Communication ability and communication methods in children with cerebral palsy
Emma Kristoffersson1, Annika Dahlgren Sandberg2,3, Pernille Holck4
1Department of Health Sciences, Lund University, Lund, Sweden.
Developmental Medicine and Child Neurology
|April 14, 2020
Summary
Communication in children with cerebral palsy (CP) is linked to age, motor skills, and communication method. Early use of aided augmentative and alternative communication (AAC) and manual signs is recommended.
Area of Science:
- Pediatrics
- Neurology
- Rehabilitation Medicine
Background:
- Cerebral palsy (CP) affects motor function and can impact communication abilities.
- Understanding the relationship between communication methods and functional abilities is crucial for intervention.
Purpose of the Study:
- To explore associations between communication ability, communication methods, and factors like age, sex, gross motor function, and manual ability in children with CP.
Main Methods:
- Cross-sectional study of 3000 children (0-18 years) with CP using data from the Swedish Cerebral Palsy Surveillance Program registry.
- Statistical analyses included Pearson's χ² test and Spearman's correlation.
Main Results:
- Communication ability and method were significantly related to age, gross motor function, and manual ability.
- Aided communication methods were more prevalent in older children, and functional communication correlated with less reliance on unaided methods.
- Speech was the most common method in higher functional levels (72%), with 45% of children being effective communicators across all environments.
Conclusions:
- Communication in children with CP is multifaceted, influenced by developmental and functional factors.
- Earlier and broader implementation of aided augmentative and alternative communication (AAC) and manual signs is recommended for children with CP.
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