Speech problems affect more than one in two children with cerebral palsy: Swedish population-based study
Speech problems affect more than one in two children with cerebral palsy: Swedish population-based study
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DOI：
10.1111/apa.12076
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发表时间：
2013-02-01
期刊：
影响因子：
3.8
通讯作者：
Himmelmann, K.
中科院分区：
文献类型：
--
作者：
Nordberg, A.;Miniscalco, C.;Himmelmann, K.
目的探讨脑性瘫痪（CP）儿童言语能力与CP亚型、运动功能、认知水平和神经影像学表现的关系。方法对19992002年出生的129例CP患儿（男63例，女66例）进行回顾性分析。收集并分析患者的言语能力和背景信息，如CP类型、运动功能、认知水平和神经影像学数据。结果21%的脑瘫患儿存在言语障碍，各型脑瘫患儿均有言语障碍。41%的言语障碍儿童同时患有智力障碍，42%的儿童能够独立行走。另外32%的儿童是无语言的，发育不良和基底神经节病变在这一组中最常见。剩下的47%没有言语障碍，这一组最有可能显示不成熟的白色病变。结论在这个CP队列中，超过一半的儿童有语言障碍（21%）或无语言能力（32%）。言语能力与CP的类型、粗大运动功能、智力低下的存在以及大脑发育不良和病变的部位有关。三个语言能力组之间的神经影像学结果不同。
Aim To describe speech ability in a population-based study of children with cerebral palsy (CP), in relation to CP subtype, motor function, cognitive level and neuroimaging findings. Methods A retrospective chart review of 129 children (66 girls, 63 boys) with CP, born in 19992002, was carried out. Speech ability and background information, such as type of CP, motor function, cognitive level and neuroimaging data, were collected and analysed. Results Speech disorders were found in 21% of the children and were present in all types of CP. Forty-one per cent of the children with speech disorders also had mental retardation, and 42% were able to walk independently. A further 32% of the children were nonverbal, and maldevelopment and basal ganglia lesions were most common in this group. The remaining 47% had no speech disorders, and this group was most likely to display white matter lesions of immaturity. Conclusion More than half of the children in this CP cohort had a speech disorder (21%) or were nonverbal (32%). Speech ability was related to the type of CP, gross motor function, the presence of mental retardation and the localization of brain maldevelopment and lesions. Neuroimaging results differed between the three speech ability groups.