The National Center for Evidence-Based Practice
in Communication Disorders
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Summary of Clinical Practice Guideline

Royal College of Speech & Language Therapists; Department of Health (UK); National Institute for Clinical Excellence (NICE)

Royal College of Speech and Language Therapists Clinical Guidelines: 5.9 Disorders of Fluency
Taylor-Goh, S., ed. (2005).
RCSLT Clinical Guidelines. Bicester, Speechmark Publishing Ltd.

AGREE Rating: Highly Recommended

This evidence-based guideline provides recommendations for the assessment and management of fluency disorders in children and adults. This guideline is intended for speech-language pathologists. Each recommendation is graded:

  • A - requires at least one randomized controlled trial,

  • B - requires at least one well-conducted clinical study, or

  • C - requires evidence from expert committee reports.


Social Communication Disorders
  • Assessment/Diagnosis/Screening

    • Assessment Areas

      • Cognition/Language and Speech 

        • “A fluency disorder can be a part of a wider communication difficulty, therefore it is necessary to consider speech, language, social and communication skills” (Level of Evidence C) (p. 74).  

        • Pragmatic language should be assessed as part of the speech and language evaluation of persons who clutter (Level B Evidence) (p. 81).

    • Assessment Instruments

      • Cognition/Language and Speech

        • “A case history [associated with a fluency disorder assessment] should include details of the problem, e.g., onset details, family history of fluency problems, variability, speech behaviours, coping strategies, social environment, emotional responses, and psychosocial impact” (Level of Evidence C) (p. 74).

Fluency Disorders

» Access the Guideline