Related Experiment Video
Updated: Feb 15, 2026

A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)
Published on: February 7, 2025
Evidence- and Consensus-Based Guidelines for the Management of Communication and Swallowing Disorders Following
Cristina Mei1, Vicki Anderson, Mary-Clare Waugh
1Murdoch Children's Research Institute, Melbourne, Victoria, Australia (Drs Mei, Anderson, and Morgan); University of Melbourne, Melbourne, Victoria, Australia (Drs Anderson and Morgan); The Royal Children's Hospital, Melbourne, Victoria, Australia (Dr Anderson); Children's Hospital at Westmead, Sydney, New South Wales, Australia (Dr Waugh); and Lady Cilento Children's Hospital, Brisbane, Queensland, Australia (Dr Cahill).
Objective:
Evidence-based management guidelines for communication and swallowing disorders following pediatric traumatic brain injury (TBI) are scarcely available, potentially resulting in suboptimal outcomes. To improve clinical care of this population, a multidisciplinary guideline development committee was formed to develop evidence-based recommendation (EBR) and consensus-based recommendation (CBR) for the management of speech, language, and swallowing disorders during the first year of recovery.
Methods:
A 3-round Delphi survey was completed by the committee to reach agreement (80% consensus) for the CBRs. Systematic review evidence guided development of EBRs, devised using the National Health and Medical Research Council statement form.
Results:
Altogether, 30 recommendations (5 EBRs and 25 CBRs) were developed to guide management of speech, language, and swallowing disorders, including prediction of these disorders; health team required, optimal timing of assessment; assessment tools; intervention strategies and commencement of treatment; and key information to support parents.
Conclusion:
The developed recommendations provide a basis for the systematic management of communication and swallowing disorders to be refined as new evidence emerges. Key recommendations include screening of children with moderate/severe TBI for these disorders acutely using specified measures. Patients with severe TBI and prolonged ventilation are a particular at-risk group and should be considered for early referral to speech-language pathology to support timely diagnosis and management. No evidence was identified to support an EBR for treatment, highlighting a key area for research.
Related Concept Videos
Post-traumatic Stress Disorder
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
The Evidence for Evolution
Neurons as Communicators of the Brain
Cell Body
The cell body, also known...
Communication
Communication
Acute Kidney Injury VI: Nursing Management

