ABSTRACT
Objective The present study aimed to determine if a treatment effect is present on speech outcomes in children with spastic cerebral palsy (CP) given 5 sessions of a manual therapy treatment protocol.
Methods A single-subject experimental design (ABAB) study was devised to establish the treatment efficacy of a manual therapy protocol on speech outcomes in children with spastic CP. The protocol was administered to 5 participants, 4-6 years old. It included five intercostal stretches administered in 15-minute sessions for five sessions. During the withdrawal phase, a sham treatment was administered that included an equal dosage of treatment. Measurements of sound pressure level (SPL) and Maximum Phonation Duration (MPD) of /a/ served as the primary outcomes. Secondary outcome measures included speech intelligibility, syllables per breath unit (SBU), and chest structure measurements.
Results Trend, level, variability, effect sizes, % of Non-Overlapping Data, and immediacy of effect were combined to support or refute each effect. 15 of 15 demonstrations of effect for SPL, and 9 of 15 demonstrations of effect for MPD were located. This data demonstrate a positive effect on SPL and minimal support for an effect on MPD. Secondary outcome measures of SBU and chest mobility showed a positive treatment effect, while speech intelligibility and abdominal protrusion did not.
Conclusions This is the first known study to demonstrate a treatment effect in SPL and SBU using a manual therapy protocol, which provide evidence of a likely treatment effect in speech outcomes in children with spastic CP.
| Identifer | oai:union.ndltd.org:LSU/oai:etd.lsu.edu:etd-04132015-111803 |
| Date | 28 April 2015 |
| Creators | Varnado, Chantelle B. |
| Contributors | Van Gemmert, Arend, Donovan, Neila, Papesh, Megan, Hoffman, Paul |
| Publisher | LSU |
| Source Sets | Louisiana State University |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lsu.edu/docs/available/etd-04132015-111803/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached herein a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to LSU or its agents the non-exclusive license to archive and make accessible, under the conditions specified below and in appropriate University policies, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
Page generated in 0.0019 seconds