{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T13:02:09Z","timestamp":1784466129102,"version":"3.55.0"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>While breastfeeding support and feeding therapy are first-line interventions for ankyloglossia, specific oral-motor protocols, often categorized as passive Myofunctional Therapy (MFT), have mainly been studied as an adjunct to surgery. Evidence on their effectiveness as a primary conservative approach in infants remains limited, highlighting the need for randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To compare the effectiveness of an infant-appropriate oral-motor MFT protocol on lingual frenulum function, breastfeeding establishment, and nipple pain, compared with breastfeeding education (BE) in infants with ankyloglossia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This two-arm, single-blind randomized trial (July\u2013November 2023) assigned 200 infants to passive MFT (oral-motor stretches and massages;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 100) or BE (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 100) for 1 month. The primary outcomes were lingual frenulum function (Assessment Tool for Lingual Frenulum Function, ATLFF), and breastfeeding establishment (LATCH scale). Maternal nipple pain (Visual Analogue Scale, VAS) was the secondary outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      No significant differences were found in ATLFF-Appearance scores pre- and post-intervention (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.28,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.42). Post-intervention, the MFT group showed higher ATLFF-Function scores (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = 0.33;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), lower maternal nipple pain (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = -0.38;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), and higher LATCH scores (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = 0.26;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Infants receiving MFT were more likely to avoid surgery (\n                      <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                      = 4.63;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005), particularly with higher LATCH (\n                      <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                      = 2.74;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and ATLFF-Function scores (OR= 1.83;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An infant-appropriate MFT protocol based on passive oral-motor techniques significantly improved tongue function, breastfeeding establishment, and reduced nipple pain, with a higher likelihood of avoiding surgery compared to BE.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261459944","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:33:24Z","timestamp":1784291604000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Effectiveness of Myofunctional Therapy and Breastfeeding Education for Ankyloglossia: A Randomized Controlled Trial"],"prefix":"10.1177","author":[{"given":"Gemma","family":"L\u00f3pez-Segura","sequence":"first","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5885-5218","authenticated-orcid":false,"given":"Ra\u00fal","family":"Romero-del Rey","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda del Mar","family":"Murillo-de las Heras","sequence":"additional","affiliation":[{"name":"Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar","family":"Requena- Mullor","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Research group CTS-1127 \u201cEpidemiology and Public Health\u201d, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Health Research Center (CEINSA), University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Rodr\u00edguez-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Alarc\u00f3n-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Research group CTS-1127 \u201cEpidemiology and Public Health\u201d, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Health Research Center (CEINSA), University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3052-4166","authenticated-orcid":false,"given":"Jessica","family":"Garc\u00eda-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Research group CTS-1127 \u201cEpidemiology and Public Health\u201d, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Health Research Center (CEINSA), University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Akbari D. 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