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Speech in children with cerebral palsy
Cristina Mei1,2, Sheena Reilly3, Molly Bickerton2
1Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Developmental Medicine and Child Neurology
|June 27, 2020
Summary
Most children with cerebral palsy (CP) experience speech delays or disorders, often linked to language impairments and reduced quality of life. Early diagnosis and tailored interventions are crucial for effective treatment.
Area of Science:
- Pediatric Neurology
- Speech-Language Pathology
- Developmental Pediatrics
Background:
- Cerebral palsy (CP) significantly impacts motor function, often co-occurring with communication challenges.
- Understanding the spectrum of speech disorders in children with CP is essential for effective intervention.
Purpose of the Study:
- To investigate the prevalence, characteristics, and contributing factors of speech delay and disorder in a community-based sample of children with CP.
- To provide a differential diagnosis for articulation, phonological, and motor speech disorders in this population.
Main Methods:
- Evaluated speech and oromotor function in 84 children (aged 4y 11mo-6y 6mo) with CP from a population-based registry.
- Systematically assessed participants to identify specific speech disorder types, including dysarthria and childhood apraxia of speech (CAS).
Main Results:
- 82% of children with CP exhibited delayed or disordered speech, with 20 being minimally verbal.
- Verbal children frequently presented with dysarthria (78%), articulation (54%), phonological (43%), or CAS (17%) disorders.
- Speech intelligibility was lowest in children with dysarthria and CAS features; delay was associated with language impairment and reduced quality of life.
Conclusions:
- Children with CP demonstrate complex speech impairments affecting multiple production levels.
- Personalized differential diagnosis is critical for developing targeted speech therapy for children with CP.
- Early identification and intervention for speech and language disorders in CP are vital for improving outcomes.
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