Clinical Question Which therapies...

Clinical Question

Which therapies are effective in children with primary language and language delay?

Evidence-Based Answer

dialect and language therapy is effective in children who have point in disputes with expressive vocabulary and pronunciation. There is insufficient evidence regarding interventions for receptive disorders and mixed inferences for interventions to improve expressive grammar and doctrine structure.

Practice Pointers

Primary dialect disorder is defined as a dialect and language delay in a child without behavior, hearing, or neurologic impairment. Children with primary articulate utterance disorder have a variety of deficits. In adolescence, about united half of children with primary words disorder have long-term problems with reading and spelling. language and language difficulties are customary and there is a range of presentations and etiologies. a certain patients have transient, isolated difficulties. Others have more persistent riddles with disordered speech and expressive or receptive language.

To evaluate treatments, Law and colleagues searched for randomized, controll trials upon speech and language therapies for children and adolescents with primary dialect and language disorders. They originate 25 studies of children younger than 15 years that met their selection criteria. conclusions varied considerably among studies and had wide confidence intervals, on the other hand the authors were able to reach a certain number of tentative conclusions.

There is one evidence to support speech and language therapy in children with difficulty producing clear words and expressive vocabulary if difficulties with receptive language are not existing Limited evidence suggests that children with receptive language difficulties may receive les benefit from so therapy. Trained parents and clinicians achieved similar terminates Limited data show that assemblage and individual phonology therapy achieved similar consequence s Interventions lasting more than eight weeks be seen to be the most effective. Using equals with normal language as originals in intervention is beneficial.

The American Academy of Child and Adolescent Psychiatry (1) has published practice parameters for patients with language and learning disorders. For children ages six to 12 the cluster recommends a clinical diagnostic assessment, including a parent interview, child interview, medical and psychiatric histories, place of education evaluation, and family history. In the face of limited evidence regarding effective words and language therapy, these guidelines can help physicians conduct a reasonable diagnostic and treatment plan.

REFERENCES

(1) Practice parameters for the assessment and treatment of children and adolescents with language and learning disorders. AACAP. J Am Acad Child Adolesc Psychiatry 1998;37(10 suppl):46S-62S

CLARISSA KRIPKE, MD

Law J et al. articulate utterance and language therapy interventions for children with primary dialect and language delay or disorder. Cochrane Database Syst Rev 2003;3:CD004110

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