Speech and language interventions for infants aged 0 to 2 years at high risk for cerebral palsy: a systematic review.
Olena Chorna, Ellyn Hamm, Caitlin Cummings and 2 others
PMID 27897320WHAT IT FOUND
No speech or language interventions specifically designed for infants at high risk for cerebral palsy were found.
Parent interaction programs had low to moderate evidence for communication gains.
Key findings
01No speech or language interventions were specifically designed for infants with or at high risk for cerebral palsy.
02The review included 17 studies of infants up to 24 months corrected age, with participant counts ranging from 4 to 552.
03The cumulative GRADE evidence was very low, and Hanen and parent-infant transaction programs had low to moderate evidence for communication gains.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
No study focused exclusively on infants with cerebral palsy, and no intervention was designed specifically for this population. Included studies were small and varied widely in age, intervention type, and outcome measures. This made cumulative effectiveness hard to judge. Many interventions were not described in enough detail to replicate or implement clinically. The overall level of evidence was very low, and guideline recommendations were weak. Some abstracts appeared more rigorous than the full studies. No grey literature was available on the topic.
The easy way to misread this
Do not conclude that Hanen or parent-infant programs are evidence-based treatment for infants with cerebral palsy. The review found no interventions designed specifically for infants with cerebral palsy, and the overall evidence was very low.