Deparment of Otorhinolaryngology, Phoniatric Division, Helsinki University Central Hospital, Haartmaninkatu 4 E, FI-00029 HUS, Helsinki, Finland.
Neuropsychiatr Dis Treat. 2008 Dec;4(6):1225-33. doi: 10.2147/ndt.s2640.
Even though difficulties in motor development in children with speech and language disorders are widely known, hardly any attention is paid to the association between atypically rapidly occurring unassisted walking and delayed speech development. The four children described here presented with a developmental behavioral triad: 1) atypically speedy motor development, 2) impaired expressive speech, and 3) tongue carriage dysfunction resulting in related misarticulations. Those characteristics might be phenotypically or genetically clustered. These children didn't have impaired cognition, neurological or mental disease, defective sense organs, craniofacial dysmorphology or susceptibility to upper respiratory infections, particularly recurrent otitis media. Attention should be paid on discordant and unbalanced achievement of developmental milestones. Present children are termed SPEEDY babies, where SPEEDY refers to rapid independent walking, SPEE and DY to dyspractic or dysfunctional speech development and lingual dysfunction resulting in linguoalveolar misarticulations. SPEEDY babies require health care that recognizes and respects their motor skills and supports their needs for motor activities and on the other hand include treatment for impaired speech. The parents may need advice and support with these children.
尽管言语语言障碍儿童的运动发育困难是众所周知的,但几乎没有任何关注关注到非典型快速出现的独立行走与语言发育迟缓之间的关联。这里描述的四个孩子表现出发育行为三联征:1)非典型快速运动发育,2)表达性言语障碍,以及 3)舌位异常导致相关构音障碍。这些特征可能在表型或遗传上聚集在一起。这些孩子没有认知障碍、神经或精神疾病、感觉器官缺陷、颅面畸形或易患上呼吸道感染,特别是复发性中耳炎。应注意发育里程碑的不一致和不平衡。目前的孩子被称为 SPEEDY 婴儿,其中 SPEEDY 是指快速独立行走,SPEE 和 DY 是指构音障碍或言语发育功能障碍以及导致齿龈音构音障碍的舌位异常。SPEEDY 婴儿需要得到医疗保健的关注,既承认和尊重他们的运动技能,并支持他们对运动活动的需求,另一方面又包括针对言语障碍的治疗。这些孩子的父母可能需要相关建议和支持。