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The improvement following speech and language therapy in children with mixed receptive-expressive language disorder
Kuo-Cheng Liu1, Jian-Jia Huang2, Yu-Cheng Pei3
1Department of Physical Medicine and Rehabilitation, New Taipei City Municipal TuCheng Hospital (Built and Operated By Chang Gung Medical Foundation), TuCheng, New Taipei City, Taiwan; Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taoyuan City, Taiwan; Master of Science Degree Program in Innovation for Smart Medicine, Chang Gung University, Taiwan; School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Graduate Institute of Management, Chang Gung University, Taoyuan 333, Taiwan.
Background:
Mixed receptive-expressive language disorder (MLD) may have long-term impacts on development, sociobehavioral problems, and mental health issues in children. Speech and language therapy (SLT) has been proven to improve developmental language disorder (DLD) in childhood, and post-SLT improvements in language development are more prominent in younger children with DLD than in older children. However, there is still limited evidence on MLD. Therefore, this study aimed to investigate whether post-SLT improvements occur in children with MLD and whether there are age-related differences in improvements.
Materials And Methods:
A retrospective study was conducted to achieve this aim. We examined medical records from September 2020 to May 2023 and collected information on children who received SLT for DLD. Children who were diagnosed with MLD by the Comprehensive Development Inventory for Infants and Toddlers (CDIIT) and underwent post-SLT reassessment by the CDIIT were included for analysis. All subjects were furthermore categorized into 2 groups based on their age at initial assessment: ≤3 years and >3 years. The pre- and post-intervention CDIIT scores were compared.
Results:
A total of 41 children with MLD were included. The main effect of assessment time showed significant improvements in all language domain after SLT (all p < 0.01, η2 > 0.14). While the main effect of age group revealed that post-SLT improvement was not influenced by age group classification, indicating comparable post-SLT improvements between the two age groups (all p > 0.05). Furthermore, the comparison of pre- and post-intervention differences between the two age groups did not yield significant differences, indicating that 12-week SLT was beneficial for children with MLD in both age groups.
Conclusion:
The present study indicated that post-SLT improvement occurred in all language domains among children with MLD. Furthermore, comparable improvement was observed between the two age groups, indicating that SLT is beneficial for children with MLD across different age ranges.
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