Systematic review of ultrasound visual biofeedback in intervention for speech sound disorders.
Systematic review of ultrasound visual biofeedback in intervention for speech sound disorders.
复制标题
超声视觉生物反馈在言语障碍干预中的系统评价。
DOI：
10.1111/1460-6984.12478
复制
发表时间：
2019
影响因子：
2.4
通讯作者：
J. Cleland
中科院分区：
文献类型：
--
作者：
Eleanor Sugden;S. Lloyd;Jenny Lam;J. Cleland
背景
随着超声技术的成本和使用障碍的减少，人们对使用超声视觉生物反馈（U-VBF）作为治疗言语声音障碍（SSD）的工具的兴趣有所增加。越来越多的研究调查了U-VBF在干预发育SSD中的作用;然而，研究设计、参与者特征、临床方法和结局的多样性使该文献的解释变得复杂。因此，有必要对使用U-VBF干预SSD的证据基础进行综合和审查。
旨在
综合评价U-VBF干预发育性SSD的研究证据。
方法
进行了系统性综述。检索了8个电子数据库中2018年之前发表的同行评审文章。从符合纳入标准的每项研究中提取了有关研究设计、参与者、干预程序、服务提供、干预强度和结果的详细信息。使用关键评估工具和干预措施详细报告对纳入的研究进行评级。
主要贡献
28篇论文，包括29项研究，符合纳入标准。最常见的研究设计是单病例实验设计（44.8%的研究）。这些研究包括1至13名参与者（平均值= 4.1），平均年龄约为11岁（范围= 4;0-27岁）。在研究证据中，U-VBF干预通常作为其他基于关节的治疗方法的一部分或辅助方法提供。一系列的舌音是干预的目标，在所有回顾的研究中，80.6%的参与者接受了针对屈光不正的干预。治疗后的结果通常是积极的，大多数研究报告说，U-VBF促进了目标的获取，效果大小从无效果到大效果不等。观察到一些参与者在概括方面存在困难。大多数研究（79.3%）被归类为疗效研究，而不是有效性研究，证据水平较低。总体而言，被审查的研究得分更高的外部效度比内部效度的措施。
结论
U-VBF的证据基础正在发展;然而，大多数研究使用小样本量和较低强度设计。目前的证据表明，U-VBF可能是一个有效的辅助干预的一些人的言语错误持续存在，尽管以前的干预。这一系统性综述的结果强调，需要更多的高质量和大规模的研究，探索在控制和社区环境中使用这种干预措施。
BACKGROUND
As cost and access barriers to ultrasound technology have decreased, interest in using ultrasound visual biofeedback (U-VBF) as a tool for remediating speech sound disorders (SSD) has increased. A growing body of research has investigated U-VBF in intervention for developmental SSD; however, diversity in study design, participant characteristics, clinical methods and outcomes complicate the interpretation of this literature. Thus, there is a need for a synthesis and review of the evidence base for using U-VBF in intervention for SSD.
AIMS
To synthesise and evaluate the research evidence for U-VBF in intervention for developmental SSD.
METHODS
A systematic review was conducted. Eight electronic databases were searched for peer-reviewed articles published before 2018. Details about study design, participants, intervention procedures, service delivery, intervention intensity and outcomes were extracted from each study that met the inclusion criteria. The included studies were rated using both a critical appraisal tool and for their reporting of intervention detail.
MAIN CONTRIBUTIONS
Twenty-eight papers, comprising 29 studies, met the inclusion criteria. The most common research design was single-case experimental design (44.8% of studies). The studies included between one and 13 participants (mean = 4.1) who had a mean age of approximately 11 years (range = 4;0-27 years). Within the research evidence, U-VBF intervention was typically provided as part of, or as an adjunct to, other articulatory-based therapy approaches. A range of lingual sounds were targeted in intervention, with 80.6% of participants across all reviewed studies receiving intervention targeting rhotics. Outcomes following therapy were generally positive with the majority of studies reporting that U-VBF facilitated acquisition of targets, with effect sizes ranging from no effect to a large effect. Difficulties with generalisation were observed for some participants. Most studies (79.3%) were categorised as efficacy rather than effectiveness studies and represented lower levels of evidence. Overall, the reviewed studies scored more highly on measures of external validity than internal validity.
CONCLUSIONS
The evidence base for U-VBF is developing; however, most studies used small sample sizes and lower strength designs. Current evidence indicates that U-VBF may be an effective adjunct to intervention for some individuals whose speech errors persist despite previous intervention. The results of this systematic review underscore the need for more high-quality and large-scale research exploring the use of this intervention in both controlled and community contexts.
用高频和低频超声视觉反馈治疗残余视差错：单例实验设计。
DOI：
10.1044/2018_jslhr-s-17-0441
发表时间：
2018
期刊：
Journal of speech, language, and hearing research : JSLHR
影响因子：
--
作者：
Preston,JonathanL;McAllister,Tara;Phillips,Emily;Boyce,Suzanne;Tiede,Mark;Kim,JackieS;Whalen,DouglasH
通讯作者：
Whalen,DouglasH
在有或没有超声视觉反馈的情况下获得、保留和概括rotics。
影响因子：
1.7
作者：
Sjolie,GretaM;Leece,MeganC;Preston,JonathanL
通讯作者：
Preston,JonathanL
影响因子：
2.6
作者：
Byiers BJ;Reichle J;Symons FJ
通讯作者：
Symons FJ