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Early communication intervention with young children with Pierre Robin sequence.

L Fair1, B Louw

  • 1Department of Communication Pathology, University of Pretoria.

The South African Journal of Communication Disorders = Die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
|September 3, 1999
PubMed
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Early communication intervention positively impacts language development in young children with Pierre Robin sequence. Regular, extended sessions are crucial, with attention to hearing and speech skills for optimal outcomes.

Area of Science:

  • Pediatric communication disorders
  • Developmental pediatrics
  • Speech-language pathology

Background:

  • Pierre Robin sequence presents significant risks for delayed communication development in young children.
  • Early identification and intervention are critical for mitigating these risks.
  • Understanding the efficacy of targeted interventions is essential for clinical practice.

Purpose of the Study:

  • To investigate the effectiveness of early communication intervention for children with Pierre Robin sequence.
  • To assess the impact of intervention on expressive and receptive language abilities.
  • To identify factors influencing intervention outcomes.

Main Methods:

  • A case series design involving four young children (5-28 months) with Pierre Robin sequence.

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  • Utilized the Proportional Change Index to quantify child progress during intervention.
  • Intervention involved regular, extended communication therapy sessions.

    • Main Results:

    • Regular, extended early communication intervention yielded positive results, particularly for expressive language.
    • A mild hearing loss associated with otitis media appeared to affect intervention effectiveness.
    • One child with an associated disorder showed the slowest language development and limited consonant repertoire.
    • Limited phonetic repertoires were observed in most subjects, potentially linked to velopharyngeal incompetence.

    Conclusions:

    • Consistent, long-term early communication intervention is beneficial for children with Pierre Robin sequence.
    • Close monitoring of hearing and speech production is vital during intervention.
    • Individualized approaches may be necessary, considering associated disorders and physical characteristics like velopharyngeal incompetence.