McInerney Michelle, Imms Christine, Carding Paul N, Reddihough Dinah S
Lecturer in Speech Pathology, School of Allied Health, Australian Catholic University, Level 3 TWH, 8-20 Napier Street, North Sydney, NSW, 2060, Australia.
Apex Australia Chair of Neurodevelopment and Disability, Fellow, Occupational Therapy Australia Research Academy, Department of Paediatrics, The University of Melbourne, Australia.
Contemp Clin Trials Commun. 2021 Nov 17;24:100872. doi: 10.1016/j.conctc.2021.100872. eCollection 2021 Dec.
Anterior drooling is common in children with cerebral palsy (CP) and poses significant risks to the child's health. Causes of drooling include oro-motor dysfunction, inefficient swallowing and reduced sensation in the orofacial musculature. Behavioural interventions are frequently recommended to reduce drooling; however, this is in the absence of high-quality research evidence. This paper describes a protocol for evaluating the effectiveness of the Lee Silverman Voice Treatment LOUD (LSVT LOUD®) in reducing drooling; and optimising speech and swallowing in a group of children with CP. A structured and systematic visual analysis supplemented with statistical analyses will be used to analyse the data. The risk of bias in n-of-1 trials (RoBiNT) Scale [1] guided the design and implementation of the study.
流口水在脑瘫(CP)儿童中很常见,对儿童健康构成重大风险。流口水的原因包括口面部运动功能障碍、吞咽效率低下以及口面部肌肉组织感觉减退。经常推荐采用行为干预措施来减少流口水;然而,这缺乏高质量的研究证据。本文描述了一项评估李·西尔弗曼嗓音治疗法(LSVT LOUD®)减少流口水效果的方案;并优化一组脑瘫儿童的言语和吞咽功能。将使用结构化和系统的视觉分析并辅以统计分析来分析数据。单病例试验的偏倚风险(RoBiNT)量表[1]指导了本研究的设计和实施。