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22q11.2 缺失综合征的言语-语言障碍:诊断和管理的最佳实践。

Speech-Language Disorders in 22q11.2 Deletion Syndrome: Best Practices for Diagnosis and Management.

机构信息

Center for Childhood Communication, 22q and You Center, Cleft Lip and Palate Program, Children's Hospital of Philadelphia, PA.

North Thames Regional Cleft Lip and Palate Service, Speech and Language Therapy Department and Centre for Outcomes and Experiences Research in Children's Health, Illness, and Disability, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.

出版信息

Am J Speech Lang Pathol. 2019 Aug 9;28(3):984-999. doi: 10.1044/2019_AJSLP-16-0147. Epub 2019 Jul 22.

Abstract

Purpose Speech and language disorders are hallmark features of 22q11.2 deletion syndrome (22qDS). Learning disabilities, cognitive deficits, palate abnormalities, velopharyngeal dysfunction, behavioral differences, and various medical and psychiatric conditions are also major features of this syndrome. The goal of this document is to summarize the state of the art of current clinical and scientific knowledge regarding 22qDS for speech-language pathologists (SLPs) and provide recommendations for clinical management. Method Best practices for management of individuals with 22qDS were developed by consensus of an expert international group of SLPs and researchers with expertise in 22qDS. These care recommendations are based on the authors' research, clinical experience, and literature review. Results This document describes the features of 22qDS as well as evaluation procedures, treatment protocols, and associated management recommendations for SLPs for the often complex communication disorders present in this population. Conclusion Early diagnosis and appropriate management of speech-language disorders in 22qDS is essential to optimize outcomes and to minimize the long-term effects of communication impairments. Knowledge of this diagnosis also allows anticipatory care and guidance regarding associated features for families, health care, and educational professionals.

摘要

目的

言语和语言障碍是 22q11.2 缺失综合征(22qDS)的显著特征。学习障碍、认知缺陷、腭异常、软腭功能障碍、行为差异以及各种医学和精神疾病也是该综合征的主要特征。本文旨在总结言语语言病理学家(SLP)对 22qDS 的当前临床和科学知识的最新进展,并为临床管理提供建议。

方法

通过具有 22qDS 专业知识的 SLP 和研究人员的国际专家组的共识,制定了针对 22qDS 患者的管理最佳实践。这些护理建议基于作者的研究、临床经验和文献综述。

结果

本文描述了 22qDS 的特征,以及 SLP 针对该人群中常见的复杂交流障碍的评估程序、治疗方案和相关管理建议。

结论

早期诊断和适当管理 22qDS 中的言语语言障碍对于优化结果和最大限度地减少沟通障碍的长期影响至关重要。对该诊断的了解还允许为家庭、医疗保健和教育专业人员提供有关相关特征的预期护理和指导。

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