Department of Rehabilitation Sciences, Ghent University, Gent, Belgium.
Children's Rehabilitation Center, Ghent University Hospital, Gent, Belgium.
Brain Inj. 2021 Jul 3;35(8):907-921. doi: 10.1080/02699052.2021.1927185. Epub 2021 May 29.
This study investigated the occurrence of speech-language disorders during the acute phase of recovery in children with acquired brain injury (ABI) with an age between 0 and 16 years.
A retrospective chart analysis was performed including 228 children ( = 118 boys, = 110 girls) who consecutively presented with ABI over a 10-year period (2006-2016) at the children's rehabilitation center at Ghent University Hospital. Descriptive statistical analyses were applied.
71.1% (162/228) of the children who were admitted to the rehabilitation center presented with a speech-language disorder. Within this sample ( = 162), results demonstrated the occurrence of acquired disorders in language (48.9%), speech (35.1%), learning (33.3%), swallowing (21.5%), and early communicative functions (17.4%). The proportion of children presenting with disturbances in early communicative functions differed by ABI cause. More than half (10/18, 58.8%) of the children who presented with ABI following inflammatory processes demonstrated disorders in early communicative functions.
Especially in young children who present with inflammatory processes as the ABI cause, speech-language pathologists (SLPs) must be aware of disorders in early speech-language development. The present findings allow the SLP to appropriately plan research, education, and clinical management.
本研究调查了年龄在 0 至 16 岁之间患有后天性脑损伤（ABI）的儿童在康复急性期出现言语语言障碍的情况。
本研究采用回顾性图表分析，纳入了 2006 年至 2016 年期间在根特大学医院儿童康复中心连续就诊的 228 名患有 ABI 的儿童（=118 名男孩，=110 名女孩）。本研究应用了描述性统计分析。
71.1%（162/228）入住康复中心的儿童存在言语语言障碍。在这个样本中（=162），结果显示语言获得性障碍（48.9%）、言语障碍（35.1%）、学习障碍（33.3%）、吞咽障碍（21.5%）和早期交流功能障碍（17.4%）的发生率较高。导致 ABI 的原因不同，早期交流功能障碍的儿童比例也不同。有一半以上（10/18，58.8%）因炎症过程导致 ABI 的儿童存在早期交流功能障碍。
特别是对于因炎症过程导致 ABI 的年幼儿童，言语语言病理学家（SLP）必须意识到早期言语语言发育障碍。本研究结果使 SLP 能够适当地规划研究、教育和临床管理。
