Van Borsel John, Vandermeulen An
Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium.
Folia Phoniatr Logop. 2008;60(6):312-7. doi: 10.1159/000170081. Epub 2008 Nov 11.
To study the occurrence of cluttering in individuals with Down syndrome (DS) taking into account the wide range of symptoms that may be found in cluttering.
Twenty-six speech language therapists, who had clients with DS among their caseload, administered the Predictive Cluttering Inventory in 76 individuals with DS aged between 3.8 and 57.3 years.
Sixty of the 76 participants (78.9%) obtained a score that classified them as a clutterer, and 13 other participants (17.1%) qualified as a clutterer-stutterer. In almost 65% of the participants, not all items had been scored; thus, compromising strict administration of the Predictive Cluttering Inventory.
The results clearly illustrate the need for a consensus on the symptoms that are essential for a diagnosis of cluttering, and also indicate that an instrument like the Predictive Cluttering Inventory may not be suitable for every clinical population. Future research is necessary to determine if the disfluent speech exhibited by certain clinical subgroups (such as individuals with DS) represents a distinct pattern that is different from developmental stuttering, and does not form part of a syndrome of cluttering either.
考虑到可能在言语紊乱中发现的广泛症状，研究唐氏综合征（DS）个体中言语紊乱的发生情况。
26名言语治疗师，其病例中有DS患者，对76名年龄在3.8至57.3岁之间的DS个体进行了预测性言语紊乱量表测试。
76名参与者中有60名（78.9%）得分被归类为言语紊乱者，另有13名参与者（17.1%）被归类为言语紊乱-口吃者。近65%的参与者并非所有项目都有得分；因此，影响了预测性言语紊乱量表的严格施测。
结果清楚地表明，需要就言语紊乱诊断所必需的症状达成共识，并且还表明像预测性言语紊乱量表这样的工具可能并不适用于每个临床群体。未来有必要进行研究，以确定某些临床亚组（如DS个体）所表现出的不流畅言语是否代表一种与发育性口吃不同的独特模式，并且也不构成言语紊乱综合征的一部分。
