Effects of Behavior Therapy on Drooling in Low Intellectual Functioning: Aversive Approach
nil
Keywords:
Keywords: Aversion therapy, Drooling, Play, Behavior therapeutic intervention, Low intellectualAbstract
Hypersecretion of saliva or impairment of swallowing leads to drooling among children which carries physical and medical complications and social stigma to their families. It affects physical and mental health in a negative way. The aim of study was to see the effects of behavior therapeutic intervention program mainly using aversion therapy (pinching/inflicting pain), visual cuing and praising conducted in playful manner on drooling in a child and an adult with low intellectual functioning. Drooling Severity and Frequency Scale, Drooling Impact Scale, Teacher and Parents Rating Scale were done. The sessions were conducted twice a week, forty minutes duration for four months. Fortnightly follow-up sessions were conducted for three months. Single case study, pretest-posttest assessment design and Qualitative analysis were done. Pretest assessment results showed that both the participants had profuse severity level of drooling, frequent drooling in all the settings, while playing with toys, talking with others and lack of awareness of saliva control also noticed. Informed consents were taken. Posttest assessment results revealed a drastic reduction in the frequency and quantity of drooling, enhanced self-management skill and socialization. It can be said that therapeutic programs are very effective in reducing drooling in people with low intellectual functioning.
References
References
Blasco, P. A. & Allaire, J. H. (1992). Drooling in the developmentally disabled management practices and recommendations. Developmental Medicine and Child Neurology,34, 849-862.
Cotton, R.T. & Richardson, M. A. (1981). The effect of submandibular duct rerouting in the treatment of sialorrhoea in children. Otolaryngology Head and Neck Surgery, 89, 535-541.
Crysdale, W. S. (1989). Management options for the drooling patient. Ear Nose and Throat Journal, 68, 820-830.
Crysdale, W. S., Greenberg, J., Koheil, R. & Moran, R. (1985). The drooling patient, team and management. International Journal of Pediatric Otorhinolaryngology, 9, 241- 48.
Damayanti. & Makati, S. (2002). Effect of behavior therapy technique for controlling drooling in children with cerebral palsy.
doi: 10.1111/j.1469-8749.2009.03519.x
DOI: 10.1111/j.1754-4505.2009.00085.x · Source: PubMed
Domaracki, L.S. & Sisson, L.A. (1990). Decreasing drooling with oral motor stimulation in children with multiple disabilities. American Journal of Occupational Therapy, 44, 680-684.
Harris, M. M. & Dignam, P. F. (1980). A non-surgical method of reducing drooling in cerebral-palsied children. Developmental Medicine and Child Neurology, 22, 293- 299.
Hegde, A.M. & Pani,S.C. ( 2009). Drooling of saliva in children with cerebral palsy—etiology, prevalence and relationship to salivary flow rate in an Indian population. Spec Care Dentist, XX(X), 1-6,
http://repository-tnmgrmu.ac.in/1498/1/3002034rekhamp.pdf
Husseini, A. E. Kershawi, J. F., Tahmassebi & FAYLE, S. A. (1998). The management of drooling in children and patients with mental and physical disabilities: a literature review. International Journal of Paediatric Dentistry, 8, 3-11.
Rapp, D. L. & Bowers, P. M. (1979). Meldreth dribble-control project. Child Care, Health and Development, 5, 143-149.
Reid, S. M., Johnson, H. M., & Reddihough, D. S. (2010). The Drooling Impact Scale: a measure of the impact of drooling in children with developmental disabilities. Dev Med Child Neurol, 52 (2), 23-28.
Rekha, M. P.(2014). Effect of Oral Motor Stimulation on Drooling among Children with Cerebral Palsy at Selected Centres in Coimbatore, Chennai: The Tamilnadu Dr. M.G.R Medical University.
Robert. (2013). Effect of rehabilitation of the feeding function on the development of visual- motor coordination and speech in children with infantile cerebral palsy. Journal of pediatric nursing, 28(1), 64-71.
Sochaniwskyj, A. E., Bablich, K., Kenny, D. J. & Milner, M. (1987). Biofeedback techniques and behavior modification in the conservative remediation of drooling by children with cerebral palsy. Developmental Medicine and Child Neurology, 29, 19-26.
Thomas-Stonell, N. & Greenberg, J. (1988). Three treatment approaches and clinical factors in the reduction of drooling. Dysphagia, 3(2), 73–78.
ttps://www.researchgate.net/publication/26336561
Vanderburgh., Kim & Stevenson. (2001). Swallowing disturbances associated with drooling in cerebral palsy children. Journal of developmental medicine and child neurology, 35(4), 293-304.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Indian Journal of Clinical Psychology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
