Posterpräsentation auf der 23. Jahrestagung des EbM-Netzwerks

projekte , unterwegs
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. https://www.ebm-kongress.de/programm/ 

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

Abstract:
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

References: 
Alighieri, C., Bettens, K., Bruneel, L., D'haeseleer, E., Van Gaever, E., & Van Lierde, K. (2020). Effectiveness of Speech Intervention in Patients With a Cleft Palate: Comparison of Motor-Phonetic Versus Linguistic-Phonological Speech Approaches. Journal of speech, language, and hearing research: JSLHR, 63(12), 3909–3933. https://doi.org/10.1044/2020_JSLHR-20-00129

Alighieri, C., Van Lierde, K., De Caesemaeker, A. S., Demuynck, K., Bruneel, L., D'haeseleer, E., & Bettens, K. (2021). Is High-Intensity Speech Intervention Better? A Comparison of High-Intensity Intervention Versus Low-Intensity Intervention in Children With a Cleft Palate. Journal of speech, language, and hearing research : JSLHR64(9), 3398–3415. https://doi.org/10.1044/2021_JSLHR-21-00189

Bessell, A., Sell, D., Whiting, P., Roulstone, S., Albery, L., Persson, M., Verhoeven, A., Burke, M., & Ness, A. R. (2013). Speech and language therapy interventions for children with cleft palate: A systematic review. The Cleft Palate Craniofacial Journal, 50(1), 1–17. https://doi.org/10.1597/11-202

BMJ (OPEN ACCESS) Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviewsBMJ 2021;372:n71. doi: 10.1136/bmj.n71

Cleft Lip & Palate Association (2018). Speechwww.clapa.com/treatment/early-years-1-4/speech/ 

Cochrane (2019). RoB 2 tool A revised Cochrane risk of bias tool for randomized trials. Risk of bias. https://www.riskofbias.info/welcome/rob-2-0-tool

Derakhshandeh, F., Nikmaram, M., Hosseinabad, H. H., Memarzadeh, M., Taheri, M., Omrani, M., Jalaie, S., Bijankhan, M., & Sell, D. (2016). Speech characteristics after articulation therapy in children with cleft palate and velopharyngeal dysfunction - A single case experimental design. International journal of pediatric otorhinolaryngology, 86, 104–113. https://doi.org/10.1016/j.ijporl.2016.04.025

Hardin-Jones, M. & Chapman, K. L. (2008). The impact of early intervention on speech and lexical development for toddlers with cleft palate: a retrospective look at outcome. Language, speech, and hearing services in schools, 39(1), 89–96. https://doi.org/10.1044/0161-1461(2008/009)

Higgins, J. P. T. & Green, S. (2009). The Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Handbooks. http://www.cochrane-handbook.org/

Herreras Mercado, R., Simpson, K., & Bellom-Rohrbacher, K. H. (2019). Effect of Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) on Compensatory Articulation in Children With Cleft Palate/Lip. Global pediatric health, 6, 2333794X19851417. https://doi.org/10.1177/2333794X19851417

Jahanbin, A., Pahlavannezhad, M. R., Savadi, M., & Hasanzadeh, N. (2014). The effect of speech therapy on acoustic speech characteristics of cleft lip and palate patients: a preliminary study. Special care in dentistry: official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 34(2), 84–87. https://doi.org/10.1111/scd.12031

Kaiser, A. P., Scherer, N. J., Frey, J. R., & Roberts, M. Y. (2016). The Effects of Enhanced Milieu Teaching With Phonological Emphasis on the Speech and Language Skills of Young Children With Cleft Palate: A Pilot Study. American journal of speech-language pathology, 26(3), 806–818. https://doi.org/10.1044/2016_AJSLP-16-0008

Luyten, A., Bettens, K., D'haeseleer, E., Hodges, A., Galiwango, G., Vermeersch, H., & Van Lierde, K. (2016). Short-term effect of short, intensive speech therapy on articulation and resonance in Ugandan patients with cleft (lip and) palate. Journal of communication disorders, 61, 71–82. https://doi.org/10.1016/j.jcomdis.2016.03.006

Mossey, P. A. & Modell, B. (2012). Epidemiology of oral clefts 2012: an international perspective. Front Oral Biol, 16, 1-18.

Pamplona, M. C., Ysunza, A., & Uriostegui, C. (1996). Linguistic interaction - the active role of parents in speech therapy for cleft palate patients. International journal of pediatric otorhinolaryngology37(1), 17-27.

Pamplona, M. C., Ysunza, A., & Espinosa, J. (1999). A comparative trial of two modalities of speech intervention for compensatory articulation in cleft palate children, phonologic approach versus articulatory approach. International journal of pediatric otorhinolaryngology, 49(1), 21–26. https://doi.org/10.1016/s0165-5876(99)00040-3

Pamplona, M. C., Ysunza, A., & Ramírez, P. (2004). Naturalistic intervention in cleft palate children. International journal of pediatric otorhinolaryngology, 68(1), 75–81. https://doi.org/10.1016/j.ijporl.2003.09.007

Pamplona, M. C., Ysunza, A., Patiño, C., Ramírez, E., Drucker, M., & Mazón, J. J. (2005). Speech summer camp for treating articulation disorders in cleft palate patients. International journal of pediatric otorhinolaryngology, 69(3), 351–359. https://doi.org/10.1016/j.ijporl.2004.10.012

Pamplona, M. C., Ysunza, A., Chavelas, K., Arámburu, E., Patiño, C., Martí, F., & Morales, S. (2012). A study of strategies for treating compensatory articulation in patients with cleft palate. Journal of maxillofacial and oral surgery11(2), 144–151. https://doi.org/10.1007/s12663-011-0314-x

Pamplona, M. C., Ysunza, A., & Morales, S. (2014). Strategies for treating compensatory articulation in patients with cleft palate. International journal of biomedical science: IJBS, 10(1), 43–51.

Pamplona, M. C., Ysunza, P. A., & Morales, S. (2017). Audiovisual materials are effective for enhancing the correction of articulation disorders in children with cleft palate. International journal of pediatric otorhinolaryngology, 93, 17–23. https://doi.org/10.1016/j.ijporl.2016.12.011

Pamplona, M. C. & Ysunza, P. A. (2018). Deliberate Practice: Preliminary Results of a Useful Strategy for Correcting Articulation in Children With Cleft Palate. The Journal of craniofacial surgery, 29(6), 1490–1494. https://doi.org/10.1097/SCS.0000000000004707

Sand, A., Hagberg, E., & Lohnender, A. (2022). On the Benefits of Speech-Language Therapy for Individuals Born With Cleft Palate: A Systematic Review and Meta-Analysis of Individual Participant Data. Journal of Speech, Language, and Hearing Research65(2), 555–573. https://pubs.asha.org/doi/abs/10.1044/2021_JSLHR-21-00367

Scherer, N. J., Kaiser, A. P., Frey, J. R., Lancaster, H. S., Lien, K., & Roberts, M. Y. (2020). Effects of a naturalistic intervention on the speech outcomes of young children with cleft palate. International journal of speech-language pathology, 22(5), 549-558. https://doi.org/10.1080/17549507.2019.1702719

Scherer N. J., Yamashita, R., de Oliveira, D. N., DiLallo, J., Trindade, I., Fukushiro, A. P., & Richards, K. (2022). Early speech and language intervention in Brazilian-Portuguese toddlers with cleft lip and/or palate. Clinical Linguistics & Phonetics, 36(1), 34-53, DOI: 10.1080/02699206.2021.1912187

Sell, D. A. & Grunwell, P. (1990). Speech results following late palatal surgery in previously unoperated Sri Lankan adolescents with cleft palate. Cleft Palate Journal, 27(2), 162–168; discussion 174-165.

Van Demark, D. R. (1971). Articulatory changes in the therapeutic process. Cleft Palate Journal, 8, 159–166.

Van Demark, D. R. (1974). Some results of speech therapy for children with cleft palate. Cleft Palate Journal, 11(1), 41–49.

Van Demark, D. R. & Hardin, M. A. (1986). Effectiveness of intensive articulation therapy for children with cleft palate. The Cleft palate journal, 23(3), 215–224.

Ysunza, A., Pamplona, M. C., Femat, T., Mayer, I., & García-Velasco, M. (1997). Videonasopharyngoscopy as an instrument for visual biofeedback during speech in cleft palate patients. International journal of pediatric otorhinolaryngology41(3), 291–298. https://doi.org/10.1016/s0165-5876(97)00096-7

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