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Consonant production and overall speech characteristics in school-aged children with cerebral palsy and speech impairment.

Artikel i vetenskaplig tidskrift
Författare Ann Nordberg
Carmela Miniscalco
Anette Lohmander
Publicerad i International journal of speech-language pathology
Volym 16
Nummer/häfte 4
Sidor 386-95
ISSN 1754-9515
Publiceringsår 2014
Publicerad vid Institutionen för neurovetenskap och fysiologi
Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Sidor 386-95
Språk en
Länkar dx.doi.org/10.3109/17549507.2014.91...
Ämneskategorier Klinisk medicin, Logopedi och foniatrik

Sammanfattning

Abstract The aim of the present study was to investigate the speech characteristics of school-aged children with cerebral palsy (CP) and speech impairment at various cognitive levels. Nineteen children with a mean age of 11;2 years (9;2-12;9 years) with spastic, dyskinetic, and ataxic CP and speech impairment participated. Phonetic transcription of oral consonants, ratings of hypernasality, and severity of overall dysarthria, together with free field descriptions of respiration, voice quality, and prosody, were performed independently by two speech-language pathologists. The non-verbal cognitive level was also studied. More than half of the children had large problems with the articulation of consonants, and the children with ataxic CP were most affected. The majority was rated as having dysarthria, mostly mild, but hypernasality was rare. Gross motor problems were not significantly associated with the articulation of consonants or the severity of dysarthria, whereas non-verbal cognitive level was. This underlines the importance of taking non-verbal cognitive level into account, when designing individual speech treatment programs for this group of children. Finally, a careful examination of the articulation of consonants is recommended in order to study speech production thoroughly in children with CP.

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