Motor Speech Interventions for Children with Cerebral Palsy: A Systematic Review

Autor/inn/en	Korkalainen, Johanna; McCabe, Patricia; Smidt, Andy; Morgan, Catherine
Titel	Motor Speech Interventions for Children with Cerebral Palsy: A Systematic Review
Quelle	In: Journal of Speech, Language, and Hearing Research, 66 (2023) 1, S.110-125 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Korkalainen, Johanna) ORCID (McCabe, Patricia) ORCID (Smidt, Andy) ORCID (Morgan, Catherine)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Cerebral Palsy; Speech Communication; Intervention; Children; Adolescents; Psychomotor Skills; Speech Impairments; Improvement; Program Effectiveness; Neurological Impairments; Intelligibility + Suchen Sie Ihr Suchwort? Hirnlähmung; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Psychomotorische Aktivität; Speech impairment; Speech handicap; Speech handicaps; Language handicps; Language impairments; Sprachbehinderung; Qualitätssteigerung; Neurodegenerative Erkrankung
Abstract	Purpose: Dysarthria is common among children with cerebral palsy (CP) and results in poor speech intelligibility and subsequently low communicative participation. Neuroplasticity evidence suggests that adherence to principles of motor learning (PML) improves motor speech intervention outcomes. Motor speech interventions aim to improve speech intelligibility and ultimately facilitate participation, but the effectiveness of these interventions and their inclusion of PML are not clear. Aims are as follows: (1) evaluate the effectiveness motor speech interventions in improving speech intelligibility; (2) summarize the aims, outcome measures, and outcomes relating to the International Classification of Functioning and Disability Child and Youth; and (3) summarize the principles of motor learning used in the intervention. Method: Eight databases were searched, complemented by a hand search. Studies of any level of evidence were included if they used a motor speech intervention and measured speech in children with CP aged 0-18 years. Studies before 2000 or not in English were excluded. The review was conducted and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Study quality was rated using the Single Case Experimental Design Scale and Physiotherapy Evidence Database-P rating scales. The strength of evidence was evaluated with Grading of Recommendations, Assessment, Development and Evaluation. Results: Of 1,036 initial articles, 21 were included. Eight interventions were identified including 131 participants aged 3-18 years. All studies aimed to improve speech intelligibility or articulation and reported improvement at sound, word, or sentence level. One study reported improvements in communicative participation. The strength of evidence ranged from very low to moderate for one intervention. Adherence to PML was inconsistent. Conclusions: The quality of evidence is very low to moderate. More research on motor speech interventions that adhere to PML is required. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01