Development of social functioning and communication in school-aged (5–9years) children with cerebral palsy

Schie, Petra E. M. van; Siebes, R. C.; Dallmeijer, Annet J.; Schuengel, Carlo; Smits, Dirk-Wouter; Gorter, Jan Willem; Becher, Jules G.

doi:10.1016/j.ridd.2013.09.033

Cited by 20 publications

(40 citation statements)

References 39 publications

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“…, Van Schie et al . ). To what extent the communication difficulties are the result of the motor speech problems, on the one hand, and the cognitive/language impairments, on the other, remains unclear.…”

Section: Introductionmentioning

confidence: 97%

“…Higher GMFCS levels (i.e. level IV or V) are associated with more restrictions in cognition and communication (Voorman et al 2010, Vos et al 2014, Van Schie et al 2013. To what extent the communication difficulties are the result of the motor speech problems, on the one hand, and the cognitive/language impairments, on the other, remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Spoken language comprehension of phrases, simple and compound‐active sentences in non‐speaking children with severe cerebral palsy

Geytenbeek

Heim

Knol

et al. 2015

Intl J Lang & Comm Disor

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In non-speaking children with severe CP sentence comprehension is delayed rather than deviant. Results indicate the importance of following comprehension skills across all age groups, even beyond age 12 years. Moreover, the subtype of CP should be considered when establishing an educational programme for sentence comprehension, and augmentative and alternative communication support. In addition, educational programmes for children with severe CP should take into account the linguistic hierarchy of sentence comprehension when focusing on the input and understanding of spoken language comprehension.

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Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Spoken language comprehension of phrases, simple and compound‐active sentences in non‐speaking children with severe cerebral palsy

Geytenbeek

Heim

Knol

et al. 2015

Intl J Lang & Comm Disor

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“…Prevalence of expressive and/or receptive language impairment has been observed in 61% of a state‐based cohort of children with CP aged 5 to 6 years . Prevalence of pragmatic or social skill difficulties has been reported in 57% of a sample of 5‐year‐old to 7‐year‐old children with CP . To support evaluation of how specific communication impairments interact with and impact on a child's overall communication function, psychometric research is needed to underpin classification scales for these dimensions.…”

mentioning

confidence: 99%

“…On the basis of current research and identified gaps, this study aimed to investigate: (1) interrater agreement of the FCCS between SLPs and parents for children aged 5 to 18 years with CP; (2) concurrent validity of the FCCS with the Clinical Evaluation of Language Fundamentals – Fourth Edition Pragmatics Profile (CELF‐4 PP); (3) relationships between the FCCS and CP classifications for motor speech function (VSS), gross motor function (Gross Motor Function Classification System‐Expanded & Revised [GMFCS – E&R]), and fine motor function (Manual Ability Classification System [MACS]); and (4) relationships between the FCCS and common associated impairments (vision, hearing, epilepsy, and intellectual impairment). Since the FCCS has demonstrated excellent interrater reliability and good correlation with motor classifications in 4‐year‐old to 5‐year‐old children, strong associations have been shown between intellectual impairment, epilepsy, and communication function in previous literature; and because the Pragmatics Profile observes communication behaviours similar to the FCCS level descriptors, we hypothesized that for children aged 5 to 18 years with CP, the FCCS would show: (1) excellent interrater agreement between SLPs and parents; (2) excellent concurrent validity with pragmatic function (CELF‐4 PP); (3) good to excellent correlations with motor speech, and gross and fine motor function; and (4) excellent correlation with epilepsy and intellectual impairment and moderate correlation with sensory impairments (vision and hearing).…”

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confidence: 99%

The Functional Communication Classification System: extended reliability and concurrent validity for children with cerebral palsy aged 5 to 18 years

Caynes

Rose

Theodoros

et al. 2019

Develop Med Child Neuro

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AIM To examine psychometric properties and clinical utility of the Functional Communication Classification System (FCCS) for classifying observable communication function in children with cerebral palsy (CP) aged 5 to 18 years.METHOD Eighty-two children (38 males, 44 females) with CP in six age groups (5y [n=15], 8y [n=14], 10y [n=14], 12y [n=14], 15y [n=11], and 17y [n=14]) were assessed by a speechlanguage pathologist (SLP) and parent for FCCS ratings. Data were compared with: (1) everyday communication function, assessed using the Clinical Evaluation of Language Fundamentals -Fourth Edition Pragmatics Profile (CELF-4 PP) for familiar and unfamiliar partners;(2) motor speech, gross and fine motor function; and (3) associated impairments, including epilepsy, intelligence, hearing, and vision. Interrater agreement was calculated for FCCS ratings using kappa (j) statistics. Relationships between FCCS ratings and other measures were examined using Spearman's correlation coefficient. RESULTSAlmost perfect interrater agreement was demonstrated between SLP and parent FCCS ratings (j w =0.96). Correlations were excellent between FCCS ratings with CELF-4 PP ratings, motor speech, and intellect; moderate with gross and fine motor function; and fair with other associated impairments (hearing, visual, and epilepsy). There was no correlation between age and FCCS.INTERPRETATION The FCCS is a reliable and valid communication classification system for children with CP aged 5 to 18 years, and highly suitable for surveillance, research, and clinical purposes.

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“…One of the reasons for limiting the social function of children with motor problems may be the inability of these children to engage in social activities with their peers. Therefore, independent movement is important for establishing social interactions [11,12]. Beckung et al (2002), in a study conducted on children aged 8 to 5 years old with CP, stated that the limi-tation in social communication between these children could be related to disability in motor learning, gross motor function, and hand movements [13].…”

Section: Introductionmentioning

confidence: 99%

An Investigation of the Social Function of Children With Cerebral Palsy of 2-6 Years Old

Hasanvand

Kalantari

Azari

et al. 2018

IRJ

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Children who have a disorder in motor function often suffer from disorders in other areas of their daily lives, such as social and communicative functions. The social function of children with cerebral palsy has so far been less studied than other aspects. The purpose of this study was to evaluate the social function of children with cerebral palsy of 2 to 6 years old. Methods: This (cross-sectional) descriptive-analytic study was performed on 100 children with cerebral palsy in two age groups of 2-4 and 4-6 years old who were selected through convenient sampling from the centers for occupational therapies in Isfahan city. Children's motor function was classified according to Gross Motor Function Classification System (hereafter, GMFCS). The social function was completed by filling in the Pediatric Evaluation of Disability Inventory (PEDI) by interviewing the parents. Statistical analysis was done. Results: The statistical analyses of this study showed that there was a significant difference between the mean score of social function in 5 levels of motor function of children with cerebral palsy (P<0.0001). There was also a significant relationship between the age of children and their social function score (r=0.265 and P=0.008). Moreover, the mean scores of social function in the first and second levels of GMFCS had a significant difference in both groups (P=0.002); however, this difference was not significant in the other three levels (0.053˂P<0.647). Also, there was no significant difference between the mean score of social function of girls and that of boys (P=0.819). Discussion: The gross motor function of children with cerebral palsy is related to their social function. This means that the lower the gross motor function of children with cerebral palsy in the GMFCS system, the higher is their social function in both age groups of 2-4 and 4-6 years. The highest score of social function was related to the first level, which has the best motor function. As the level of gross motor function increases, the score decreases. Also, in this study, the comparison of social function, in two age groups, at the corresponding levels of GMFCS showed that with increasing motor constraints with age, no significant progress was made in the social function of children with cerebral palsy. Therefore, in addition to physical interventions, social interventions should be considered for children with cerebral palsy.

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Development of social functioning and communication in school-aged (5–9years) children with cerebral palsy

Cited by 20 publications

References 39 publications

Spoken language comprehension of phrases, simple and compound‐active sentences in non‐speaking children with severe cerebral palsy

Spoken language comprehension of phrases, simple and compound‐active sentences in non‐speaking children with severe cerebral palsy

The Functional Communication Classification System: extended reliability and concurrent validity for children with cerebral palsy aged 5 to 18 years

An Investigation of the Social Function of Children With Cerebral Palsy of 2-6 Years Old

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