Evidence-Based Practice Guidelines for Dysarthria: Management of Velopharyngeal Function - Academy of Neurologic Communication Disorders and Sciences: Writing Committee for Practice Guidelines in Dysarthria:

Kathryn M. Yorkston, Kristie Spencer, Joseph Duffy, David Beukelman, Lee Ann Golper, Robert Miller, Edythe Strand, Marsha Sullivan

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

The Academy of Neurologic Communication Disorders and Sciences (ANCDS) established a writing committee to develop evidence-based practice guidelines for speech-language pathologists who treat individuals with dysarthria. The current guidelines draw from both the research literature and expert opinion and address the issues of management of velopharyngeal impairment in dysarthria. A search of electronic databases (PsychINFO, MEDLINE, and CINAHL) and hand searches of relevant edited books yielded 33 intervention studies in the categories of prosthetics, surgery, and exercise. A summary of quality of evidence is provided along with a clinical decision-making flowchart for the management of velopharyngeal impairment in both degenerative and stable/recovering dysarthria. Palatal lift intervention was found to be effective in selected individuals with dysarthria. The best candidates have a flaccid soft palate, pharyngeal wall movement, good oral articulation and respiratory support, and a stable disease course. Recommendations for future research are provided.

Original languageEnglish (US)
Pages (from-to)257-274
Number of pages18
JournalJournal of Medical Speech-Language Pathology
Volume9
Issue number4
StatePublished - Dec 2001

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Rehabilitation
  • Speech and Hearing

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