Summer 2017, Volume 8, Issue 4
Jaime is a 3-year-old boy with Down Syndrome who has been referred for speech therapy treatment for delayed speech. During the evaluation, the speech and language pathologist (SLP) finds that Jaime has tongue thrust and reduced lip strength and closure, which are signs of an orofacial myofunctional disorder.
The SLP wants to find the most recent recommendations about orofacial myofunctional disorders, so she consults Rehabilitation Reference Center, keying in the phrase “orofacial myofunctional disorders.” She locates the following Clinical Review: “Orofacial Myofunctional Disorders.”
The SLP reads about orofacial myofunctional disorders, including risk factors, causes, and contraindications to examination and treatment. She then reviews the examination section of the Clinical Review. After completing the physical and subjective examination, she goes on to read about the speech therapy treatment plan.
Based on the Clinical Review and the examination findings, the SLP teaches the patient and parents exercises to increase lip strength and range of motion, and to improve tongue resting posture.
Note: The above-referenced Clinical Review is free and accessible to all readers of the EBSCO Health Rehabilitation Newsletter.
Brain tumors are abnormal masses within the intracranial space that can be benign or malignant. A speech therapy evaluation of a patient with a brain tumor should include assessments of speech, vocal sound and swallowing. Speech therapy treatment can include therapy for apraxia, acquired dyslexia, acalculia, agnosia, agraphia, anosognosia, dysarthria and aphasia.
You can read the Clinical Review “Brain Tumors: Adult – Speech Therapy” by logging into Rehabilitation Reference Center.
Recently, the Clinical Review “Osteoarthritis, Hand: Physical and Occupational Therapy” was revised following review as part of the Systematic Literature Surveillance Program. Information of value to hand therapy practice was found in a Cochrane review.
The authors of a systematic review of five trials that included 381 participants with hand osteoarthritis found that those in exercise groups had a 5% reduction in hand pain on follow-up compared with the control groups. They rated the overall quality of evidence as low for beneficial effects of exercise on hand pain.
We invite you to log into Rehabilitation Reference Center to read new and updated Clinical Reviews as they become available.