Department of Hearing and Speech Science, University of Maryland, College Park, 0100 Lefrak Hall, College Park, MD 20740, USA.
J Fluency Disord. 2013 Jun;38(2):193-205. doi: 10.1016/j.jfludis.2013.01.003. Epub 2013 Feb 8.
This study assessed the relationship between fluency and language demand in children with epilepsy, a group known to demonstrate depressed language skills. Disfluency type and frequencies were analyzed in elicited narratives from 52 children. Half of these children had localization-related epilepsy (CWE), while the others were age- and gender-matched typically-developing (TD) peers. CWE were found to be significantly more disfluent overall than their matched TD peers during narrative productions, and demonstrated a higher proportion of stutter-like disfluencies, particularly prolongations. The current study adds to an emerging literature that has found depressed language skills and listener perceptions of verbal ability in children with chronic seizure activity, and contributes to the small but growing literature that suggests that disfluency during spoken language tasks may be a subtle marker of expressive language impairment.
The reader will be able to (a) describe why children with epilepsy might be at greater risk for language delays and or increased levels of disfluency; (b) describe profiles of fluency that differentiated children with chronic and recent-onset epilepsy from their age and gender matched peers; and (c) apply this information to monitoring of children with seizure disorder on their caseloads.
本研究评估了流畅性与语言需求之间的关系，癫痫患儿的语言技能往往会出现下降，这是众所周知的。从 52 名儿童的诱发叙述中分析了不流畅的类型和频率。这些儿童中有一半患有与定位相关的癫痫（CWE），另一半是年龄和性别匹配的正常发育（TD）同龄人。与匹配的 TD 同龄人相比，CWE 在叙述产生过程中整体上明显更为不流畅，并且表现出更高比例的类似口吃的不流畅，尤其是延长。本研究增加了越来越多的文献，这些文献发现慢性癫痫发作儿童的语言技能下降和听众对言语能力的感知，并且有助于越来越多的文献表明，口语任务中的不流畅可能是表达性语言障碍的一个微妙标志。
读者将能够：（a）描述为什么癫痫儿童可能面临更大的语言延迟和/或更高水平的不流畅风险；（b）描述区分慢性和近期发作癫痫儿童与其年龄和性别匹配同龄人之间的流畅性特征；（c）将这些信息应用于监测其病例中的癫痫儿童。
