Multiple DisabilitiesNCT02333981
Efficacy of Passive Oral Motor Therapy on Drooling in Children With Multiple Disabilities
A study testing passive oral motor therapy for drooling in people with Multiple Disabilities, run by Maharishi Markendeswar University (Deemed to be University).
Trial summary
This study was formulated to determine the efficacy of passive oral motor regimen for drooling in children with multiple disabilities. Seven subjects aged 7-19yrs were taken in the study. All the subjects received passive treatment which included light touch, stroking, vibration, tapping, pressure and stretch. Read more about this study
- Who is it for?
- Ages 7 to 19 years
- Conditions the study is for
- Multiple Disabilities
- What is being tested?
- passive oral motor therapy for drooling
- Type of treatment
- Pill or oral medicine, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 7 participants
- Where
- No sites listed yet
- Study dates
- Aug 2012to May 2013
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 7 to 19 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Children aged 7-19 yrs (male and female)
- Confirmed diagnosis of multiple disability Score of ≤ 3 on drooling severity and frequency scale (indicating moderate to profuse drooling)
- Medication, taken to treat drooling, stopped at least 3 months before start of the study
Who cannot join
- No History of Previous surgical procedure for saliva control
- Use of drugs that interfere with saliva secretion (anticholinergic and neuroleptic drugs, benzodiazepines)
- Use of oral prosthetic devices
- Tactile hypersensitivity and oral problems like caries, toothache
- Congenital defects like cleft palate
- systemic diseases (bronchial asthma, congenital heart failure, and myasthenia gravis)
- Previous surgical procedures in the oral/nasal cavity interfering with saliva production
- Respiratory dysfunction
About this study
This study was formulated to determine the efficacy of passive oral motor regimen for drooling in children with multiple disabilities. Seven subjects aged 7-19yrs were taken in the study. All the subjects received passive treatment which included light touch, stroking, vibration, tapping, pressure and stretch. All the techniques have been proved to be effective in treating drooling. Relative sterility and hygiene was maintained throughout the procedure as sterilized gloves and napkins were used. The measurement protocol was designed to check effectiveness on drooling in children. The protocol was given for 4 weeks with treatment sessions given 3 times per week and the treatment duration was 30min. Twelve sessions of oral motor stimulation therapy given during the 4 weeks. Thirteen after 4 weeks of treatment, improvement was found in terms of the severity as well. Primary outcome measure taken was Drooling Frequency and Severity rating scale and secondary outcome measure being taken was drool quotient. Pre and post intervention scores of Drooling Frequency and Severity rating scale and drool quotient were taken and data was analyzed using wilcoxon signed rank test .
Read the detailed description
Title To formulate and see efficacy of passive oral motor regimen for drooling in children with multiple disabilities Background Drooling ranges from mild embarrassment and discomfort for the intellectually intact patient with minimal drooling to gross emotional and physical impairment for the severely affected individual. Drooling produces an unhygienic condition that may be associated with a disagreeable odour. Drooling affects the social and physical wellbeing of children and may represent problems for caregivers. Many persons with severe and profound disabilities exhibit chronic and excessive drooling, which can have unfavourable effects on their socialization and health. Studies have suggested that various treatments like medication, surgery, behaviour modification, myofunctional therapy and oral motor therapy are effective in treating drooling but there is no single protocol developed to treat drooling in children with multiple disabilities. Passive treatment protocol is needed specifically designed for children who are not able to follow commands and on whom various treatment techniques like behaviour modification, over-correction can't be applied. Present study aims to formulate and see the efficacy of passive oral motor regimen for drooling in children with multiple disabilities.
Methodology Seven subjects of age group between 07-19 years were selected out of accessible population.
Informed consent taken from the parents/caregivers.Severity and frequency of drooling accessed (For each subject prior to the study) and Drool Quotient was calculated (For each subject prior to the study). Patient was in sitting position with back fully supported and head in neutral position in their own home. Therapist in standing position in front of the patient.Therapist wore sterilised gloves to ensure that no infection occurs along with change of gloves for every subject. Light touch applied to mid line of lips (3 times, for 5 sec). Maintained pressure applied around lips (3 times for 3 sec). Gentle tapping to the cheeks applied with index finger (8 times each cheek). Quick, gentle stretch applied outward with index and middle finger on middle of upper lip and lower lip (8 times on each lip). Gentle stroke to the cheek applied with index finger from base of nose towards ear. Then returned back to corner of lips (8 times each cheek), repeat on the other side. Gentle stroking applied to area around the lips in a circular manner, from the corner towards the center and to the other corner, then reverse. (4 times each lip). Vibration slowly applied for 10-15 sec each of a) orbicularis oris b) Both sides of larynx from chin to sternal notch c) Under the chin from ear to ear.Quick stretch applied to the masseter muscles (3 times on each side). Stretch pressure applied to vibrated areas, on a) orbicularis oris b) Laryngopharyngeal muscles, both sides. Intra-orally applied light touch to roof of mouth, anteriorly for 3 times. The protocol was given for 4 weeks with treatment sessions given 3 times per week.
.
- Conditions
- Multiple Disabilities
- Being tested
- passive oral motor therapy for drooling
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
passive oral motor therapy for droolingDevice
7 subjects aged 7-19 yrs were taken . All subjects received passive treatment which included light touch, stroking, vibration with (mechanical vibrator), tapping, pressure and stretch. All the techniques have been proved to be effective in treating drooling. Relative sterility and hygiene was maintained throughout the procedure as sterilized gloves and napkins were used. The measurement protocol was designed to check effectiveness on drooling in children. The protocol was given for 4 weeks with treatment sessions given 3 times per week and the treatment duration was 30min.12 sessions of oral motor stimulation therapy given during the 4 weeks..
| Study group | Role | What they receive |
|---|---|---|
| Passive oral motor therapy group | Experimental | All the subjects received passive treatment which included light touch, stroking, vibration, tapping, pressure and stretch. All the techniques have been proved to be effective in treating drooling. Relative sterility and hygiene was maintained throughout the procedure as sterilized gloves and napkins were used. The measurement protocol was designed to check effectiveness on drooling in children. The protocol was given for 4 weeks with treatment sessions given 3 times per week and the treatment duration was 30min.12 sessions of oral motor stimulation therapy given during the 4 weeks.. Receives: Device: passive oral motor therapy for drooling |
What is being measured
The primary outcome is the main question the study is designed to answer.
Drooling Frequency and Severity rating scale
Measured: 4 weeks
Secondary outcomes (1)
Drool Quotient method
METHOD OF ASSESSMENT OF SEVERITY OF DROOLING
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jan 2015 (estimated)
- Study startAug 2012
- Primary completionDec 2012
- Study completionMay 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple DisabilitiesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 7 participants (actual)
Sponsor and investigators
- Lead sponsor
- Maharishi Markendeswar University (Deemed to be University)
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, DIVYA MIDHA, Maharishi Markendeswar University (Deemed to be University)
- Investigators
- DIVYA MIDHA, MPT(NEURO), Principal investigator, MAHARISHI MARKANDESHWAR UNIVERSITY
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02333981
- Sponsor's protocol ID
- D1234
- Status last verified
- Jan 2015
- First submitted
- 1 Jan 2015
- Last updated
- 8 Jan 2015
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Jan 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Passive Oral Motor Therapy on Drooling in Children With Multiple Disabilities
- ClinicalTrials.gov ID
- NCT02333981
- Acronym / sponsor ID
- D1234
- Conditions
- Multiple Disabilities
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 7 participants (actual)
- Lead sponsor
- Maharishi Markendeswar University (Deemed to be University)University, hospital or other
- Study start
- Aug 2012
- Primary completion
- Dec 2012 (actual)
- Study completion
- May 2013 (actual)
- First posted
- 8 Jan 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was formulated to determine the efficacy of passive oral motor regimen for drooling in children with multiple disabilities. Seven subjects aged 7-19yrs were taken in the study. All the subjects received passive treatment which included light touch, stroking, vibration, tapping, pressure and stretch. All the techniques have been proved to be effective in treating drooling. Relative sterility and hygiene was maintained throughout the procedure as sterilized gloves and napkins were used. The measurement protocol was designed to check effectiveness on drooling in children. The protocol was given for 4 weeks with treatment sessions given 3 times per week and the treatment duration was 30min. Twelve sessions of oral motor stimulation therapy given during the 4 weeks. Thirteen after 4 weeks of treatment, improvement was found in terms of the severity as well. Primary outcome measure taken was Drooling Frequency and Severity rating scale and secondary outcome measure being taken was drool quotient. Pre and post intervention scores of Drooling Frequency and Severity rating scale and drool quotient were taken and data was analyzed using wilcoxon signed rank test .
Detailed description
Title To formulate and see efficacy of passive oral motor regimen for drooling in children with multiple disabilities Background Drooling ranges from mild embarrassment and discomfort for the intellectually intact patient with minimal drooling to gross emotional and physical impairment for the severely affected individual. Drooling produces an unhygienic condition that may be associated with a disagreeable odour. Drooling affects the social and physical wellbeing of children and may represent problems for caregivers. Many persons with severe and profound disabilities exhibit chronic and excessive drooling, which can have unfavourable effects on their socialization and health. Studies have suggested that various treatments like medication, surgery, behaviour modification, myofunctional therapy and oral motor therapy are effective in treating drooling but there is no single protocol developed to treat drooling in children with multiple disabilities. Passive treatment protocol is needed specifically designed for children who are not able to follow commands and on whom various treatment techniques like behaviour modification, over-correction can't be applied. Present study aims to formulate and see the efficacy of passive oral motor regimen for drooling in children with multiple disabilities.
Methodology Seven subjects of age group between 07-19 years were selected out of accessible population.
Informed consent taken from the parents/caregivers.Severity and frequency of drooling accessed (For each subject prior to the study) and Drool Quotient was calculated (For each subject prior to the study). Patient was in sitting position with back fully supported and head in neutral position in their own home. Therapist in standing position in front of the patient.Therapist wore sterilised gloves to ensure that no infection occurs along with change of gloves for every subject. Light touch applied to mid line of lips (3 times, for 5 sec). Maintained pressure applied around lips (3 times for 3 sec). Gentle tapping to the cheeks applied with index finger (8 times each cheek). Quick, gentle stretch applied outward with index and middle finger on middle of upper lip and lower lip (8 times on each lip). Gentle stroke to the cheek applied with index finger from base of nose towards ear. Then returned back to corner of lips (8 times each cheek), repeat on the other side. Gentle stroking applied to area around the lips in a circular manner, from the corner towards the center and to the other corner, then reverse. (4 times each lip). Vibration slowly applied for 10-15 sec each of a) orbicularis oris b) Both sides of larynx from chin to sternal notch c) Under the chin from ear to ear.Quick stretch applied to the masseter muscles (3 times on each side). Stretch pressure applied to vibrated areas, on a) orbicularis oris b) Laryngopharyngeal muscles, both sides. Intra-orally applied light touch to roof of mouth, anteriorly for 3 times. The protocol was given for 4 weeks with treatment sessions given 3 times per week.
.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Passive oral motor therapy group | Experimental | Device: passive oral motor therapy for droolingAll the subjects received passive treatment which included light touch, stroking, vibration, tapping, pressure and stretch. All the techniques have been proved to be effective in treating drooling. Relative sterility and hygiene was maintained throughout the procedure as sterilized gloves and napkins were used. The measurement protocol was designed to check effectiveness on drooling in children. The protocol was given for 4 weeks with treatment sessions given 3 times per week and the treatment duration was 30min.12 sessions of oral motor stimulation therapy given during the 4 weeks.. |
Who may qualify
- Ages
- 7 to 19 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (3 listed)
- Children aged 7-19 yrs (male and female)
- Confirmed diagnosis of multiple disability Score of ≤ 3 on drooling severity and frequency scale (indicating moderate to profuse drooling)
- Medication, taken to treat drooling, stopped at least 3 months before start of the study
Key exclusion criteria (8 listed)
- No History of Previous surgical procedure for saliva control
- Use of drugs that interfere with saliva secretion (anticholinergic and neuroleptic drugs, benzodiazepines)
- Use of oral prosthetic devices
- Tactile hypersensitivity and oral problems like caries, toothache
- Congenital defects like cleft palate
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| passive oral motor therapy for drooling7 subjects aged 7-19 yrs were taken . All subjects received passive treatment which included light touch, stroking, vibration with (mechanical vibrator), tapping, pressure and stretch. All the techniques have been proved to be effective in treating drooling. Relative sterility and hygiene was maintained throughout the procedure as sterilized gloves and napkins were used. The measurement protocol was designed to check effectiveness on drooling in children. The protocol was given for 4 weeks with treatment sessions given 3 times per week and the treatment duration was 30min.12 sessions of oral motor stimulation therapy given during the 4 weeks.. | Device | Passive oral motor therapy group |
Primary outcome
Drooling Frequency and Severity rating scale
Time frame: 4 weeks
1 secondary outcome
Drool Quotient method
Time frame: 4 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jan 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
DIVYA MIDHA, MPT(NEURO) principal investigator
MAHARISHI MARKANDESHWAR UNIVERSITY
Questions about this trial
What is this clinical trial studying?
A study testing passive oral motor therapy for drooling in people with Multiple Disabilities, run by Maharishi Markendeswar University (Deemed to be University).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Jan 2015. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Drooling Frequency and Severity rating scale (time frame: 4 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jan 2015.