Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Orygen, Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia.
Child Care Health Dev. 2020 Sep;46(5):617-626. doi: 10.1111/cch.12792. Epub 2020 Jul 8.
There is a lack of population-based studies exploring the communicative behaviours of minimally verbal children with cerebral palsy (CP), with factors associated with superior and poorer communication outcomes unknown. This study aimed to examine the communication behaviours of minimally verbal children with CP recruited from a representative community sample and to identify factors associated with communication outcomes.
Twenty minimally verbal children aged 5-6 years, recruited through the Victorian Cerebral Palsy Register, completed the Communication and Symbolic Behaviour Scales-Developmental Profile (CSBS-DP). Linear regressions examined child-related and environmental factors associated with communication outcomes.
CSBS-DP total raw scores ranged from 0 to 113. Strengths were the use of conventional gestures and understanding of language. Challenges were noted in using sequential action schemes during play. Communication typically served to regulate the behaviour of others. All participants demonstrated reduced functional communication (Communication Function Classification System levels III-IV). In the multivariable regression model adjusted for cognition, poorer communication skills were associated with Manual Ability Classification System levels IV-V (P = 0.004).
Although some children with CP who are minimally verbal use a variety of communication functions, significant functional limitations may be apparent. Severe upper limb impairment may provide an early indication of greater communication difficulties.
缺乏基于人群的研究来探索患有脑瘫（CP）的极轻度言语儿童的交流行为，也不知道哪些因素与较好和较差的交流结果相关。本研究旨在研究从代表性社区样本中招募的极轻度言语脑瘫儿童的交流行为，并确定与交流结果相关的因素。
通过维多利亚脑瘫登记处招募了 20 名 5-6 岁的极轻度言语脑瘫儿童，完成了沟通和象征性行为量表-发展概况（CSBS-DP）。线性回归分析了与交流结果相关的儿童相关和环境因素。
CSBS-DP 总原始分数范围为 0 至 113。强项是使用传统手势和理解语言。在游戏中使用顺序动作方案时遇到了挑战。交流通常用于调节他人的行为。所有参与者的功能性交流（沟通功能分类系统水平 III-IV）均降低。在调整认知因素后的多变量回归模型中，沟通技能较差与手动能力分类系统水平 IV-V 相关（P=0.004）。
尽管一些极轻度言语脑瘫儿童使用各种沟通功能，但可能存在明显的功能限制。严重的上肢损伤可能预示着更大的沟通困难。
