The Carter Neurocognitive Assessment for children with severely compromised expressive language and motor skills.
The Carter Neurocognitive Assessment for children with severely compromised expressive language and motor skills.
复制标题
针对语言表达和运动技能严重受损的儿童的卡特神经认知评估。
DOI：
10.1111/j.1469-7610.2004.00354.x
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Benasich,AprilA
中科院分区：
文献类型：
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作者：
Leevers,HilaryJ;Roesler,CynthiaP;Flax,Judy;Benasich,AprilA
本文综述了评价语言表达和运动技能严重受损儿童认知发展的不同方法。我们考虑了一系列技术，包括传统的认知测试以及行为和生理测量，但这些技术在评估患有运动和语言障碍的儿童时通常不切实际，信息量也很小。电生理测量显示出一些未来的希望，但目前还不足以进行广泛的认知评估。描述了卡特神经认知评估(CNA)的发展。CNA适合在临床和研究环境中使用，旨在将严重受损的运动技能和富有表现力的语言对表现的影响降至最低。CNA旨在对反映认知水平的一系列技能进行分项和量化，最长可达18至24 个月，涉及四个领域：社交意识、视觉注意、听觉理解和语音交流。对8例全脑发育畸形(HPE)患儿进行了CNA检查，并对其表现和发育情况进行了评估。CNA是评估运动和语言技能严重受损儿童的有用工具，并对严重残疾儿童的认知潜力提供了比过去更积极的看法，例如HPE儿童的样本。
In this paper, different means of assessing cognitive development in children with severe impairments inboththeir expressive language and their motor skills are reviewed. A range of techniques are considered, including traditional cognitive tests and behavioral and physiological measures, but these techniques are generally impractical and minimally informative when it comes to assessing children with both motor and speech impairments. Electrophysiological measures show some promise for the future, but are currently inadequate for wide‐ranging cognitive assessment. Development of the Carter Neurocognitive Assessment (CNA) is described. The CNA is appropriate for use in clinical and research settings and was designed to minimalize the impact of severely impaired motor skills and expressive language on performance. The CNA is intended to itemize and quantify a range of skills reflecting a cognitive level up to approximately 18 to 24 months in four areas: Social Awareness, Visual Attention, Auditory Comprehension and Vocal Communication. The use of the CNA to assess the performance and developmental growth of eight children with Holoprosencephaly (HPE), a midline developmental brain malformation, is described. The CNA is a useful tool for the assessment of children with severely compromised motor and verbal skills and has provided a more positive view of the cognitive potential of children with severe handicaps, such as the sample of children with HPE, than that presented in the past.