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Fluency patterns in narratives from children with localization related epilepsy.
Mara E Steinberg1, Nan Bernstein Ratner, William Gaillard
1Department of Hearing and Speech Science, University of Maryland, College Park, 0100 Lefrak Hall, College Park, MD 20740, USA. mara.steinberg@gmail.com
Journal of Fluency Disorders
|June 19, 2013
Summary
Children with epilepsy often have language challenges. This study found they are more disfluent when speaking, suggesting a potential marker for expressive language difficulties.
Area of Science:
- Neurolinguistics
- Developmental Psychology
- Pediatric Neurology
Background:
- Children with epilepsy (CWE) are known to exhibit language impairments.
- Understanding fluency in this population is crucial for early identification of potential deficits.
Purpose of the Study:
- To investigate the relationship between fluency and language demand in children with epilepsy.
- To identify specific disfluency patterns in children with epilepsy compared to typically developing peers.
- To establish disfluency as a potential subtle marker for expressive language impairment in children with seizure disorders.
Main Methods:
- Analysis of disfluency type and frequency in elicited narratives from 52 children.
- Comparison between children with localization-related epilepsy (CWE) and age/gender-matched typically developing (TD) peers.
- Assessment of narrative productions to evaluate spoken language skills.
Main Results:
- Children with epilepsy were significantly more disfluent overall during narrative tasks compared to TD peers.
- CWE demonstrated a higher proportion of stutter-like disfluencies, especially prolongations.
- These findings align with emerging literature on depressed language skills in children with chronic seizure activity.
Conclusions:
- Disfluency during spoken language tasks may serve as a subtle indicator of expressive language impairment in children with epilepsy.
- This research contributes to understanding language challenges in children with seizure disorders.
- Clinical monitoring of children with seizure disorder should consider fluency assessment.
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