Literaturnachweis - Detailanzeige
Autor/inn/en | Parkes, Jackie; Hill, Nan; Platt, Mary Jane; Donnelly, Caroline |
---|---|
Titel | Oromotor Dysfunction and Communication Impairments in Children with Cerebral Palsy: A Register Study |
Quelle | In: Developmental Medicine & Child Neurology, 52 (2010) 12, S.1113-1119 (7 Seiten)
PDF als Volltext |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 0012-1622 |
DOI | 10.1111/j.1469-8749.2010.03765.x |
Schlagwörter | Speech Impairments; Seizures; Cerebral Palsy; Communication Disorders; Incidence; Symptoms (Individual Disorders); Speech Communication; Young Children; Psychomotor Skills; Death |
Abstract | Aim: To report the prevalence, clinical associations, and trends over time of oromotor dysfunction and communication impairments in children with cerebral palsy (CP). Method: Multiple sources of ascertainment were used and children followed up with a standardized assessment including motor speech problems, swallowing/chewing difficulties, excessive drooling, and communication impairments at age 5 years. Results: A total of 1357 children born between 1980 and 2001 were studied (781 males, 576 females; median age 5y 11mo, interquartile range 3-9y; unilateral spastic CP, n = 447; bilateral spastic CP, n = 496; other, n = 112; Gross Motor Function Classification System [GMFCS] level: I, 181; II, 563; III, 123; IV, 82; IV, 276). Of those with "early-onset" CP (n = 1268), 36% had motor speech problems, 21% had swallowing/chewing difficulties, 22% had excessive drooling, and 42% had communication impairments (excluding articulation defects). All impairments were significantly related to poorer gross motor function and intellectual impairment. In addition, motor speech problems were related to clinical subtype; swallowing/chewing problems and communication impairments to early mortality; and communication impairments to the presence of seizures. Of those with CP in GMFCS levels IV to V, a significant proportion showed a decline in the rate of motor speech impairment (p = 0.008) and excessive drooling (p = 0.009) over time. Interpretation: These impairments are common in children with CP and are associated with poorer gross motor function and intellectual impairment. (As Provided). |
Anmerkungen | Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/ |
Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2017/4/10 |