Clinical Practice in Childhood Dysarthria: An Online Survey of German-Speaking Speech-Language Pathologists

Abstract

Purpose: This survey study aimed to establish current clinical practices of German-speaking speech-language pathologists (SLPs) regarding their assessment and treatment of communication disorders in children with neurological conditions, with a particular focus on the management of childhood dysarthria. Method: A 23-question cross-sectional online survey was disseminated to practicing SLPs in Germany, Austria, and Switzerland via relevant professional bodies. SLPs were invited to provide information on their current assessment and treatment practices. Demographic data including case load and clinical settings were also gathered to contextualize practices. Results: One hundred two SLPs responded to the survey, of which 68 valid responses were analyzed. German-speaking SLPs comprehensively assess and treat various aspects of overall communication, language, and swallowing functions in children with neurological conditions. Speech motor aspects did not represent a main intervention focus. In cases where the dysarthric component was targeted, specific approaches for childhood dysarthria were rarely used. Instead, SLPs reported using approaches developed for speech disorders other than dysarthria. Conclusions: German-speaking SLPs working with children with neurological conditions use various assessment and treatment methods to support children's communication. However, dysarthria-specific approaches were not an established part of clinical practice. Results of the survey highlight the need for access to relevant developments in German and for evaluation of current curricula for speech-language pathology students and continuing education opportunities for practicing clinicians.

Diagnostic Uncertainty in Childhood Motor Speech Disorders: A Review of Recent Tools and Approaches

“…Evidence-based practice in speech diagnosis is reported to be difficult for clinicians because of a lack of time and limited confidence to try new ways of working [30]. Many clinicians report insufficient time for assessment, analysis, and diagnosis of childhood speech disorders [27,31]. This may result from a shortfall between demand for services and the availability of speech-language pathologists and other limits on services (e.g.…”