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Speech impairment in Down syndrome: a review
Ray D Kent1, Houri K Vorperian
1Waisman Center, University of Wisconsin-Madison, USA. kent@waisman.wisc.edu
Journal of Speech, Language, and Hearing Research : JSLHR
|January 1, 2013
Summary
Speech production in Down syndrome (DS) involves voice, speech sound, fluency, and intelligibility issues. Research highlights delayed development and unique errors, impacting communication significantly.
Area of Science:
- Speech-language pathology
- Genetics
- Developmental disorders
Background:
- Down syndrome (DS) is associated with various speech production challenges.
- Understanding these challenges is crucial for effective clinical intervention and research.
Purpose of the Study:
- To review existing research on speech production disorders in individuals with Down syndrome (DS).
- To inform clinical services and guide future research directions in DS speech pathology.
Main Methods:
- Comprehensive literature search across major academic databases (MEDLINE, Google Scholar, PsycINFO).
- Inclusion of reference lists from retrieved documents and online sources.
- Focus on key speech functions: voice, articulation, phonology, prosody, fluency, and intelligibility.
Main Results:
- Voice: Mixed findings on phonatory disorders, with unclear nature and frequency.
- Speech Sounds: Combination of developmental delays and non-developmental errors in articulation and phonology, potentially emerging in infancy.
- Fluency and Prosody: High prevalence of stuttering/cluttering (10-45%) and significant prosodic disturbances.
- Intelligibility: Consistently reported limitations, with recent research moving beyond basic assessments.
Conclusions:
- Significant challenges exist in voice, speech sound production, fluency, prosody, and intelligibility in Down syndrome.
- Further research is needed to clarify the nature of phonatory disorders and identify sensitive measures.
- Speech patterns in DS involve both delays and unique error patterns, requiring tailored interventions.
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