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Reading disability in children with clefts.

L C Richman1, M J Eliason, S D Lindgren

  • 1Department of Pediatrics, University of Iowa, Iowa City.

The Cleft Palate Journal
|January 1, 1988
PubMed
Summary
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Reading disability is common in children with clefts, especially younger ones. Older children with cleft palate only (CPO) show higher rates than those with cleft lip and palate (CLP).

Area of Science:

  • Pediatric Health
  • Developmental Psychology
  • Speech and Language Pathology

Background:

  • Reading disability affects a significant portion of the pediatric population.
  • Children with cleft lip and palate (CLP) or cleft palate only (CPO) may be at increased risk for reading difficulties.
  • The relationship between cleft type, age, and reading outcomes requires further investigation.

Purpose of the Study:

  • To examine the prevalence of reading disability in elementary school children with CLP or CPO.
  • To investigate how age and type of cleft influence reading disability rates.
  • To explore potential underlying factors contributing to reading difficulties in this population.

Main Methods:

  • A sample of 172 elementary school children with CLP or CPO was assessed for reading disability.

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  • Prevalence rates for moderate and severe reading disabilities were calculated.
  • Data were analyzed to compare reading disability incidence based on age and cleft type (CLP vs. CPO).

    • Main Results:

    • Approximately 35% of children exhibited moderate reading disability, and 17% had severe reading disability.
    • Reading disability was more common in younger children, potentially linked to speech deficits.
    • Older children with CLP had reading disability rates similar to the general population (9%), while older children with CPO showed significantly higher rates (33%).

    Conclusions:

    • Children with cleft palate only (CPO) may be more susceptible to general language disorders, leading to persistent reading disabilities.
    • Reading problems in children with cleft lip and palate (CLP) appear to decrease with age.
    • Early identification and intervention for reading difficulties are crucial, particularly for children with CPO.