Longitudinal development of communication in children with cerebral palsy between 24 and 53 months: Predicting speech outcomes.

Longitudinal development of communication in children with cerebral palsy between 24 and 53 months: Predicting speech outcomes.
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DOI:
10.1080/17518423.2016.1239135
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发表时间:
2017-08
影响因子:
1.3
通讯作者:
Rathouz PJ
Rathouz PJ
中科院分区:
医学4区
文献类型:
--
作者:
Hustad KC;Allison KM;Sakash A;McFadd E;Broman AT;Rathouz PJ

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为了确定脑瘫(CP)儿童在2岁时的沟通是否预示着4岁时的沟通;以及儿童首次产生单词的年龄是否会影响言语产生的变化。脑性瘫痪患儿30例,男15例,平均年龄26.9个月(SD 1.9),每隔6个月复查5次。变量为24个月和53个月时的沟通分类,儿童首次能够模仿产生单词的年龄,单个单词的可理解性,以及产生的最长话语。2岁时的沟通能力对4岁时的能力有很高的预测性。早说比晚说能更快地提高发音的清晰度和发音时长,53个月后效果更好。24个月时不能说话表明53个月时有更大的言语和语言困难,迫切需要早期沟通干预。
To determine whether communication at 2 years predicted communication at 4 years in children with cerebral palsy (CP); and whether the age a child first produces words imitatively influences change in speech production. 30 children (15 males) with CP participated and were seen 5 times at 6 month intervals between 24 and 53 months (mean age at time 1 = 26.9 months (SD 1.9)). Variables were communication classification at 24 and 53 months, age that children were first able to produce words imitatively, single word intelligibility, and longest utterance produced. Communication at 2 years was highly predictive of abilities at 4 years. Speaking earlier led to faster gains in intelligibility and length of utterance and better outcomes at 53 months than speaking later. Inability to speak at 24 months indicates greater speech and language difficulty at 53 months and a strong need for early communication intervention.