Treatment and Outcome Metrics for Speech-Language Pathology Treatment of Upper Airway Disorders: A Systematic Review.

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Title: Treatment and Outcome Metrics for Speech-Language Pathology Treatment of Upper Airway Disorders: A Systematic Review.
Authors: Sandage, Mary J.1 sandamj@auburn.edu, Morton-Jones, Mariah E.2, Hall-Landers, Rebecca J.1, Tucker, Jordan G.1
Source: Journal of Speech, Language & Hearing Research. Nov2024, Vol. 67 Issue 11, p4391-4410. 20p.
Subject Terms: *Exercise, *Voice disorders, *Citation analysis, *Speech therapy, Treatment of respiratory obstructions, Laryngeal diseases, Therapeutics, Evaluation of medical care, Descriptive statistics, Systematic reviews, MEDLINE, Quality assurance, Psychology information storage & retrieval systems
Abstract: Objective: Clinical treatment strategies and progress metrics for patients with inducible laryngeal obstruction (ILO) and exercise-induced laryngeal obstruction (EILO) have not been systematically applied across clinics. The goals of this review were to identify the intervention strategies used to treat upper airway disorders and determine the clinical metrics by which improvement or resolution of ILO/EILO is determined in clinical studies of speech-language pathology intervention. Method: A systematic review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Systematic Reviews Checklist. English language, full-text publications were identified through MEDLINE (Ovid), APA PsycINFO, and Web of Science for publications that described clinical outcomes following behavioral treatment for iLo provided by a speech-language pathologist (SLP). Results: A total of 238 sources were retrieved, of which 75 were duplicates. Titles and abstracts of 163 were screened, with 22 sources included for full-text review. Citation review yielded nine additional resources. Thirty-one sources were included for data extraction. Most sources described use of respiratory/laryngeal retraining. There was a lack of consistency for clinical and standardized metrics used to evaluate improvement or resolution of upper airway symptoms. Conclusions: Behavioral and standardized outcome metrics for evaluating therapy outcomes from SLP behavioral intervention of ILO/EILO are not consistently applied. Clinical metrics standards for clinicians are needed to provide a means to evaluate graded improvement in treatment and changes in health care utilization as well as for training less-experienced clinicians. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Treatment and Outcome Metrics for Speech-Language Pathology Treatment of Upper Airway Disorders: A Systematic Review.
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  Data: <searchLink fieldCode="AR" term="%22Sandage%2C+Mary+J%2E%22">Sandage, Mary J.</searchLink><relatesTo>1</relatesTo><i> sandamj@auburn.edu</i><br /><searchLink fieldCode="AR" term="%22Morton-Jones%2C+Mariah+E%2E%22">Morton-Jones, Mariah E.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Hall-Landers%2C+Rebecca+J%2E%22">Hall-Landers, Rebecca J.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Tucker%2C+Jordan+G%2E%22">Tucker, Jordan G.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Nov2024, Vol. 67 Issue 11, p4391-4410. 20p.
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  Data: *<searchLink fieldCode="DE" term="%22Exercise%22">Exercise</searchLink><br />*<searchLink fieldCode="DE" term="%22Voice+disorders%22">Voice disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Citation+analysis%22">Citation analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+respiratory+obstructions%22">Treatment of respiratory obstructions</searchLink><br /><searchLink fieldCode="DE" term="%22Laryngeal+diseases%22">Laryngeal diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Clinical treatment strategies and progress metrics for patients with inducible laryngeal obstruction (ILO) and exercise-induced laryngeal obstruction (EILO) have not been systematically applied across clinics. The goals of this review were to identify the intervention strategies used to treat upper airway disorders and determine the clinical metrics by which improvement or resolution of ILO/EILO is determined in clinical studies of speech-language pathology intervention. Method: A systematic review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Systematic Reviews Checklist. English language, full-text publications were identified through MEDLINE (Ovid), APA PsycINFO, and Web of Science for publications that described clinical outcomes following behavioral treatment for iLo provided by a speech-language pathologist (SLP). Results: A total of 238 sources were retrieved, of which 75 were duplicates. Titles and abstracts of 163 were screened, with 22 sources included for full-text review. Citation review yielded nine additional resources. Thirty-one sources were included for data extraction. Most sources described use of respiratory/laryngeal retraining. There was a lack of consistency for clinical and standardized metrics used to evaluate improvement or resolution of upper airway symptoms. Conclusions: Behavioral and standardized outcome metrics for evaluating therapy outcomes from SLP behavioral intervention of ILO/EILO are not consistently applied. Clinical metrics standards for clinicians are needed to provide a means to evaluate graded improvement in treatment and changes in health care utilization as well as for training less-experienced clinicians. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2024_JSLHR-24-00396
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      – Code: eng
        Text: English
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        PageCount: 20
        StartPage: 4391
    Subjects:
      – SubjectFull: Exercise
        Type: general
      – SubjectFull: Voice disorders
        Type: general
      – SubjectFull: Citation analysis
        Type: general
      – SubjectFull: Speech therapy
        Type: general
      – SubjectFull: Treatment of respiratory obstructions
        Type: general
      – SubjectFull: Laryngeal diseases
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Evaluation of medical care
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Systematic reviews
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      – SubjectFull: MEDLINE
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      – SubjectFull: Quality assurance
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      – SubjectFull: Psychology information storage & retrieval systems
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    Titles:
      – TitleFull: Treatment and Outcome Metrics for Speech-Language Pathology Treatment of Upper Airway Disorders: A Systematic Review.
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            NameFull: Sandage, Mary J.
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            – D: 01
              M: 11
              Text: Nov2024
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              Y: 2024
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