Treatment for Childhood Apraxia of Speech: Past, Present, and Future.

Purpose: The purposes of this review article were to provide an introduction to and "bird's-eye" overview of the current evidence base for treatment of childhood apraxia of speech (CAS), identify some gaps and trends in this rapidly growing literature, and formulate some future research directions,...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; pp. 3495 - 3521
Autor principal: Maas, Edwin
Formato: Artículo
Publicado: American Speech-Language-Hearing Association 2024 Supplement
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2024 Supplement
      vid: 67
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      pub: American Speech-Language-Hearing Association
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        10.1044/2024_JSLHR-23-00233
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        atl: Treatment for Childhood Apraxia of Speech: Past, Present, and Future.
      aug:
        au: Maas, Edwin
        affil: Department of Communication Sciences and Disorders, Temple University, Philadelphia, PA
      su:
        Medical technology
        Treatment of communicative disorders
        Child behavior
        Children
        Treatment effectiveness
        Apraxia
        Communicative disorders research
        Research methodology
        Evidence-based medicine
        Comparative studies
        Speech therapy
        Evaluation
      sug:
        subj:
          Medical technology
          Treatment of communicative disorders
          Child behavior
          Children
          Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
          Surgical Appliance and Supplies Manufacturing
          Surgical and Medical Instrument Manufacturing
          Treatment effectiveness
          Apraxia
          Communicative disorders research
          Research methodology
          Evidence-based medicine
          Comparative studies
          Speech therapy
          Evaluation
      ab: Purpose: The purposes of this review article were to provide an introduction to and "bird's-eye" overview of the current evidence base for treatment of childhood apraxia of speech (CAS), identify some gaps and trends in this rapidly growing literature, and formulate some future research directions, in order to advance the evidence base and clinical practice for children with CAS. Method: Following a brief introduction outlining important concepts, a narrative review of the CAS treatment literature is provided, and trends and future directions are identified based on this review. The review is organized around four fundamental treatment research questions: (a) "Does Treatment X work?", (b) "Does Treatment X work better than Treatment Y?", (c) "For whom does Treatment X work?", and (d) "What does 'work' mean, anyway?" Results: A wide range of CAS treatments with varying degrees of evidence for efficacy exists. Research is beginning to emerge that compares different treatments and seeks to determine optimal treatment parameters. Few studies to date have explored child-level predictors of treatment response, and the evidence base currently is limited in scope with respect to populations and outcomes studied. Conclusions: A growing evidence base supports the efficacy of a number of treatments for CAS. However, many important gaps in the literature were identified that warrant redoubled and sustained research attention. Research is beginning to emerge that addresses treatment optimization, comparison, candidacy, and outcomes. Suggestions for future research are offered, and the concept of a hypothesized pathway was applied to CAS to illustrate how components of an intervention can effect change in a clinical goal and can help guide development and refinement of treatments for children with CAS.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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