Best practice recommendations for speech-language pathology in children with neuromuscular disorders: A Delphi-based...

Area of Science:

• Neurology
• Speech-Language Pathology
• Pediatrics

Background:

• Paediatric neuromuscular disorders (pNMD) frequently cause dysphagia and dysarthria.
• Lack of evidence-based guidelines for speech-language pathology (SLP) in pNMD can compromise care.
• This study addresses the need for standardized SLP interventions in pNMD.

Purpose of the Study:

• To achieve consensus on best practice recommendations for SLP intervention in pNMD.
• To provide guidance for SLPs managing swallowing and speech difficulties in children with pNMD.
• To establish evidence-based strategies for SLP in congenital myopathy, Duchenne muscular dystrophy, myotonic dystrophy type 1, and spinal muscular atrophy type 2.

Main Methods:

• A modified Delphi technique was employed with experienced Dutch SLPs.
• Two online survey rounds and a consensus meeting were conducted.
• Experts proposed and rated intervention items for specific pNMD types and symptoms.

Main Results:

• Consensus was reached on intervention items for dysphagia, dysarthria, drooling, and oral hygiene in pNMD.
• Best practice recommendations were developed, encompassing six core intervention components.
• The recommendations provide a framework for clinical decision-making for SLPs.

Conclusions:

• The study provides essential best practice recommendations for SLPs in the field of pNMD.
• These guidelines aim to improve clinical decision-making and ensure quality of care.
• The recommendations cover a range of interventions tailored to the needs of children with pNMD.