{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:07Z","timestamp":1786649767480,"version":"build-2736575974"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"\n Background:<\/jats:title>\n The prevalent orofacial dysfunctions (OFDs) observed in children with cerebral palsy (CP) make it difficult to maintain routine oral hygiene.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n The aim of the study was to compare the efficacy of app-based oral motor therapy (OMT) and behavior therapy (BT) in improving the functions of oral musculature and oral hygiene among children with CP.<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n It is a randomized, double-blinded, parallel-group, multicenter trial.<\/jats:p>\n <\/jats:sec>\n \n Methodology:<\/jats:title>\n The study comprised 228 CP children aged 4\u201314 years who were randomly assigned into two groups \u2013 Group 1 (mobile app-based OMT) and Group 2 (BT). They were subjected to assessment of OFDs using Nordic Orofacial Test-Screening (NOT-S). They were also assessed for dental caries, brushing frequency, and oral hygiene. Baseline evaluations prior to interventions and follow-up scores postinterventions (6 months later) were done.<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis:<\/jats:title>\n \n The Wilcoxon\u2019s signed-rank test, McNemar\u2019s test, and Marginal Homogeneity test were utilized for the study. SPSS (IBM SPSS Statistics for Windows, version 25. Armonk, NY, USA: IBM Corp) statistical software was used to analyse the data, and results were considered statistically significant whenever\n P<\/jats:italic>\n \u2264 0.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean NOT-S scores in both groups reduced significantly postintervention (\n P<\/jats:italic>\n < 0.05). There was no significant change in mean caries experience in both groups postintervention. Statistically significant (\n P<\/jats:italic>\n < 0.05) changes were seen in brushing frequency and debris index scores in both groups after the interventions.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Consistently performing app-based OMT using oral motor and sensory tools helps in overcoming problems associated with OFDs that children with CP experience. Further research with cross-over study designs can be performed in future.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_532_24","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T01:06:30Z","timestamp":1743383190000},"page":"120-128","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of efficacy of app-based oral motor therapy and behavior therapy in improving functions of oral musculature and oral hygiene in children with cerebral palsy: A randomized clinical trial"],"prefix":"10.4103","volume":"43","author":[{"given":"Mihir","family":"Nayak","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Government Dental College and Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarakanuru K.","family":"Srinath","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Government Dental College and Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umme","family":"Azher","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahana","family":"Srinath","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Pathology and Oral Microbiology, Government Dental College and Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snehalika","family":"More","sequence":"additional","affiliation":[{"name":"Shambhavi Kids and Family Dental Clinic, Dharwad, Karnataka, 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