This study is a two-part randomized controlled trial designed to investigate the effects of home-based Action Observation Training (AOT) combined with Functional Chewing Training (FuCT) in children with Cerebral Palsy (CP) who have chewing disorders. In Part I, the primary outcome results-chewing function, swallowing function, and feeding behaviour-will be reported. In Part II, the secondary outcome results, including child participation, quality of life, and caregiver impact, will be presented. Within the scope of the study, children with CP will be randomly allocated to either a study group or a control group. Both groups will receive FuCT (5 sets per day, 5 days per week, for 12 weeks). In addition, the study group will participate in a home-based AOT program delivered via telerehabilitation (1 set per day, 3 days per week, for 12 weeks) under the guidance of a physiotherapist. All participants will be assessed at baseline, at week 6, and at the end of week 12.
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Karaduman Chewing Performance Scale
Timeframe: Up to 12 Weeks
Turkish version of the Mastication Observation and Evaluation Instrument
Timeframe: Up to 12 Weeks
Test of Masticating and Swallowing Solids in Children
Timeframe: Up to 12 Weeks
Dysphagia Disorder Survey (DDS) and Dysphagia Management Staging Scale (DMSS)
Timeframe: Up to 12 Weeks
Behavioral Pediatrics Feeding Assessment Scale
Timeframe: Up to 12 Weeks