Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/26028
Title: Speech therapy interventions for acquired apraxia of speech: An updated systematic review
Authors: Munasinghe, T.U.
Ariyasena, W.A.A.D.K.
Siriwardhana, D.D.
Keywords: Aphasia
Aphasia-therapy
Apraxias-diagnosis
Apraxias-therapy
Speech Production Measurement
Speech Therapy
Issue Date: 2023
Publisher: American Speech-Language-Hearing Association
Citation: American Journal of Speech-Language Pathology. 2023;32(3):1336-1359.[Epub 2023 March 14]
Abstract: PURPOSE: This systematic review aims to summarize and evaluate the available literature on speech and language therapy interventions for acquired apraxia of speech since 2012. METHOD: A systematic search in six electronic databases was performed from 2013 to 2020. The following primary outcomes were summarized: (a) improvement in targeted behaviors, (b) generalization, and (c) maintenance of outcomes. Moreover, studies were evaluated for the level of evidence and the clinical phase. RESULTS: Of the 3,070 records identified, 27 studies were included in this review. The majority of the studies (n = 22) used articulatory kinematic approaches followed by intersystemic facilitation/reorganization treatments (n = 4) and other approaches (n = 1). According to the classes defined in Clinical Practice Guideline Process Manual (Gronseth et al., 2017), one was Class II, 10 were Class III, 10 were Class III-b (fulfill Class III criteria except for independence of assessors' criterion), and five were Class IV. In terms of clinical phase, one study classified as Phase III, 10 as Phase II, and 15 as Phase I. CONCLUSIONS: Among the interventions for apraxia of speech, articulatory kinematic treatments have become prominent over the last 8 years. Focusing on self-administrated therapies, use of technology for therapy administration and development of treatments that focus on apraxia of speech and aphasia simultaneously were identified as new advancements in the apraxia of speech literature. The methodological quality, clinical phase, and level of evidence of the studies have improved within the past 8 years. Large-scale randomized controlled trials for articulatory kinematic approaches and future studies on other treatment approaches are warranted.
Description: indexed in MEDLINE & SCOPUS
URI: http://repository.kln.ac.lk/handle/123456789/26028
ISSN: 1058-0360
Appears in Collections:Journal/Magazine Articles

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