Clinical Study on Improving Articulation Clarity in Spastic Cerebral Palsy with 120 Cases of Oral-Facial Acupressure Combined with Oral Placement Therapy
Download PDF

Keywords

Oral-facial acupressure
Oral placement therapy (OPT)
Speech disorders in children with spastic cerebral palsy
Speech intelligibility

DOI

10.26689/jcnr.v8i5.6981

Submitted : 2024-05-15
Accepted : 2024-05-30
Published : 2024-06-14

Abstract

Objective: To observe the efficacy of oral-facial acupressure combined with oral placement therapy (OPT) in improving articulation clarity in 120 children with spastic cerebral palsy, and to explore effective therapeutic solutions for speech disorders associated with spastic cerebral palsy. Methods: A total of 120 children with spastic cerebral palsy and speech disorders, meeting the inclusion criteria, were randomly assigned into two groups: 60 cases in the treatment group and 60 cases in the control group. The treatment group received orofacial acupressure combined with OPT, while the control group received only OPT. The Oral Motor Function Assessment Scale (OMFAS), developed by the China Rehabilitation Research Centre (CRRC), was used to evaluate the treatment outcomes before and after the intervention. Results: After the treatment, both the treatment and control groups showed improved mobility of the mandible, lips, and tongue. However, the treatment group exhibited significantly better improvement than the control group, with the difference between the two groups being statistically significant (P < 0.05). Conclusion: Oral-facial acupressure combined with OPT can effectively improve articulation clarity in children with spastic cerebral palsy. This combined therapy is recommended for clinical promotion and application.

References

Yang M, Liu T, Yang J, et al., 2024, An Analysis of Yu Haibo’s Experience in Using “Three Acupoints for Spleen Strengthening and Kidney Tonification” to Treat Pediatric Cerebral Palsy. Journal of Guangzhou University of Traditional Chinese Medicine, 2024(1): 147–153.

Li X, Qiu H, Jiang Z, et al., 2018, Epidemiological Characteristics of Pediatric Cerebral Palsy in Twelve Provinces and Cities in China. Chinese Clinical Journal of Practical Paediatrics, 33(5): 378–383.

Feng Y, Pang W, Li X, et al., 2021, Meta-Analysis of the Prevalence of Cerebral Palsy in Chinese Children Aged 0–6 Years. Chinese Family Medicine, 24(5): 603–607.

Liu X, Liu J, Cao C, et al., 2018, Observation on the Efficacy of Chinese Medicine Tincture Combined with Wax Therapy in Treating Children with Spastic Cerebral Palsy. Chinese Journal of Physical Medicine and Rehabilitation, 40(5): 382–384.

Schölderle T, Haas E, Ziegler W, 2021, Dysarthria Syndromes in Children with Cerebral Palsy. Dev Med Child Neurol, 63(4): 444–449. https://doi.org/10.1111/dmcn.14679

Ding Z, 2021, Clinical Study of Game-Based Real-Time Rereading Therapy in Children with Spastic Cerebral Palsy with Speech Fluency Disorders, thesis, East China Normal University.

Tang J, Qin J, Zou L, et al., 2015, Guidelines for Cerebral Palsy Rehabilitation in China (2015): Part I. Chinese Journal of Rehabilitation Medicine, 30(7): 747–754.

Li S, Sun X, Wang Y, et al., 2007, A Study of Speech Disability Criteria in the Second National Sample Survey of Persons with Disabilities. China Rehabilitation Theory and Practice, 2007(9): 801–803.

Metz MJ, James LE, 2019, Specific Effects of the Trier Social Stress Test on Speech Fluency in Young and Older Adults. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn, 26(4): 558–576. https://doi.org/10.1080/13825585.2018.1503639

Gao X, Wan Q, Hui F, et al., 2016, An Intervention Study on the Problem of Speech Disfluency in Children with Hearing Impairment. China Special Education, 23(12): 17–25.

Chen LM, Hustad KC, Kent RD, et al., 2018, Dysarthria in Mandarin-Speaking Children with Cerebral Palsy: Speech Subsystem Profiles. J Speech Lang Hear Res, 61(3): 525–548. https://doi.org/10.1044/2017_JSLHR-S-17-0065

Mei C, Reilly S, Bickerton M, et al., 2020, Speech in Children with Cerebral Palsy. Dev Med Child Neurol, 62(12): 1374–1382. https://doi.org/10.1111/dmcn.14592

Zhang S, Liu J, 2018, Overview of Clinical Research on the Treatment of Children with Spastic Cerebral Palsy by Massage. Massage and Rehabilitation Medicine, 9(21): 93–94.

Bao L, 2020, Efficacy of Meridian Acupoint Massage Around the Mouth and Nose in Treating Children with Cerebral Palsy and Speech Disorders. Medical Equipment, 33(8): 10–12.

Teng G, Liu W, Teng J, et al., 2022, Application Effect of Rehabilitation Nursing Training Based on Oral Positioning Therapy in Children with Viral Encephalitis Combined with Seque-lae of Swallowing Dysfunction. Guangxi Medicine, 2022(10): 44.

Liu E, 2020, Effects of Tongue Muscle Training with Swallowing Function Training on Swal-lowing Function of Elderly Stroke Patients with Dysphagia. Medical Theory and Practice, 33(20): 2.

Chinese Acupuncture Society Youth Committee, 2018, Some Thoughts on Two Acupuncture Clinical Research Articles Published in JAMA in 2017. Chinese Acupuncture and Moxibustion, 2018(11): 38.

Huang Y, Li X, Zhou L, et al., 2019, Efficacy Analysis of Oral Muscle Training Combined with Scalp Acupuncture for the Treatment of Dysarthria in Children with Spastic Cerebral Pal-sy. Chinese Integrated Traditional and Western Medicine Paediatrics, 11(6): 502–505.

Zeng L, Chen J, Huang C, 2019, Observation on the Effect of Oral Muscle Training Game on Salivation in Children with Cerebral Palsy. Chinese Journal of Practical Nursing, 2019(18): 1400–1404.

Hu F, 2019, Effects of Acupressure Combined with Rehabilitation Training on Swallowing Function and Speech Function in Pediatric Cerebral Palsy. Journal of Chinese Pediatrics, 15(6): 87–90.

Zhu H, Lan X, Shi F, et al., 2021, Effect of Different Acupoint Pairings of Spacer Moxibustion on the Efficacy of Primary Dysmenorrhea of Cold-Congealed Blood Stasis Type. Shizhen Guomian Guomao, 32(11): 4.