Language and motor speech skills in children with cerebral palsy

Pirila, Silja; Meere, Jaap van der; Pentikainen, Taina; Ruusu-Niemi, Pirjo; Korpela, Raija; Kilpinen, Jenni; Nieminen, Pirkko

doi:10.1016/j.jcomdis.2006.06.002

Cited by 114 publications

(114 citation statements)

References 36 publications

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“…The consequence of this association can interfere with the oculomotor coordination, complex visual cognitive functions, showing a close relation between the degree of motor impairment and the extent of PVL [9][10][11] . Studies have shown that presence of epilepsy, learning difficulties and/or vision impairment correlate with the severity of motor impairment 6,12,13 .…”

Section: Resultsmentioning

confidence: 99%

“…Studies have shown the relation between PVL and losses in processing visual and auditory information [8][9][10][11]14,15 .…”

Section: Resultsmentioning

confidence: 99%

“…Although individuals with D-CP form a heterogeneous group regarding performance of skills, the nature of perceptual deficits and the impact on the lives of these individuals require further understanding 7,[9][10][11]15,16,19,20 .…”

Section: Resultsmentioning

confidence: 99%

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Comparação das habilidades auditivas e visuais em paralíticos cerebrais diplégicos

et al. 2014

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Objetivo comparar o desempenho das habilidades psicolinguísticas auditivas e visuais de crianças com PC-D. Métodos participaram dez crianças com PC-D, classificados por meio da escala Gross Motor Function Measure System (GMFMS), de idade entre quatro anos e um mês a cinco anos e seis meses. A avaliação fonoaudiológica constou de entrevista com responsável, análise de prontuário e aplicação dos subtestes auditivos e visuais do Teste de Illinois de Habilidades Psicolinguísticas (ITPA). O tratamento estatístico constou de análise descritiva e aplicação do teste de Wilcoxon (nível de significância foi p≤ 0,05). Resultados os subtestes que obtiverem os menores escores foram na memória sequencial auditiva e memória sequencial visual. Na comparação entre as habilidades auditivas e visuais somente houve diferenças estatisticamente significante nos subtestes de recepção e associação. O grupo se comportou de forma heterogênea. Este estudo pretende chamar atenção para esta questão, pois se considera que estas habilidades são de extrema importância para o desenvolvimento das habilidades linguísticas e comunicativas que devem ser pensadas nos programas de reabilitação destes indivíduos. Conclusão houve diferenças estatisticamente significantes nos subtestes auditivos e visuais de recepção e associação nesta população.

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Section: Resultsmentioning

confidence: 99%

“…Studies have shown the relation between PVL and losses in processing visual and auditory information [8][9][10][11]14,15 .…”

Section: Resultsmentioning

confidence: 99%

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Comparação das habilidades auditivas e visuais em paralíticos cerebrais diplégicos

et al. 2014

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“…Mediation analysis help to elucidate the mechanisms that govern the relationships between a predictor and an outcome and to clarify how these variables are linked to a third intermediate variable, which is called the mediator [15,16]. Hence, this type of analysis helps to clarify whether the mediator variable modifies the effects of the predictor variable on the outcome variable.…”

Section: Introductionmentioning

confidence: 99%

“…Hence, this type of analysis helps to clarify whether the mediator variable modifies the effects of the predictor variable on the outcome variable. A path model herein is used to explain the causal chain associated with a mediator (Figure 1) [16]. For example, a study might wish to determine how a rehabilitation program combined with the administration of a muscle relaxant such as baclofen may reduce spasticity in children with cerebral palsy and how this the drug can mediate the spasticity reduction.…”

Section: Introductionmentioning

confidence: 99%

Motor Deficit Severity Mediates Effects of Intellectual Function in Predicting Speech Motor Control in Children with Cerebral Palsy

Wu¹,

Chuang²,

Chung³

et al. 2018

Int J Phys Med Rehabil

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Objective: To elucidate whether motor deficit severity mediates effects of intellectual function in predicting motor speech functions in children with cerebral palsy (CP).Method: Twenty-five children with spastic CP aged 5-8 were classified into two groups, levels I-II (n=13) and levels III-IV (n=12) based on Gross Motor Function Classification System (GMFCS) levels. Predictor was the intelligence quotient (IQ). Speech outcome measures were Percentage of Consonants Correct (PCC) and Verbal Motor Production Assessment for Children (VMPAC). Pearson correlation analysis was used to investigate relationships between IQ and speech outcomes. A mediation analysis (a three-variable path model) was used to explain how GMFCS levels (the mediator) affect IQ to predict speech outcome.Results: Children with GMFCS levels I-II had greater scores in all IQ and all VMPAC sub scores, and PCC than those with GMFCS levels III-IV (p<0.05). Pearson correlation analysis showed that full IQ (FIQ) was correlated with all VMPAC scores (r=0.42-0.62, p<0.05), but not with PCC scores. The path model assumes path a from the predictor variable (FIQ) to the mediator (GMFCS levels), path b from the impact of the mediator (GMFCS levels) on the outcome variable (VMPAC), and two causal paths to the outcome variable (paths c and c'). Mediation analysis revealed that GMFCS level completely mediated the effect of FIQ when predicting global motor control (a=-0.027 ± 0.01, p=0.01; b=-17.910 ± 3.620, p<0.001; c=0.537 ± 0.235, p=0.032; c'=0.058 ± 0.192, p=0.766), focal motor control (a=-0.027 ± 0.01, p=0.01; b=-9.287 ± 2.441, p=0.001; c=0.315 ± 0.140, p=0.035; c'=0.067 ± 0.129, p=0.611), and average VMPAC (a=-0.027 ± 0.01, p=0.01; b=-10.976 ± 2.521, p<0.001; c=0.455 ± 0.154, p=0.007; c'=0.161 ± 0.133, p=0.241). GMFCS level partially mediated the effect of FIQ when predicting the VMPAC sequence (a=-0.027 ± 0.01, p=0.01; b=-5.732 ± 2.767, p=0.050; c=0.512 ± 0.135, p=0.001; c'=0.359 ± 0.146, p=0.023). Conclusion:Motor deficit severity mediates effect of intellectual functions on speech motor control. The findings allow clinicians to identify early motor speech problems in children with CP using the GMFCS level alone.

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Speech and language therapy to improve the communication skills of children with cerebral palsy

Pennington

Goldbart

Marshall

2004

Cochrane Database of Systematic Reviews

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Language and motor speech skills in children with cerebral palsy

Cited by 114 publications

References 36 publications

Comparação das habilidades auditivas e visuais em paralíticos cerebrais diplégicos

Comparação das habilidades auditivas e visuais em paralíticos cerebrais diplégicos

Motor Deficit Severity Mediates Effects of Intellectual Function in Predicting Speech Motor Control in Children with Cerebral Palsy

Speech and language therapy to improve the communication skills of children with cerebral palsy

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