An evaluation of the effectiveness of PROMPT therapy in improving speech production accuracy in six children with cerebral palsy

Ward, Roslyn; Leitão, Suze; Strauss, Geoff

doi:10.3109/17549507.2013.876662

Cited by 27 publications

(16 citation statements)

References 60 publications

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“…However, unlike phonological disorders where treatment gains were limited in low dose frequency delivery (e.g., Allen ), Ward et al . () reported positive outcomes for children with cerebral palsy even with less intensive speech motor interventions (once per week for 20 weeks; approximately 14% change in word‐level speech intelligibility scores; although in this study dose frequency was not compared and session dose was not reported).…”

Section: Introductionmentioning

confidence: 75%

“…), whereas in studies on children with other motor speech issues such as cerebral palsy and DYS, positive outcomes have been reported for intervention when delivered even in low‐dose frequency format (e.g., once per week for 20 weeks; Ward et al . ). Tentatively, these findings contribute to a growing body of evidence supporting the use of lower dose frequency motor speech intervention in conjunction with home practice for children with deficits limited to neuromotor execution, relative to what is recommended for populations with phonological disorders or CAS (Allen , Baker and McLeod , Kaipa and Peterson , Murray et al .…”

Section: Discussionmentioning

confidence: 97%

“…For example, high intensity speech motor intervention (thrice per week for 6 weeks), which focused on control of respiration, phonatory effort, speech rate and phrase length/syllables per breath, improved speech intelligibility (about 9% change in word-level speech intelligibility scores) and participation outcomes in children with DYS and cerebral palsy (Pennington et al 2013). However, unlike phonological disorders where treatment gains were limited in low dose frequency delivery (e.g., Allen 2013), Ward et al (2014) reported positive outcomes for children with cerebral palsy even with less intensive speech motor interventions (once per week for 20 weeks; approximately 14% change in word-level speech intelligibility scores; although in this study dose frequency was not compared and session dose was not reported).…”

Section: Investigations Of Intervention Intensity For Ssd Subtypesmentioning

confidence: 99%

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Investigating intervention dose frequency for children with speech sound disorders and motor speech involvement

Namasivayam

Pukonen

Goshulak

et al. 2019

Intl J Lang & Comm Disor

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Background Treatment outcome data for children with severe speech sound disorders with motor speech involvement (SSD‐MSI) are derived from Phase I clinical research studies. These studies have demonstrated positive improvements in speech production. Currently there is no research examining the optimal treatment dose frequency for this population. The results of this study, which is the first of its kind, will inform the delivery of effective services for this population. Aims To investigate optimal treatment dose frequency for the Motor Speech Treatment Protocol (MSTP) for children with SSD‐MSI. Methods & Procedures A total of 48 children (aged 43–47 months) with SSD‐MSI participated in the study. Participants received 45‐min MSTP intervention sessions either once per week (lower dose frequency) or twice per week (higher dose frequency) for a 10‐week period. Blinded outcome assessments were carried out at pre‐ and post‐intervention. Outcomes & Results Treatment‐related change was assessed at body structures, functions and activities participation level as per the World Health Organization's International Classification of Functioning framework: Children and Youth Version (ICF‐CY) framework WHO (2007). These measures are related to articulation, functional communication and speech intelligibility. One‐way analysis of variance (ANOVA) revealed that for all variables the baseline scores were not statistically different (p > 0.05) between the two dose‐frequency groups. Overall, there was a significant main effect of Time (pre–post) across all variables (p < 0.01). However, repeated‐measures ANOVA did not result in any statistical interactions (Time × Dose frequency) for any of the variables tested (p > 0.05). Only marginal clinical advantages (< 4% change in intelligibility) were noted with the 10 extra sessions. Conclusions & Implications Overall, the MSTP intervention approach in conjunction with home practice led to significant positive changes for all measures in children with SSD‐MSI. No statistical differences between high‐ and low‐dose‐frequency groups were observed for any of the variables. Clinical effects were examined using effect sizes, as well as changes in articulation, speech intelligibility and functional communication; these differed marginally between the two dose frequencies. This suggests limited benefits of 10 additional sessions per block. Thus, it is recommended that caregivers, speech–language therapists and policy‐makers perform a cost–benefit analysis before determining the dose frequency, when considering additional sessions per block.

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Section: Introductionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 97%

Section: Investigations Of Intervention Intensity For Ssd Subtypesmentioning

confidence: 99%

See 1 more Smart Citation

Investigating intervention dose frequency for children with speech sound disorders and motor speech involvement

Namasivayam

Pukonen

Goshulak

et al. 2019

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

show abstract

“…This communication impairment has been related to a poor relationship between motor commands and perceptual speech movements. Ward et al have shown the efficacy of motor and perceptual speech therapy at improving language skills in children with CP (Ward et al, 2014). Although therapeutic resources have advanced drastically in recent years, behavioral therapies are not yet able to offer complete recovery.…”

Section: Insert Tables1 and 2 About Herementioning

confidence: 98%

“…The motor speech therapy is focused in the motor ability of lips, tongue, cheeks and palate necessary to speech. There is evidence that the use of a motor treatment approach aligned with dynamic systems theory improves motor speech movement patterns and the accuracy of speech production in such children, with a consequent improvement in overall communication (Ward, Leitão, & Strauss, 2014). This dynamic systems theory approach relates the learning of motor skills necessary for the development of speech with the changes of natural growth.…”

Section: Introductionmentioning

confidence: 95%

Transcranial direct current stimulation combined with integrative speech therapy in a child with cerebral palsy: A case report

Lima

Grecco

Marques

et al. 2016

Journal of Bodywork and Movement Therapies

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Speech therapy for children with dysarthria acquired before three years of age

Pennington

Parker

Kelly

et al. 2016

Cochrane Database of Systematic Reviews

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This review found no evidence from randomised trials of the effectiveness of speech and language therapy interventions to improve the speech of children with early acquired dysarthria. Rigorous, fully powered randomised controlled trials are needed to investigate if the positive changes in children's speech observed in phase I and phase II studies are generalisable to the population of children with early acquired dysarthria served by speech and language therapy services. Research should examine change in children's speech production and intelligibility. It must also investigate children's participation in social and educational activities, and their quality of life, as well as the cost and acceptability of interventions.

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An evaluation of the effectiveness of PROMPT therapy in improving speech production accuracy in six children with cerebral palsy

Cited by 27 publications

References 60 publications

Investigating intervention dose frequency for children with speech sound disorders and motor speech involvement

Investigating intervention dose frequency for children with speech sound disorders and motor speech involvement

Transcranial direct current stimulation combined with integrative speech therapy in a child with cerebral palsy: A case report

Speech therapy for children with dysarthria acquired before three years of age

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