TY - JOUR
T1 - Evidence-Based Practice Guidelines for Dysarthria
T2 - Management of Velopharyngeal Function - Academy of Neurologic Communication Disorders and Sciences: Writing Committee for Practice Guidelines in Dysarthria:
AU - Yorkston, Kathryn M.
AU - Spencer, Kristie
AU - Duffy, Joseph
AU - Beukelman, David
AU - Golper, Lee Ann
AU - Miller, Robert
AU - Strand, Edythe
AU - Sullivan, Marsha
PY - 2001/12/1
Y1 - 2001/12/1
N2 - The Academy of Neurologic Communication Disorders and Sciences (ANCDS) established a writing committee to develop evidence-based practice guidelines for speech-language pathologists who treat individuals with dysarthria. The current guidelines draw from both the research literature and expert opinion and address the issues of management of velopharyngeal impairment in dysarthria. A search of electronic databases (PsychINFO, MEDLINE, and CINAHL) and hand searches of relevant edited books yielded 33 intervention studies in the categories of prosthetics, surgery, and exercise. A summary of quality of evidence is provided along with a clinical decision-making flowchart for the management of velopharyngeal impairment in both degenerative and stable/recovering dysarthria. Palatal lift intervention was found to be effective in selected individuals with dysarthria. The best candidates have a flaccid soft palate, pharyngeal wall movement, good oral articulation and respiratory support, and a stable disease course. Recommendations for future research are provided.
AB - The Academy of Neurologic Communication Disorders and Sciences (ANCDS) established a writing committee to develop evidence-based practice guidelines for speech-language pathologists who treat individuals with dysarthria. The current guidelines draw from both the research literature and expert opinion and address the issues of management of velopharyngeal impairment in dysarthria. A search of electronic databases (PsychINFO, MEDLINE, and CINAHL) and hand searches of relevant edited books yielded 33 intervention studies in the categories of prosthetics, surgery, and exercise. A summary of quality of evidence is provided along with a clinical decision-making flowchart for the management of velopharyngeal impairment in both degenerative and stable/recovering dysarthria. Palatal lift intervention was found to be effective in selected individuals with dysarthria. The best candidates have a flaccid soft palate, pharyngeal wall movement, good oral articulation and respiratory support, and a stable disease course. Recommendations for future research are provided.
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M3 - Article
AN - SCOPUS:0347917990
SN - 1065-1438
VL - 9
SP - 257
EP - 274
JO - Journal of Medical Speech-Language Pathology
JF - Journal of Medical Speech-Language Pathology
IS - 4
ER -