American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review


Methods of Speech Therapy Treatment for Stable Dysarthria: A Review

Palmer, R., & Enderby, P. (2007).
Advances in Speech Language Pathology, 9(2), 140-153.

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication No
Included studies are assessed for study quality No
Quality assessments are reproducible N/A

Description: This is a review of primary research studies investigating the effectiveness of dysarthria interventions in individuals with stable dysarthria diagnoses (e.g., stroke, traumatic brain injury, cerebral palsy).

Question(s) Addressed:

What speech therapy methods for treatment of stable dysarthria have been described or evaluated?

Population: Primarily adults with stroke, traumatic brain injury, or cerebral palsy.

Intervention/Assessment: Not specified

Number of Studies Included: 23

Years Included: 1966 to March 2006

Findings:

Conclusions:

  • Treatment
    • Speech
      • General Findings
        • No conclusions could be made regarding the efficacy of speech and language treatments due to the small number of participants studied and heterogeneity of techniques described.
        • The majority of studies included treatments aimed at improving communication and intelligibility in individuals with dysarthria linked to stroke, cerebral palsy and traumatic brain injury. Interventions included: direct techniques targeting rate, articulation and prosody, instrumental treatments providing visual feedback, and oral motor treatments.

Keywords: Dysarthria, Cerebral Palsy, Brain Injury, Stroke

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Added to Compendium: February 2012

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