Department of Rehabilitation Medicine, VU University, Amsterdam, Netherlands.
Dev Med Child Neurol. 2010 Dec;52(12):1098. doi: 10.1111/j.1469-8749.2010.03833.x.
to identify the use and utility of language comprehension tests for unintelligible or non-speaking children with severe cerebral palsy (CP).
severe CP was defined as severe dysarthria (unintelligible speech) or anarthria (absence of speech) combined with severe limited mobility, corresponding to Gross Motor Function Classification System levels IV to V. An electronic search in the databases of PubMed, PsychInfo, Embase, and CINAHL was made of studies published between January 1965 and December 2008. Indexing terms and free-text terms for 'cerebral palsy', 'language', and 'instrumentation' were used. Studies were included when (1) the focus was to investigate comprehension of spoken language of children (0-18 y) with severe CP, and (2) language tests were described.
twelve standardized tests and five experimental instruments were identified. All standardized tests were developed for children without limited mobility. Only the Peabody Picture Vocabulary Test - Revised was frequently used and feasible for older children with severe CP (> 9y). The other tests were used occasionally. To establish utility, adaptations of standardized test procedures were necessary.
language comprehension tests for children with severe CP are scarce. A language comprehension test specifically designed for these children is warranted. Cite this as: Dev Med Child Neurol 52: e267-e277.
确定用于严重脑瘫（CP）的言语不清或不言语的儿童的语言理解测试的使用和效用。
严重 CP 定义为严重构音障碍（言语不清）或无言语（无言语）伴有严重运动受限，对应于粗大运动功能分类系统 4 至 5 级。在 PubMed、PsychInfo、Embase 和 CINAHL 数据库中对 1965 年 1 月至 2008 年 12 月期间发表的研究进行了电子检索。使用了“脑瘫”、“语言”和“仪器”的索引术语和自由文本术语。当（1）研究重点是调查严重 CP 儿童（0-18 岁）对口语理解时，以及（2）描述了语言测试，研究才被纳入。
确定了 12 项标准化测试和 5 项实验仪器。所有标准化测试均针对无运动受限的儿童开发。只有 Peabody 图片词汇测验修订版经常用于且适用于患有严重 CP（> 9 岁）的较大儿童。其他测试偶尔使用。为了确定效用，需要对标准化测试程序进行改编。
用于严重 CP 儿童的语言理解测试很少。有必要为这些儿童专门设计语言理解测试。
