Receptive and expressive language characteristics of school‐aged children with non‐syndromic cleft lip and/or palate

Boyce, Jessica O; Kilpatrick, Nicky; Reilly, Sheena; Costa, Annette Da; Morgan, Angela

doi:10.1111/1460-6984.12406

Cited by 14 publications

(29 citation statements)

References 39 publications

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“…Studies using the same standardized language assessment (CELF‐4) show similar findings, with language outcomes ranging from severely impaired to above the average range (Boyce et al . , Morgan et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…Two comparison cohorts were identified from a previous study, including individuals with overt non‐syndromic cleft palate with or without cleft lip ( n = 36, mean age = 10;8) and individuals with no history of clefting ( n = 129, mean age = 10;5; Boyce et al . , Reilly et al . ).…”

Section: Methodsmentioning

confidence: 99%

“…Two recent studies formally examining language suggest that up to 20% of children with overt non‐syndromic clefts may experience language impairment, although summative group averages in these studies were comparable between cleft and non‐cleft cohorts (Boyce et al . , Morgan et al . ).…”

Section: Introductionmentioning

confidence: 99%

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Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Boyce

Sánchez

Amor

et al. 2019

Intl J Lang & Comm Disor

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Background: Submucous cleft palate (SMCP) has a heterogeneous presentation and is often identified late or misdiagnosed. Diagnosis is prompted by speech, resonance or feeding symptoms associated with velopharyngeal insufficiency. However, the broader impacts of SMCP on communication have rarely been examined and therefore are poorly understood. Aim: To describe the communicative profile of individuals with non-syndromic SMCP by examining speech, language and pragmatics (social language). Methods & Procedures: Fifteen participants with SMCP aged 5;1-12;8, without a genetic diagnosis, participated in the study. Participants completed standardized assessments examining language, resonance, speech and non-verbal intellect. Parents also completed the Children's Communication Checklist (CCC-2), which provided a measure of overall communicative ability, including pragmatic skills. Formal language outcomes were compared with two cohorts: 36 individuals with overt non-syndromic clefts and 129 individuals with no history of clefting. Outcomes & Results: Speech intelligibility was reduced secondary to hypernasality, disordered articulation and/or impaired phonology (n = 7) in children with SMCP. Poorer overall language outcomes were observed for children with SMCP compared with both those with overt clefts and no history of clefting (p < 0.001). Language scores for children with SMCP ranged from impaired (n = 6) to above the standardized mean (n = 4). Receptive and expressive language performance were independently correlated with non-verbal IQ (p < 0.01). Those with severe language impairment (n = 4) also had borderline or impaired non-verbal IQ. Parents reported that speech and semantics were the most affected sub-domains of communication, while scores were the highest for the initiation domain. Speech and language skills were correlated strongly with pragmatics (r = 0.877, p < 0.01). Conclusions & Implications: Overall, performance was variable within the SMCP group across speech, language and pragmatic assessments. In addition to well-documented speech difficulties, children with SMCP may have language or pragmatic impairments, suggesting that further neurodevelopmental influences may be at play. As such, for individuals with SMCP, additional clinical screening of language and pragmatic abilities may be required to ensure accurate diagnosis and guide both cleft and non-cleft related therapy programmes.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Boyce

Sánchez

Amor

et al. 2019

Intl J Lang & Comm Disor

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“…For NSS, the results improved slightly for the UCLP group compared to the group without UCLP regarding the category Conflict resolution (UCLP group: n ¼ 36 children, Mean ¼ 3. 33 highest for MATTR, p ¼ .88 and confidence intervals overlapping extensively for both groups, Table 3.…”

Section: Resultsmentioning

confidence: 87%

“…Recently, two studies on linguistic ability in 10-year-olds with CLP have been published [33,34]. In a study by Boyce et al [33], a total of 37 participants with non-syndromic orofacial clefts, aged 7; 1-14; 1 years, were matched to 129 non-cleft peers regarding age, gender and maternal education. No significant differences were seen in expressive and receptive language skills.…”

Section: Discussionmentioning

confidence: 99%

Does the narrative ability during retelling differ in 5-year-olds born with and without unilateral cleft lip and palate?

Andersson

Klintö

2020

Logopedics Phoniatrics Vocology

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Background: A previous study has indicated poorer narrative ability during retelling in 5-year-olds with unilateral cleft lip and palate (UCLP) as a group, compared to peers without UCLP. Aim: To investigate if there are any differences between 5-year-olds with and without UCLP in narrative ability during retelling. Methods: A total of 83 children participated, 51 with UCLP and 32 without. They had no known additional malformations or syndromes. The children were audio recorded while performing the Bus Story Test (BST). The recordings were orthographically transcribed. From the transcriptions the BST information score was calculated. The macrostructure of the narratives was assessed with the Narrative Scoring Scheme (NSS), and the microstructure with mean length of utterance in words, grammaticality, grammatical complexity and lexical diversity. Results for children with and without UCLP were compared. Results: The group with UCLP performed better than the group without UCLP in the NSS sub-category Conclusion. No other significant differences were seen between the groups. The UCLP group had a larger standard deviation for the information score than the group without UCLP. Conclusions: The group with UCLP displayed at least as good results as the group without UCLP, but the information score was more varied for the UCLP group than for the group without UCLP.

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Global and communicative development skills in preschool children with cleft lip and palate

Jurado

Cavalheiro

Corrêa

et al. 2021

Pediatric Investigation

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Importance Cleft lip and palate (CLP) is globally among the most common childhood malformations. This disorder impacts childhood development, including speech and language, and affects children worldwide. Objective To analyze child development skills (adaptive fine motor, gross motor, personal‐social, and language) in preschool children with isolated CLP compared with children without this malformation. Methods The participants included an experimental group of 27 children with isolated CLP and a comparison group of 27 children without CLP aged between 48 and 59 months. The groups were evaluated using two instruments: the Denver Developmental Screening Test II (DDST‐II) and the Avaliação do Desenvolvimento da Linguagem (ADL‐Language Development Assessment). Data were analyzed by descriptive and inductive analyses, using the Student’s t ‐test and the Mann‐Whitney test, at a significance level of P ˂ 0.05. Results All children in the comparison group performed within normal standards for their age range in the DDST‐II and the ADL. The worst performance in the experimental group was observed in language skills, followed, in declining order, by adaptive fine motor, personal‐social, and gross motor as measured by the DDST‐II. Children with isolated CLP also performed poorly in receptive, expressive, and global language in the ADL. No statistically significant differences were observed in the experimental group’s scores for the ADL and the DDST‐II. Interpretation Developmental skill levels were below expectations for children of this age with isolated CLP.

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Receptive and expressive language characteristics of school‐aged children with non‐syndromic cleft lip and/or palate

Cited by 14 publications

References 39 publications

Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Exploring the speech and language of individuals with non‐syndromic submucous cleft palate: a preliminary report

Does the narrative ability during retelling differ in 5-year-olds born with and without unilateral cleft lip and palate?

Global and communicative development skills in preschool children with cleft lip and palate

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