Objective: To determine the effects of chewing exercises in addition to routine physical therapy on cervical hypermobility in patients with Pierre Robin syndrome (PRS).
Methodology: This randomized controlled trial was conducted at Rising Sun Institute for Special Children and Children’s Hospital, Lahore. Patients with PRS and Stickler syndrome of both gender and age between 4-12 years were included. Those with any other syndrome or epilepsy were excluded. A total of 10 children were randomly divided in 2 groups. Group A received routine physical therapy and chewing exercise while Group B received only routine physical therapy. Generalized hypermobility was measured by Beighton Hypermobility Scoring (BHS) system. Children having BHS of more than 5 out of 9 were considered in this study. Twelve sessions were given for consecutive 4 weeks.
Results: Cervical range of motion (ROM) in cervical side flexion values (p=0.003), flexion (p=0.006) and Extension (p=0.004) decreased within group showed significant improvement in cervical stability. While in cervical rotation, there was no significant reduction (p=0.682). Between groups, p value showed significant decrease in ROM in cervical side flexion (p=0.016) flexion (p=0.032) and extension (p=0.008), respectively and showed marked improvement in cervical stability.
Conclusion: Chewing exercise with routine physical therapy was more effective in cervical hypermobility by decreasing cervical ROM in different cervical positions for cervical stability in patients with PRS.
Javaria, Waqar Afzal, Ashfaq Ahmad, Asif Hanif, Kashif Siddique, Amir Gilani. (2021) Role of chewing exercise on cervical hypermobility in patients with Pierre Robin Syndrome, , Volume-46, Issue-1.
