Discipline of Speech Pathology, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
Discipline of Speech Pathology, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
Sleep Med. 2021 May;81:144-153. doi: 10.1016/j.sleep.2021.02.015. Epub 2021 Feb 16.
The purpose of this systematic review was to review and synthesize the current evidence on speech and language outcomes of children with Obstructive Sleep Apnea (OSA), or more broadly sleep-disordered breathing.
A comprehensive literature search was conducted across 5 databases. Studies were selected based on the following criteria: 1) peer-reviewed research published between 2000 and 2020, 2) available in English or accessible non-English data, 3) children aged 2-13 years diagnosed with Sleep Disordered Breathing (SDB) or OSA, and 4) speech and language outcomes examined within research.
Studies were appraised using PEDro-P and the overall certainty of evidence using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Six studies met the current review selection criteria: one paper examined speech outcomes and the remaining five examined receptive and expressive language outcomes. The overall quality of the body of evidence was rated as very low, with methodological weaknesses present in study designs and sample sizes.
Speech and language difficulties are common in children with OSA/SDB, in addition to neurocognitive and/or neurobehavioral issues. Further investigation of specific speech and language skills, which are compromised in this population, is needed to guide clinical practice and decision making, with particular involvement from speech-language pathologists.
本系统评价的目的是回顾和综合目前关于阻塞性睡眠呼吸暂停（OSA）或更广泛的睡眠呼吸障碍儿童的言语和语言结果的证据。
在 5 个数据库中进行了全面的文献检索。研究的选择基于以下标准：1）2000 年至 2020 年期间发表的同行评审研究，2）可用英文或可获得非英文数据，3）年龄在 2-13 岁之间诊断为睡眠呼吸障碍（SDB）或 OSA 的儿童，以及 4）研究中检查的言语和语言结果。
使用 PEDro-P 评估研究，并使用推荐评估、制定和评估（GRADE）的分级来评估证据的总体确定性。有 6 项研究符合当前审查的选择标准：一篇论文研究了语音结果，其余五篇论文研究了接受性和表达性语言结果。证据总体质量被评为非常低，研究设计和样本量存在方法学弱点。
除了神经认知和/或神经行为问题外，OSA/SDB 儿童还常见言语和语言困难。需要进一步研究该人群中受损的特定言语和语言技能，以指导临床实践和决策，言语语言病理学家尤其需要参与。
