MANUAL OROFACIAL STIMULATION AND ITS IMPACT ON CHILDREN WITH CEREBRAL PALSY

Orofacial education of children with cerebral palsy is a long-lasting process that requires perseverance especially from their families. The main methods based on active orofacial exercises and those from speech therapy continue to question the effectiveness of oral motor treatment, leaving a gap in the literature concerning the feeding skills improvements of the children diagnosed with cerebral palsy. Based on this concern, we ask ourselves the question: are there other better methods of oral motor rehabilitation for these children with special needs? In this study we aimed to investigate, within the complex rehabilitation programme for CP, the impact of manual orofacial stimulation in order to reduce sialorrhea and improve mandibular movements, which play an important role in the feeding process. The study included 10 participants (5 girls and 5 boys), aged 8-10 years, diagnosed with cerebral palsy, spastic tetraplegia form with severe orofacial impairment and the intervention protocol consisted of a manual orofacial stimulation programme 4 times a week. Statistical results revealed that the application of the proposed orofacial stimulation programme was highly effective for the 10 research participants, whose scores improved significantly at the final assessment compared to those achieved at the beginning of the study, reaching almost normal values even in the case of mandibular parameters.