Effect of Physical Therapy Program on Drooling, Weight and Oral Motor Function After Posterior Tongue Tie Release in Spastic Cerebral Palsied Children
Elrewiny, E., Zaky, N., Rabie, A., Abd El Whaab, H. (2025). Effect of Physical Therapy Program on Drooling, Weight and Oral Motor Function After Posterior Tongue Tie Release in Spastic Cerebral Palsied Children. EKB Journal Management System, (), -. doi: 10.21608/ejptr.2025.379452.1030
Elsaied Fathalla Mansy Elrewiny; Naglaa A Zaky; Ahmed Rabie; Heba H Abd El Whaab. "Effect of Physical Therapy Program on Drooling, Weight and Oral Motor Function After Posterior Tongue Tie Release in Spastic Cerebral Palsied Children". EKB Journal Management System, , , 2025, -. doi: 10.21608/ejptr.2025.379452.1030
Elrewiny, E., Zaky, N., Rabie, A., Abd El Whaab, H. (2025). 'Effect of Physical Therapy Program on Drooling, Weight and Oral Motor Function After Posterior Tongue Tie Release in Spastic Cerebral Palsied Children', EKB Journal Management System, (), pp. -. doi: 10.21608/ejptr.2025.379452.1030
Elrewiny, E., Zaky, N., Rabie, A., Abd El Whaab, H. Effect of Physical Therapy Program on Drooling, Weight and Oral Motor Function After Posterior Tongue Tie Release in Spastic Cerebral Palsied Children. EKB Journal Management System, 2025; (): -. doi: 10.21608/ejptr.2025.379452.1030

Effect of Physical Therapy Program on Drooling, Weight and Oral Motor Function After Posterior Tongue Tie Release in Spastic Cerebral Palsied Children

Egyptian Journal of Physical Therapy and Rehabilitation
Articles in Press, Accepted Manuscript, Available Online from 10 May 2025  XML
Document Type: Original Article
DOI: 10.21608/ejptr.2025.379452.1030
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Authors
Elsaied Fathalla Mansy Elrewiny email 1; Naglaa A Zaky1; Ahmed Rabie2; Heba H Abd El Whaab1
1Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt.
2Department of Neurosurgery , Faculty of Medicine , Alexandria University, Egypt.
Abstract
Background: Children with cerebral palsy (CP) have difficulties with feeding and social affection because of drooling, problems with weight, in addition to oral motor function difficulties.  An alternative for managing drooling and issues with oral motor function is fenotomy as well as oral motor exercise.
Purpose: To compare between the impact of frenotomy as well as oral motor exercises after frenotomy for improving drooling, weight problems and oral motor functions in children with spastic CP.
Materials and Methods: The 32 boys and girls with spastic CP who participated in study were randomly assigned to one of two groups: group A (n=16) and group B (n=16). Their ages varied from 4 to 8 years old. Group A underwent frenotomy, while group B underwent frenotomy followed by oral motor exercises; group B received the treatment 3 sessions per week for 3 consecutive months. Assessment of drooling conducted by saxon test, assessment of weight  conducted by bodecoder, assessment of oral motor functions conducted by oral motor assessment scale. The collected data was analyzed and compared at the base line and the end of intervention.
 Results: Both Group A as well as Group B children improved significantly when comparing their pre- and post-treatment mean values of all variables. The post treatment findings revealed that frenotomy followed by oral motor exercises were more effective than frenotomy alone in reducing drooling and increasing weight.
Conclusion:  Oral motor exercises found more effective after frenotomy  than frenotomy  alone  in management of drooling, weight and oral motor function problems.
Keywords
Cerebral palsy; Drooling, Weight; Oral motor function; Frenotomy; Oral motor exercises
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