Motor Performance in Children With Childhood Apraxia of Speech and Speech Sound Disorders
Motor Performance in Children With Childhood Apraxia of Speech and Speech Sound Disorders
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DOI：
10.1044/2019_jslhr-s-18-0380
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发表时间：
2019-09-01
影响因子：
2.6
通讯作者：
Iuzzini-Seigel, Jenya
中科院分区：
文献类型：
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作者：
Iuzzini-Seigel, Jenya
目的：本研究旨在确定 (a) 患有儿童言语失用 (CAS)、其他言语声音障碍 (SSD) 和典型发育 (TD) 的儿童在标准化运动评估中是否会表现不同，以及 (b) 共病语言障碍是否会影响群体差异。方法：对 43 岁至 43 岁之间患有 CAS (n = 10)、SSD (n = 16) 和 TD (n = 14) 的儿童的言语、语言和运动能力进行评估105个月。使用儿童运动评估电池第二版（Henderson、Sugden 和 Barnett，2007 年）评估运动技能，这是一种行为评估，可以敏感地识别具有一系列运动和学习能力的儿童的精细/粗大运动障碍。按语言能力对儿童进行重新分类后，对数据进行了重新分析。结果：CAS 组在运动评估的所有组成部分的表现都低于正常限度，并且在瞄准、接球和平衡方面比 TD 和 SSD 组更差。当儿童按语言能力重新分类时，共病 CAS + 语言障碍组在手动敏捷性和平衡性方面比仅 SSD 组和 TD 组表现差，在瞄准和接球方面比 TD 组差；所有 7 名患有 CAS + 语言障碍的儿童均表现出紊乱范围，而仅 CAS 组的 3 名儿童中有 1 名，SSD + 语言障碍组的 6 名儿童中有 2 名。结论：患有 CAS + 语言障碍的儿童出现运动障碍的风险似乎增加，这可能会对社会、学业和职业结果产生负面影响；应考虑转介进行运动筛查/评估。研究结果可能表明存在介导该人群认知语言和运动障碍的高阶缺陷。
Purpose: This study sought to determine if (a) children with childhood apraxia of speech (CAS), other speech sound disorders (SSDs), and typical development (TD) would perform differently on a standardized motor assessment and (b) whether comorbid language impairment would impact group differences.Method: Speech, language, and motor abilities were assessed in children with CAS (n = 10), SSD (n = 16), and TD (n = 14) between the ages of 43 and 105 months. Motor skills were evaluated using the Movement Assessment Battery for Children-Second Edition (Henderson, Sugden, & Barnett, 2007), a behavioral assessment that is sensitive in identifying fine/gross motor impairments in children with a range of motor and learning abilities. Data were reanalyzed after reclassifying children by language ability.Results: The CAS group performed below the normal limit on all components of the motor assessment and more poorly than the TD and SSD groups on Aiming and Catching and Balance. When children were reclassified by language ability, the comorbid CAS + language impairment group performed worse than the SSD-only and TD groups on Manual Dexterity and Balance and worse than the TD group on Aiming and Catching; all 7 children with CAS + language impairment evidenced performance in the disordered range compared to 1 of 3 children in the CAS-only group and 2 of 6 children in the SSD + language impairment group.Conclusions: Children with CAS + language impairment appear to be at an increased risk for motor impairments, which may negatively impact social, academic, and vocational outcomes; referrals for motor screenings/assessments should be considered. Findings may suggest a higher order deficit that mediates cognitive-linguistic and motor impairments in this population.