Shakibayi Mersede Imani, Zarifian Talieh, Zanjari Nasibeh
Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
Int J Pediatr Otorhinolaryngol. 2019 Nov;126:109609. doi: 10.1016/j.ijporl.2019.109609. Epub 2019 Jul 27.
There has not been any valid method for the clinical diagnosis of Childhood Apraxia of Speech (CAS) up to now, and the golden standard for diagnosis is the expert's opinion. The current research was conducted to obtain criteria used by the Iranian Speech-Language Pathologists (SLPs) to establish speech characteristics and co-occurring problems of CAS based on their knowledge and clinical experience.
This research used a questionnaire-based survey design for data collection. The questionnaire was filled out by 260 anonymous participants, both physically and online.
The nine top speech characteristics reported with 75.6% agreement as the core symptoms of CAS included: inconsistency (86.9%), consonant sequencing problems (75%), low intelligibility (75%), groping (72.7%), slow diadochokinetic (DDK) (72.3%), articulatory configuration problems (66.2%), difficulty with multisyllabic words (62.7%), suprasegmental disturbances (56.2%) and metathesis (53.5%). The consent of the Iranian practicing SLPs was consistent with the American Speech-Language-Hearing Association (ASHA) diagnostic criteria, Strand's 10-point checklist, and Ozanne's cluster model. More than half of the respondents have been identified with fine motor deficit and language impairment as the most common co-occurring problems of CAS.
The results of this study are in accordance with the findings of previous practicing SLPs' surveys in different languages. Carrying out researches on the speech characteristics of Persian-speaking children suspected of CAS and compare with the results of clinicians' surveys will help us to find a reliable standard for differential diagnosis of Persian-speaking children in Iran.
迄今为止，尚无任何有效的方法用于儿童言语失用症（CAS）的临床诊断，诊断的金标准是专家意见。当前的研究旨在获取伊朗言语治疗师（SLP）根据其知识和临床经验确定CAS言语特征及并发问题所使用的标准。
本研究采用基于问卷的调查设计来收集数据。问卷由260名匿名参与者通过线下和线上方式填写。
以75.6%的一致性被报告为CAS核心症状的九大言语特征包括：不一致性（86.9%）、辅音序列问题（75%）、可懂度低（75%）、摸索动作（72.7%）、慢速重复动作（DDK）（72.3%）、发音构形问题（66.2%）、多音节词困难（62.7%）、超音段干扰（56.2%）和换位（53.5%）。伊朗执业言语治疗师的共识与美国言语-语言-听力协会（ASHA）的诊断标准、斯特兰德的10点检查表以及奥赞的聚类模型一致。超过一半的受访者认为精细运动缺陷和语言障碍是CAS最常见的并发问题。
本研究结果与之前不同语言的执业言语治疗师的调查结果一致。对疑似患有CAS的波斯语儿童的言语特征进行研究，并与临床医生的调查结果进行比较，将有助于我们找到伊朗波斯语儿童鉴别诊断可靠标准。
