Chorna Olena, Hamm Ellyn, Cummings Caitlin, Fetters Ashley, Maitre Nathalie L
Department of Pediatrics, Center for Perinatal Research, Nationwide Children's Hospital, Columbus, OH, USA.
Division of Clinical Therapies, Department of Speech-Language Pathology, Nationwide Children's Hospital, Columbus, OH, USA.
Dev Med Child Neurol. 2017 Apr;59(4):355-360. doi: 10.1111/dmcn.13342. Epub 2016 Nov 29.
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.
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.
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.
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.
我们评估了针对0至2岁脑瘫（CP）高危或已确诊脑瘫的婴儿的言语、语言和沟通干预措施的证据水平。
我们对相关术语进行了系统综述。根据《评估系统综述的测量工具》（AMSTAR）和《推荐分级评估、制定与评价》（GRADE）指南，基于方法学质量和证据水平对文章进行评估。
检索词共得到17篇包含言语或语言干预的出版物。没有处于高证据水平类别的干预措施。总体证据水平非常低。有前景的干预措施包括反应性和前语言环境教学以及其他亲子互动框架。
针对CP高危婴幼儿的言语、语言和沟通需求，几乎没有基于证据的干预措施，对于已确诊CP的婴儿则完全没有。推荐指南包括亲子互动项目。
