Effectiveness of Telehealth in patients with speech sound disorders: a systematic review





Children; Apraxias; Joint disorders; Differential diagnosis; Speaks.


Objective: To present scientific evidence based on a systematic literature review (PRISMA) in relation to telehealth care in children with speech apraxia in childhood in order to answer the following research question: How effective is telehealth in children with speech apraxia in childhood. Methodology: For the selection of studies, the combination based on the Medical Subject Heading Terms (MeSH) was used: [(telehealth) OR (telepractice) OR (telerehabilitation) OR (teletherapy) OR (apraxia childhood speech) OR (dyspraxia) AND (child OR pediatrician)]. The Medline (Pubmed), LILACS, SciELO and BIREME databases were used. The search period for the articles covered the last 5 years (2015 to 2020). The designs of the selected studies were descriptive, cross-sectional, cohort and case study, which were related to the research objective. After reading the articles in full, identification data and methods were extracted from the articles for further analysis. Results: 969 articles were retrieved, after the exclusion phase, seven articles initially met the inclusion criteria, and one study answered the guiding question. Conclusion: There are promising indications of the efficacy of telehealth treatment in patients diagnosed with Child Speech Apraxia (AFI). However, it is important to emphasize that the results are still considered incipient, thus requiring an extension of the studies, with methodologies of randomized interventions, seeking to analyze the effectiveness of telehealth for these patients.


Burns, L. C., Ward, C. E., Hill, J. A., Malcolm, K., Bassett, L., Kenny, M. L., Greenup, P. (2012). A pilot trial of a speech pathology telehealth service for head and neck cancer patients. Journal of Telemedicine and Telecare, 18(8), 443-46.

Byun, M. C., Campbell, H. (2016). Differential Effects of Visual-Acoustic Biofeedback Intervention for Residual Speech Errors. Frontiers in Humans Neuroscience,10, 1-17.

Childhood Apraxia of Speech. (2020). ASHA: American Speech-Language-Hearing Association. Recuperado de em:https://www.asha.org/PRPSpecificTopic.aspx?folderid=858 9935338&section=Overview.

Ciccia, A. H., Whitford, B., Krumm, M., McNeal, K. (2011). Improving the access of young urban children to speech, language and hearing screening via telehealth.A pilot trial of a speech pathology telehealth service for head and neck cancer patients. Journal of Telemedicine and Telecare, 17(5), 240-44.

Cleland, J., Scobbie, J. M., Roxburgh, Z., Heyde, C., Wrench, A. (2018). Enabling New Articulatory Gestures in Children With Persistent Speech Sound Disorders Using Ultrasound Visual Biofeedback. Journal of Speech, Language, and Hearing Research, 62(2), 229-46.

Fairweather, G., Lincoln, A. M., Ramsden, R. (2017). Speech therapy telehealth in rural and remote schools: the experience of therapy executives and assistants. Rural And Remote Health, 17(3), 1-9.

Gomez, M., McCabe, P., Jakielski, K., Purcell, A. (2018). Treating Childhood Apraxia of Speech With the Kaufman Speech to Language Protocol: A Phase I Pilot Study.Language, Speech, and Hearing Services in Schools, 49(3), 524‐36.

Grogan-Johnson, G., Alvares, R., Rowan, L., Creaghead, N. (2010). A pilot study comparing the effectiveness of speech language therapy provided by telemedicine with conventional on-site therapy. Journal of Telemedicine and Telecare, 16(3), 134-39.

Grogan-Johnson, G., Schmidt, A. M., Schenker, J., Alvares, R., Rowan, E. L., Taylo, J. (2013). A Comparison of Speech Sound Intervention Delivered by Telepractice and Side-by-Side Service Delivery Models. Journal of Telemedicine and Telecare, 34(4), 210-20.

Hurkmans, J., Jonkers, R., Bruijn, M., Boonstra, A. M., Hartman, P. P., Arendzen, H., et al. (2015). The effectiveness of Speech–Music Therapy for Aphasia (SMTA) in five speakers with Apraxia of Speech and aphasia. Aphasiology, 29(8), 939-64.

Iuzzini, J., Forrest, K. (2010). Evaluation of a combined treatment approach for Childhood Apraxia of Speech. Clinical Linguistics and Phonetics, 24 (4-5), 335-45.

Keske-Soares, M., Uberti, L. B., Gubiani, M. B., Ceron, M. I., Pagliarin, K. C. (2018). Performance of children with speech sound disorders in the dynamic evaluation of motor speech skills. Codas, 30(2), 5-7.

Mauszycki, C. S., Wambaugh, L. J. (2019). Acquired Apraxia of Speech: Comparison of Electropalatography Treatment and Sound Production Treatment. American Journal of Speech-Language Pathology, 29 (15), 511-29.

Morgan, A. T., Murray, E., Liégeois, F. J. (2018). Interventions for childhood apraxia of speech.Cochrane Database of Systematic Reviews, 5(5), 7-21

Moher, D., Shamseer, G., Clarke, M., Ghersi, D., Liberati, Um., Petticrew, H., et al. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4(1).

Murray, E., Mccabe, P., Ballard, K. J. (2012). A comparison of two treatments for childhood apraxia of speech: methods and treatment protocol for a parallel group randomised control trial. BMC Pediatrics, 12, 122.

Murray, E., McCabe, P., Ballard, K. J. (2015). A randomized controlled trial for children with childhood apraxia of speech comparing Rapid Syllable Transition Treatment and the Nuffield Dyspraxia Programme–Third Edition.Journal of Speech, Language, and Hearing Research,58(3), 669–86.

Navarro, P. R., Silva, P. M. V. A., Bordin, S. M. S. (2018). Speech apraxia in childhood: beyond phonetic and phonological issues. Distúrbios da Comunicação, 30(3), 475-89.

Pithon, M. M., Santanna, L., Baião, F. C. S., Santos, R. L., Coqueiro, R. S., Maia, L. C. (2015). Assessment of the effectiveness of mouthwashes in reducing cariogenic biofilm in orthodontic patients: a systematic review. Journal of Dentistry, 43, 297–308.

Preston, J. L., Leece, M. C., Maas, E. (2016). Intensive Treatment with Ultrasound Visual Feedback for Speech Sound Errors in Childhood Apraxia. Frontiers in Human Neuroscience, 10, 1-9.

Professional issues in Telepractice for speech-language pathologists [professional issues statement]. (2020). ASHA: American Speech-Language-Hearing Association. Recuperado de www.asha.org/policy.

Sutherland, R., Trembath, D., Hodge, A., Drevensek, S., Lee, S., Silove, N., et al. (2017). Telehealth language assessments using quality consumer equipment in rural and urban environments: feasible, reliable and well tolerated. Journal of Telemedicine and Telecare, 23(1), 1-8.

Square-Storer, P., Hayden, D. PROMPT treatment. Square-Storer (Ed.). New York: Taylor and Francis; 1987.

Thomas, D. C., Mccabe, P., Ballard, K. J., Lincoln, M. (2016). Telehealth delivery of Rapid Syllable Transitions (ReST) treatment for childhood apraxia of speech.International Journal of Language & Communication Disorders, 51(6), 654-71.

Telepractice. (2020). ASHA: American Speech-Language-Hearing Association. Recuperado de https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934956&section=Overview

Waite, C. M., Theodoros, G. D., Russell, G. T., Cahill, L. M. Assessing children’s speech intelligibility and oral structures, and functions via an Internet-based telehealth system. Journal of Telemedicine and Telecare. 2012, 18 (4), 198-203.

Williams, P., Stephens, H. Nuffield Dyspraxia Programme. (3rd ed.), Windsor: The Miracle Factory; 2004.



How to Cite

Gonçalves, L. F. ., Oliveira, A. M. de ., & Haas, P. (2020). Effectiveness of Telehealth in patients with speech sound disorders: a systematic review. Research, Society and Development, 9(11), e1559119685. https://doi.org/10.33448/rsd-v9i11.9685



Health Sciences