Oral Sensory-Motor Intervention for Children and Adolescents (3-18 Years) With Developmental or Early Acquired Speech Disorders–A Review of the Literature 2000-2017
Annals of Otolaryngology and Rhinology
McAllister, A., Brodén, M., et al. (2018).
Annals of Otolaryngology and Rhinology, 5(5), 1221.
<div>This systematic review investigates the effect of sensory-motor intervention in children and adolescents with developmental or early acquired speech disorders (i.e., dysarthria, childhood apraxia of speech, speech sound disorder).</div>
Föreningen för Sveriges Habiliteringschefer (Sweden)
January 1, 2000 to February 29, 2017
<div>Randomized controlled trials, multiple and single-subject/case studies, cohort studies, case series, and observational studies</div>
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<div>In one study, lip strengthening exercises led to improved lip strength with variable impact on speech outcomes in 8 children with dysarthria secondary to myotonic dystrophy type 1. No other studies were located regarding neuromuscular disease. </div>
<div>Results demonstrated medium high to high scientific support for Rapid Syllable Transition Treatment (ReST), suggesting that ReST has positive effects in children and adolescents with childhood apraxia of speech (CAS) or speech sound disorders (SSD).</div>
<div> </div>
<div>The following oral sensory-motor interventions demonstrated medium high scientific support for children and adolescents with CAS or SSD:</div>
<ul>
<li>Nuffield Dyspraxia Program 3 (NDP3);</li>
<li>Dynamic Temporal and Tactile Cueing (DTTC);</li>
<li>Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT); and</li>
<li>Motor speech treatment protocol (MSTP).</li>
</ul>
<div>Findings indicated medium high scientific support for the Lee Silverman Voice Treatment-LOUD (LSVT LOUD) program for youth with dysarthria due to cerebral palsy or traumatic brain injury.</div>
<div> </div>
<div>Due to a small number of participants, conflicting results across studies of a similar method, and other factors affecting study quality, findings also indicated limited scientific support for the following interventions:</div>
<ul>
<li>Electropalatography (EPG);</li>
<li>breathing, phonation, and speech rate training;</li>
<li>oral myofunctional treatment; and</li>
<li>Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT).</li>
</ul>
<div>There was limited to medium-high scientific support for multidisciplinary interventions incorporating palatal plates and speech pathology intervention for children with Down syndrome and dysarthria. Benefits included improvements in speech/articulation, tongue position and mobility, and lip rounding and closure.</div>
