Posterpräsentation auf der 23. Jahrestagung des EbM-Netzwerks

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Platzhalter Poster

Vom 01.09.22-03.09.22 fand in Lübeck die 23. Jahrestagung des deutschen Netzwerks evidenzbasierter Medizin e.V. 2022 statt. Im Rahmen des Kongresses stellte Miriam Platte ein Poster mit dem Titel „Phonetische und phonologische sprachtherapeutische Interventionen für Kinder mit LKGS-Fehlbildungen: Ein Systematisches Review" vor.
Das Programm beinhaltete knapp 200 Beiträge, darunter drei Plenarvorträge, 20 Symposien und Workshops sowie rund 50 Kurzvorträge. Hierbei wurden aktuelle Entwicklungen und Debatten aufgegriffen, methodische Ansätze und Potenziale der evidenzbasierten Medizin vorgestellt und diskutiert.

Zitation: Platte, M. & Neumann, S. (2022, 01-03 September). Phonetische und phonologische sprachtherapeutische Interventionen für Kinder mit LKGS-Fehlbildungen: Ein Systematisches Review [Posterpräsentation]. 23. Jahrestagung des EbM-Netzwerks, Lübeck. 

Phonetic and Phonological Speech Therapy Interventions for Children with Cleft Palate: A Systematic Review
präregistriert bei PROSPERO

Introduction: Even in 2022, the evidence of duration, intensity and type of speech therapy for cleft palate ± cleft lip (CP+/L) remains unclear. The objective of the present study was (1) to investigate effectiveness of phonological and/or phonetic therapy for children and adolescents (1;0-19;11 yrs.) with CP+/L and cleft type characteristics (CTCs) and (2) to identify different types of interventions assessed.
Methods: A systematic review of journal publications was conducted in January 2022 by an extensive electronic search and analysis of the databases of Cochrane Library, PubMed, ISI Web of Science, APA PsycINFO and The Health Technology Assessment Database. The search strategy was amended by a manual search of published articles and by checking reference lists of identified publications. There was no limitation in publication year or language. Inclusion criteria for studies were: phonological or phonetic therapy without any technical instruments, experimental group ≥ 90% of children with CP+/L and CTCs, therapy by SLT/SLP, reported outcome measures for speech-language assessment.
Results: The searches identified 637 references. After screening for title and abstract 558 papers had to be excluded, while another 56 publications dropped out by full text analyses regarding missing inclusion criteria. Finally, a total of 23 studies could be included in the analysis. Seven studies were conducted prior 2000, 6 were conducted between 2000 and 2015, and the remaining 10 studies took place after 2015. The publications reflect different study designs with various levels of evidence. In terms of intervention approaches, 12 studies evaluated phonological approaches, 6 evaluated phonetic approaches and 5 a combination of both.
Conclusion: The analyses of the studies show significant improvements by all three approaches,with an advantage in phonological intervention. Risk of bias in studies was moderate.
Keywords: systematic review, speech therapy, effectiveness

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