Apraxia is a disorder of the nervous system where there’s an inability to carry out learned purposeful movements such as speech, despite having the desire and physical ability.

Surprisingly, a lack of high quality studies makes it impossible to know which treatments are most effective in children or adolescents, according to this Cochrane review.

First, the details.

  • A literature search for well-designed studies in children aged 3 to 16 years with childhood apraxia of speech was conducted using several databases.
  • The authors assessed titles and abstracts identified from the searches and obtained full articles of all potentially relevant articles.
  • Articles were assessed for design and risk of bias.

And, the results.

  • Among 825 titles and abstracts, 31 abstracts appeared to be worth including in the review.
  • But after reading the 31 articles, no studies could be included in this review.

The bottom line?
The National Institute on Deafness and Other Communications Disorders agrees, “No single [treatment] approach has been proven to be the most effective.”

Treatment options are left to the discretion of the therapist after assessing the patient.

I guess we need more studies.

10/20/08 21:35 JR

Hi, I’m JR

John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.