An interventional study of Strain Counter-Strain (SCS) and Designed Oral Motor Program in Sialorrhea, Spastic Cerebral Palsy (sCP) and Strain Counterstrain Technique, sponsored by Cairo University. Active, not recruiting at 1 site in Egypt. Open to participants aged 4 Years to 8 Years. Per ClinicalTrials.gov, last updated 2026-04-14.
Sponsored by Cairo University · Not applicable, Interventional, and Treatment
This study evaluates the clinical efficacy of the Strain Counter-Strain (SCS) technique on improving oromotor functions in children with spastic cerebral palsy. The intervention specifically targets the masseter, SCM, upper trapezius, scalenes, and suprahyoid muscles to release myofascial tension. The study aims to determine if modulating muscle tone through SCS can provide a stable postural foundation to enhance functional oral motor skills. Outcomes are measured after 4 weeks (one month) of intervention, focusing on mouth opening range, drooling frequency and severity, and overall oral motor functions
This study follows a Randomized Controlled Trial (RCT) design. Children with spastic cerebral palsy are screened for inclusion based on impaired oromotor control and persistent neck muscle tension.
The Control Group receives a designed oral motor program aimed at improving oral motor functions, mouth opening, and drooling severity, conducted over 4 weeks (one month).
The Study Group receives the same designed oral motor program, preceded by the Strain Counter-Strain (SCS) technique applied to the masseter, sternocleidomastoid (SCM), scalenes, upper trapezius, and suprahyoid muscles. The SCS technique aims to normalize cervical alignment and release restrictive tension in the orofacial region.
Outcome Measures: Functional and physical changes are assessed at baseline and after the 4-week period. The primary outcomes include:
Mouth opening range (measured in centimeters). Drooling frequency and severity (using standardized scales). Oral motor functions (evaluated through standardized scales). The comparison seeks to demonstrate how stabilizing the proximal postural base through SCS facilitates refined distal oromotor performance
60 studies on the registry are indexed under Sialorrhea; 5 are open to participants now.
This study's enrollment of 30 is close to the median of 31 across 44 interventional studies indexed under Sialorrhea.
Browse Sialorrhea studies →Cairo University is the lead sponsor of 4,941 studies on the registry; 1,458 are open to participants now.
Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.
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Exclusion Criteria:
This group receives the Strain Counter-Strain (SCS) technique followed by a designed oral motor program. The intervention targets the masseter, SCM, upper trapezius, scalenes, and suprahyoid muscles to release myofascial tension and normalize cervical alignment, conducted 3 sessions per week for 4 weeks
Procedure: Strain Counter-Strain (SCS) · Procedure: Designed Oral Motor Program
This group receives only the designed oral motor program aimed at improving the strength, range of motion, and coordination of the masticatory and suprahyoid muscles. The program is conducted 3 sessions per week for 4 weeks
Procedure: Designed Oral Motor Program
A manual therapy technique used to release myofascial tightness and muscle tension in the head and neck region to provide a stable postural foundation for oromotor skills
A structured exercise program designed to enhance oral motor functions, including feeding efficiency, mouth opening range, and drooling
Oral motor functions
Assessment of oral motor skills including feeding, swallowing, and coordination using the Oral Motor Assessment Scale (OMAS). The scale scores range from 0 to 2, where higher scores indicate better function
Time frame: Baseline and after 4 weeks of intervention
Mouth Opening Range
Measurement of the maximum inter-incisal distance using tape measurement (measured in centimeters)
Time frame: Baseline and after 4 weeks of intervention
Drooling Frequency and Severity
Evaluation of drooling patterns using the Modified Drooling Questionnaire (MDQ). Higher scores indicate more frequent and severe drooling.
Time frame: Baseline and after 4 weeks of intervention
Plan to share: No — Individual participant data will not be available to protect the privacy and confidentiality of the participants. The study results will be disseminated through the final thesis and potential peer-reviewed publications as aggregate data only
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This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.
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