsesi.v6i5.2494

Vitrikas, K., Dalton, H., & Breish, D. (2020). Cerebral Palsy: An Overview. American Family Physician, 101(4), 213–220. https://doi.org/10.1155/2022/2622310

Wardhani, R. K., Amal, M. Y., Laksmitasari, B., Benedicta, S. M., Tandri, C. C., & Wahyuni, L. K. (2023). Family-Based Rehabilitation Oromotor Exercise for Pediatric Patients with Oral Phase Dysphagia. Annals of Physical Medicine and Rehabilitation, 2(1). Retrieved from https://www.medtextpublications.com/open-access/family-based-rehabilitation-oromotor-exercise-for-pediatric-patients-with-oral-phase-1527.pdf

Widman-Valencia, M. E., Gongora-Meza, L. F., Rubio-Zapata, H., Zapata-Vázquez, R. E., Lizama, E. V., Salomón, M. R., & Estrella-Castillo, D. (2021). Oral Motor Treatment Efficacy: Feeding and Swallowing Skills in Children with Cerebral Palsy. Behavioural Neurology, 2021, 1–6. https://doi.org/10.1155/2021/6299462

Wiratningrum, N. K. D., & Imanto, M. (2024). Etiologi dan Penegakan Diagnosis Disfagia. Medical Profession Journal of Lampung, 14(1). https://doi.org/10.53089/medula.v14i1.922

Yosrika, Sophianti, R., & Karmilah. (2024). Oral Motor Exercise in Improving the Movements of The Jaw, Lip, Tongue in Case of Oral Phase Dysphagia on a Cerebral Palsy Patient. International Journal of Quantitative Research and Modeling, 4(4), 267–275. https://doi.org/10.46336/ijqrm.v4i4.545

Author Biographies

Anak Agung Ayu Niti Wedayani, University of Mataram

Nurul Ullyani, University of Mataram

Novia Andansari Putri Restuningdyah, University of Mataram

Linda Silvana Sari, University of Mataram

Aris Doyan, University of Mataram

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