Longitudinal growth of receptive language in children with cerebral palsy between 18 months and 54 months of age.

Longitudinal growth of receptive language in children with cerebral palsy between 18 months and 54 months of age.
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DOI:
10.1111/dmcn.13904
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发表时间:
2018-11
影响因子:
3.8
通讯作者:
Rathouz PJ
Rathouz PJ
中科院分区:
医学2区
文献类型:
--
作者:
Hustad KC;Sakash A;Broman AT;Rathouz PJ

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我们研究了18至54个月的接受性语言发育轨迹的三个临床言语-语言轮廓组的脑瘫儿童(那些与言语运动参与,没有言语运动参与,与构音障碍)和量化的差异,从年龄水平的期望。我们确定了理解发展的潜在类别,将这些类别与临床特征组联系起来,并检查了早期接受性语言预测结果的效果。我们采用了前瞻性纵向设计。对85例脑瘫患儿(43例女性,42例男性)进行了18 ~ 54个月的纵向随访。儿童被观察了2到8次(322个数据点)。儿童被分为临床特征组。语言理解年龄相当的分数是兴趣的主要衡量标准。患有构音障碍的儿童有明显的语言延迟,随着时间的推移,发育变化有限,并组成了自己的潜在阶层。随着时间的推移,语言运动障碍的儿童有轻微的接受性语言延迟。随着时间的推移,没有语言运动障碍的儿童具有与年龄相适应的接受性语言。早期的语言理解分数是高度预测后来的潜在个人资料组成员。早期语言理解能力对语言理解成长轨迹具有高度预测性,并建议早期语言发育迟缓的儿童,特别是不会说话的儿童,应该接受语言干预以支持发展。
We examined receptive language developmental trajectories between 18 and 54 months for three clinical speech-language profile groups of children with cerebral palsy (those with speech motor involvement, without speech motor involvement, and with anarthria) and quantified differences from age-level expectations. We identified latent classes of comprehension development, related these classes to clinical profile groups, and examined how well early receptive language predicted outcomes. We used a prospective longitudinal design. Eighty-five children with cerebral palsy (43 females, 42 males) were followed longitudinally from 18 to 54 months of age. Children were seen two to eight times (322 data points). Children were classified into clinical profile groups. Language comprehension age-equivalent scores were the primary measures of interest. Children with anarthria had significant language delays, limited developmental change over time, and comprised their own latent class. Children with speech motor impairment had slight receptive language delays over time. Children with no speech motor impairment had age-appropriate receptive language over time. Early language comprehension scores were highly predictive of later latent profile group membership. Early language comprehension abilities are highly predictive of language comprehension growth trajectory and suggest that children with early language delay, particularly those who are non-speaking, should receive language intervention to support development.
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