Klintö Kristina, Salameh Eva-Kristina, Lohmander Anette
Division of Speech and Language Pathology, Karolinska Institutet, Stockholm, Sweden; Department of Otorhinolaryngology, Skåne University Hospital, Malmö, Sweden.
Int J Lang Commun Disord. 2015 Jan-Feb;50(1):119-28. doi: 10.1111/1460-6984.12127. Epub 2014 Sep 11.
Research regarding expressive language performance in children born with cleft palate is sparse. The relationship between articulation/phonology and expressive language skills also needs to be further explored.
To investigate verbal competence in narrative retelling in 5-year-old children born with unilateral cleft lip and palate (UCLP) and its possible relationship with articulation/phonology at 3 and 5 years of age.
METHODS & PROCEDURES: A total of 49 children, 29 with UCLP treated according to three different procedures for primary palatal surgery and a comparison group of 20 children (COMP), were included. Longitudinally recorded audio files were used for analysis. At ages 3 and 5, the children were presented with a single-word test of word naming and at age 5 also the Bus Story Test (BST). The BST was assessed according to a test manual. The single-word test was phonetically transcribed and the percentage of consonants correct adjusted for age (PCC-A) was calculated. Differences regarding the BST results within the UCLP group were analysed. The results were compared with the results of the COMP group, and also with norm values. In addition, the relationship between the results of the BST and the PCC-A scores at ages 3 and 5 years was analysed.
OUTCOMES & RESULTS: No significant group differences or correlations were found. However, 65.5% of the children in the UCLP group had an information score below 1 standard deviation from the norm value compared with 30% in the COMP group.
A larger proportion of children in the UCLP group than in the COMP group displayed problems with retelling but the differences between the two groups were not significant. There was no association between the BST results in the children with UCLP and previous or present articulatory/phonological competence. Since group size was small in both groups, the findings need to be verified in a larger study.
关于腭裂患儿表达性语言能力的研究较少。发音/语音与表达性语言技能之间的关系也有待进一步探索。
研究5岁单侧唇腭裂（UCLP）患儿在叙事复述中的语言能力及其与3岁和5岁时发音/语音的可能关系。
共纳入49名儿童，其中29名UCLP患儿根据三种不同的原发性腭裂手术程序进行治疗，另有20名儿童作为对照组（COMP）。纵向录制的音频文件用于分析。在3岁和5岁时，对儿童进行单词命名单项测试，5岁时还进行巴士故事测试（BST）。BST根据测试手册进行评估。对单项测试进行语音转录，并计算年龄校正后的辅音正确百分比（PCC-A）。分析UCLP组内BST结果的差异。将结果与COMP组的结果以及常模值进行比较。此外，分析了3岁和5岁时BST结果与PCC-A分数之间的关系。
未发现显著的组间差异或相关性。然而，UCLP组中65.5%的儿童信息得分低于常模值1个标准差，而COMP组为30%。
UCLP组中表现出复述问题的儿童比例高于COMP组，但两组之间的差异不显著。UCLP患儿的BST结果与之前或当前的发音/语音能力之间没有关联。由于两组样本量都较小，研究结果需要在更大规模的研究中进行验证。
