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Published on: January 11, 2016
Speech problems affect more than one in two children with cerebral palsy: Swedish population-based study
A Nordberg1, C Miniscalco, A Lohmander
1Division of Speech and Language Pathology, Department of Clinical Neuroscience and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. ann.nordberg@neuro.gu.se
Acta Paediatrica (Oslo, Norway : 1992)
|November 29, 2012
Summary
Over half of children with cerebral palsy (CP) experience speech disorders or are nonverbal. Speech ability is linked to CP type, motor skills, cognitive function, and brain abnormalities, impacting communication outcomes.
Area of Science:
- Pediatric Neurology
- Developmental Disabilities
- Speech-Language Pathology
Background:
- Cerebral palsy (CP) affects motor function and can impact communication.
- Understanding speech ability in children with CP is crucial for intervention.
Purpose of the Study:
- To investigate speech ability in a population-based cohort of children with CP.
- To correlate speech outcomes with CP subtype, motor function, cognitive level, and neuroimaging findings.
Main Methods:
- Retrospective chart review of 129 children diagnosed with CP.
- Data collected included CP type, motor function, cognitive level, and neuroimaging results.
- Speech ability was analyzed in relation to these factors.
Main Results:
- Speech disorders were present in 21% of children with CP across all subtypes.
- 32% of children were nonverbal, often associated with maldevelopment and basal ganglia lesions.
- Speech ability correlated significantly with CP type, motor function, cognitive impairment, and specific brain lesion locations.
Conclusions:
- A significant proportion of children with CP (over 50% combined) have speech disorders or are nonverbal.
- Speech impairment in CP is multifactorial, influenced by neurological and developmental factors.
- Neuroimaging findings vary across different speech ability groups, highlighting distinct pathological patterns.
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