Malas Kathy, Trudeau Natacha, Giroux Marie-Claude, Gauthier Lisanne, Poulin Simone, McFarland David H
Centre Hospitalier Universitaire Sainte-Justine, Montréal, Québec, Canada.
Centre Hospitalier Universitaire Sainte-Justine, Montréal, Québec, CanadaCentre de Recherche Interdisciplinaire en Réadaptation-Institut Raymond-Dewar, Montréal, Québec, CanadaUniversité de Montréal, Québec, Canada.
Am J Speech Lang Pathol. 2017 Feb 1;26(1):138-145. doi: 10.1044/2016_AJSLP-15-0171.
This study updated and extended our previous investigation (Malas et al., 2015) of feeding-swallowing difficulties and concerns (FSCs) in children with language impairments (LI) by using more stringent inclusion criteria and targeting children earlier in the care delivery pathway.
Retrospective analyses were performed on the clinical files of 29 children (average age: 60 months, SD = 9.0) diagnosed as having LI using standardized testing, nonstandardized testing and final speech-language pathologist judgment. The files of children born prematurely or with a history of anatomical, structural, neurodevelopmental, cognitive, sensory, motor, or speech disorders were excluded. Literature-based indicators were used to determine the prevalence of difficulties in sucking, food transition, food selectivity, and salivary control. Values were compared with the general population estimate of Lindberg et al. (1992).
A significantly higher percentage of histories of FSCs (48%) were found in the files of children with LI when compared with the population estimate (χ2 = 13.741, df = 1, p < .001). Difficulties in food transition (31%) and food selectivity (14%) were the most frequent. Data confirm and extend our previous findings and suggest that a previous history of FSCs may characterize children with LI early in their care delivery pathway.
本研究通过采用更严格的纳入标准并在护理提供途径中更早地针对儿童，更新并扩展了我们之前对语言障碍（LI）儿童的进食吞咽困难及问题（FSCs）的调查（Malas等人，2015年）。
对29名被诊断为患有LI的儿童（平均年龄：60个月，标准差 = 9.0）的临床档案进行回顾性分析，诊断采用标准化测试、非标准化测试以及最终语言病理学家的判断。排除早产或有解剖、结构、神经发育、认知、感觉、运动或言语障碍病史的儿童档案。使用基于文献的指标来确定吸吮、食物转换、食物选择性和唾液控制方面困难的患病率。将这些值与Lindberg等人（1992年）对一般人群的估计值进行比较。
与一般人群估计值相比，在LI儿童档案中发现FSCs病史的比例显著更高（48%）（χ2 = 13.741，自由度 = 1，p < .001）。食物转换困难（31%）和食物选择性困难（14%）最为常见。数据证实并扩展了我们之前的发现，并表明FSCs的既往病史可能是LI儿童在护理提供途径早期的特征。
