Child development skills and language in toddlers with cleft lip and palate
Maria Gabriela Cavalheiro1, Dionísia Aparecida Cusin Lamônica2, Simone Rocha de Vasconsellos Hage2
1Hospital for Rehabilitation of Craniofacial Anomalies (HRAC-USP), University of São Paulo (FOB-USP), Bauru, SP, Brazil; Department of Speech Therapy and Audiology, Bauru School of Dentistry, University of São Paulo (FOB-USP), Bauru, SP, Brazil.
Insights
Children with cleft lip and palate (CLP) show developmental delays in motor and language skills. Early monitoring is crucial to mitigate risks associated with this condition.
Area of Science:
- Pediatric developmental psychology
- Craniofacial anomaly research
Background:
- Children with cleft lip and palate (CLP) face increased risks for developmental delays.
- Identifying specific developmental deficits in CLP populations is essential for early intervention.
Purpose of the Study:
- To compare developmental skill performance in children with non-syndromic cleft lip and palate (CLP) against developmental norms.
- To identify specific areas of developmental risk in young children with CLP.
Main Methods:
- Cross-sectional descriptive study involving 30 children aged 36-47 months with non-syndromic CLP.
- Utilized Denver Developmental Screening Test II and MacArthur Communicative Development Inventory for skill assessment.
- Employed t tests, Chi-square tests, and Pearson correlation for statistical analysis.
Main Results:
- Statistically significant differences observed in gross motor, adaptive fine motor, and language skills (receptive and expressive).
- Children with CLP demonstrated below-expected performance in the personal-social domain, though not statistically significant between groups.
- Gross motor, fine motor, and language skills were significantly impacted in children with CLP.
Conclusions:
- Children with cleft lip and palate (CLP) are at significant risk for developmental disorders.
- Early childhood monitoring is recommended to address and minimize potential negative impacts of CLP.
- Proactive developmental surveillance is vital for children with CLP to ensure optimal outcomes.
Introduction:
Children born with cleft lip and palate (CLP) are exposed to several risk factors for developmental delay.
Methods:
This cross-sectional and descriptive study compared the performance of gross motor, adaptive fine motor, social-personal and language skills in children with non-syndromic cleft lip and palate (age = 36-47 months, n = 30) matched as to chronological age and gender. The evaluation instruments were Denver Developmental Screening Test II and MacArthur Communicative Development Inventory - part D, employed for the receptive and expressive vocabulary checklist. Intergroup comparisons were performed using t tests and Chi-square tests. The Pearson correlation coefficient was used to verify the inter-category correlation (p ≤ 0.05).
Results:
There was statistically significant difference in gross motor, adaptive fine motor, and language skills, both in receptive and expressive aspects, in the comparison between groups. In the personal-social area, children with CLP presented performance below the expected, without statistically significant difference between groups.
Conclusions:
Children with CLP are at risk for developmental disorders and should be monitored from early childhood to minimize the deleterious effects of this risk condition.
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