Competence of the Clinical Speech and Language Therapist in Providing Different Therape-utic Methods in Neonatal Units

Czech version

Authors: Červenková Barbora ^1,2; Grossová Gabriela ³
Authors‘ workplace: Mgr. Barbora Červenková, Ph. D., FN Brno, odd. neonatologie, Obilní trh 11, 620 00 Brno, Česká republika. E-mail: cervenkova. barbora@fnbrno. cz. ¹; Ústav speciálněpedagogických studií, Pedagogická fakulta, Univerzita Palackého v Olomouci, Žižkovo nám. 5, 779 00 Olomouc, Česká republika. ²; Mgr. Gabriela Grossová, Poliklinika AGEL Plzeň, odd. klinické logopedie, Švihovská 14, 301 00 Plzeň, Česká republika. ³
Published in: Listy klinické logopedie 2024; 8(2): 47-53
Category: Main topic
doi: https://doi.org/https://doi.org/10.36833/lkl.2024.027

Overview

In recent years, clinical speech therapists have begun to assume roles within the multidisciplinary teams that care for neonates in neonatal wards. In the absence of a recommended procedure for the work of clinical speech and language therapists in this type of ward, there is confusion as to which therapies clinical speech and language therapists are authorised to perform.

The objective of this study was to ascertain the opinion of neonatal ward staff as to the competence of clinical speech therapists in performing the following types of therapies: developmental care, basal stimulation, Bobath handling, respiratory physiotherapy and handling, visceral manipulation, craniosacral therapy and cue-based feeding (CBF) methods, namely guiding feeding according to the child’s key behavioural features. A questionnaire was distributed to all perinatology centres at levels II and III. The following professionals were consulted: physicians, nurses, physiotherapists, occupational therapists and clinical speech therapists.

When asked whether the speech therapist could perform developmental care, basal stimulation, the Bobath concept and visceral manipulation, the respondents from the medical and nursing professions, as well as physiotherapists, indicated that they believed a therapist to be competent in these areas, with the numbers of positive responses ranging from 50% to 65%. With regard to the question of competence in performing respiratory physiotherapy and craniosacral therapy, a significant proportion of respondents (more than 90%) expressed disagreement with the view that speech therapists are capable of performing these therapies. Conversely, the majority of respondents (97.5%) indicated that they believed speech therapists can effectively utilise feeding management techniques in accordance with the infant’s key behavioural features.

Keywords:

neonatology, developmental care, basal stimulation, Bobath concept, respiratory handling, visceral manipulation, craniosacral therapy, cue-based feeding

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