Syfte: Syftet med denna studie var att utvärdera effekten av stimulerande gomplattor på den orala motoriken hos barn med Downs syndrom. Studien syftar också till att undersöka om behandlingen är kostnadseffektiv.Material och Metod: Studien är en systematisk litteraturstudie enligt PRISMAs kriterier och artiklarna kvalitetsgranskades med hjälp SBU: s handbok. De databaser som användes för litteratursökningen var PubMed, Cochrane Library, Scopus och CINAHL.Resultat: Screeningen av 107 unika artiklar resulterade i 14 relevanta publikationer. Kvaliteten på artiklarna var överlag låg och 9 artiklar bedömdes måttlig risk för bias och 5 artiklar bedömdes ha hög risk för bias. Alla 14 inkluderade artiklar visade en positiv effekt på minst en orofacial variabel men det finns ingen konsensus gällande utvärderingsmetoder för behandling med gomplattor, behandlingstider eller vilka orofaciala variabler som bör undersökas.Slutsats: I denna litteraturgenomgång identifierades ett antal studier, som undersökte effekten av behandling med stimulerande gomplattor. På grund av att artiklarna använde icke standardiserade metoder, hade olika behandlingstider och använde olika variabler för att mäta effekten, kan ingen slutsats dras från dessa studier. Fler RCT studier med större grupper av barn och standardiserade metoder för utvärdering behövs. / Aim: The aim of this study was to evaluate the effect of treatment with stimulating palatal plates on the oral motor function in children with Down syndrome. The study also aims to investigate if the treatment is cost-effective.Material and Method: The study is a systematic review made according to the PRISMA criteria. The articles were quality reviewed using Swedish Agency for Health Technology Assessment and Assessment of Social Services - SBU’s manual. The databases used for the literature search were PubMed, Cochrane Library, Scopus and CINAHL.Result: Screening of 107 unique papers resulted in 14 eligible publications. The quality of the articles was overall low. Nine articles were rated moderate risk of bias and 5 articles were rated high risk of bias. All 14 included articles showed a positive effect in one or more aspects on oral motor function but there is no consensus regarding evaluation methods for treatment with palatal plates, treatment times or which orofacial variables that should be investigated. No meta-analysis was made due to the lack of consensus.Conclusion: This literature review identified a number of studies, which investigated the effect of treatment with stimulating palatal plates. Due to the unstandardized methods, different treatment times, and different orofacial measuring variables, no consensus can be drawn from these studies. More RCT studies with larger groups of children and standardized methods for evaluation are required.

This thesis "Speech Therapy of Children with Developmental Dysarthria" deals with dysarthria and specific therapeutic methods that can be used in the context of speech therapy for children with this specific type of communication disorder. Part of the thesis includes the complete terminological definition of dysarthria etiology, its classification, its diagnosis and a detailed treatment of therapeutic methods. This thesis also includes supplemental methods, which is important for good child developmental and positively influences child speech. The main objective is to introduce potential therapeutic methods and subsequently analyze the frequency of their use in speech therapy. This thesis can be used as inspiration for speech therapists, who will lead therapy with children who have dysarthria.