脑儿童口语理解和功能性沟通的发展轨迹:一个前性队列研究
Emma Vaillant1,2, Kim J Oostrom3,4, Heleen Beckerman1,2
1Department of Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Developmental medicine and child neurology
|June 23, 2023
概括
患有脑的儿童在口语和单词理解方面经历了延迟,以及功能性沟通发展. 智力功能和沟通水平是关键决定因素,而流动性与此无关.
科学领域:
- 发育儿科 发育儿科
- 神经科学是一个神经科学.
- 语音语言病理学 语音语言病理学
背景情况:
- 患有脑 (CP) 的儿童经常面临沟通和语言发展方面的挑战.
- 了解这种人群中口语理解 (SLC),单词理解 (SWC) 和功能性沟通的特定轨迹和影响因素至关重要.
研究的目的:
- 调查SLC,SWC和CP儿童的功能沟通的发展轨迹.
- 确定影响这些发展途径的决定因素,包括认知,言语和功能能力.
主要方法:
- 一项前性队列研究跟踪了188名患有CP的儿童2年6个月.
- 分别使用C-BiLLT和PPVT-III-NL进行了SLC和SWC的评估. 用FOCUS-34.4测量了功能通信.
- 线性混合模型分析了发育轨迹,将其与标准数据进行比较. 检查了诸如智力功能,语音产生,CFCS水平和移动性等决定因素.
主要成果:
- 对于SLC和SWC的发展轨迹是非线性的,而功能通信的发展是线性的.
- 与参考组相比,患有CP的儿童表现出显著延迟的SLC,SWC和功能沟通.
- 智力功能和CFCS水平预测了SLC和SWC. 语音产生和手臂手臂功能预测了功能性沟通的发展.
结论:
- 患有CP的儿童在口语理解,单词理解和功能性沟通方面表现出发育延迟.
- 智力功能和功能沟通水平是理解能力的重要决定因素.
- 语音产生和手臂手臂功能是功能性沟通发展的关键,而功能性移动性没有显示任何关联.
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