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Speech and language interventions for infants aged 0 to 2 years at high risk for cerebral palsy: a systematic review
Olena Chorna1, Ellyn Hamm1, Caitlin Cummings2
1Department of Pediatrics, Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Insights
Evidence for speech and language interventions in infants with cerebral palsy (CP) is very limited. Parent-infant interaction programs show promise for supporting communication development in at-risk infants.
Area of Science:
- Pediatric neurology
- Developmental pediatrics
- Speech-language pathology
Background:
- Cerebral palsy (CP) significantly impacts speech, language, and communication development in infants.
- Early intervention is crucial for optimizing outcomes in infants with or at high risk for CP.
- A comprehensive review of current evidence-based interventions is needed.
Purpose of the Study:
- To evaluate the level of evidence for speech, language, and communication interventions.
- To assess interventions for infants aged 0-2 years with CP or at high risk for CP.
Main Methods:
- Systematic review of relevant literature.
- Evaluation of methodological quality and evidence using AMSTAR and GRADE guidelines.
- Inclusion of 17 publications focusing on speech or language interventions.
Main Results:
- No interventions were found in the high level of evidence category.
- The overall level of evidence for existing interventions was very low.
- Responsivity and Prelinguistic Milieu Teaching, and parent-infant transaction frameworks were identified as promising.
Conclusions:
- There is a significant lack of evidence-based interventions for speech, language, and communication needs in infants with or at high risk for CP.
- Parent-infant transaction programs are recommended for consideration.
- Further research is needed to develop and validate effective interventions.
Aim:
We evaluated the level of evidence of speech, language, and communication interventions for infants at high-risk for, or with a diagnosis of, cerebral palsy (CP) from 0 to 2 years old.
Method:
We performed a systematic review of relevant terms. Articles were evaluated based on the level of methodological quality and evidence according to A Measurement Tool to Assess Systematic Reviews (AMSTAR) and Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines.
Results:
The search terms provided 17 publications consisting of speech or language interventions. There were no interventions in the high level of evidence category. The overall level of evidence was very low. Promising interventions included Responsivity and Prelinguistic Milieu Teaching and other parent-infant transaction frameworks.
Interpretation:
There are few evidence-based interventions addressing speech, language, and communication needs of infants and toddlers at high risk for CP, and none for infants diagnosed with CP. Recommendation guidelines include parent-infant transaction programs.
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