Iuzzini-Seigel Jenya, Moorer Laura, Tamplain Priscila
Marquette University, Milwaukee, WI.
Apraxia Kids, Pittsburgh, PA.
Lang Speech Hear Serv Sch. 2022 Oct 6;53(4):1006-1021. doi: 10.1044/2022_LSHSS-21-00163. Epub 2022 Aug 30.
Children with childhood apraxia of speech (CAS) evidence a high rate of co-occurring fine and gross motor deficits. This clinical focus article reports a preliminary investigation of characteristics of developmental coordination disorder (DCD), a neurodevelopmental disorder categorized by poor motor proficiency and functional limitations, in this population.
Children with CAS underwent a comprehensive motor evaluation using the Movement Assessment Battery for Children-Second Edition, the Developmental Coordination Disorder Questionnaire, and a developmental history questionnaire to determine if they met criteria for a DCD diagnosis as specified in the (DSM-5).
Six out of seven participants met DCD criteria based on the DSM-5 criteria. Four of these children had a co-occurring diagnosis of developmental language disorder, and all met criteria for DCD.
Consistent with previous research, the majority of participants demonstrated motor deficits and 85% met criteria for DCD. Despite this high rate of motor deficits, only 57% had previously undergone a physical/occupational therapy evaluation and intervention and only one had a previous diagnosis of DCD. These findings suggest that formal movement assessments are essential for children with a CAS diagnosis.
患有儿童言语失用症(CAS)的儿童同时出现精细和粗大运动缺陷的比例很高。这篇临床聚焦文章报告了对该人群中发育性协调障碍(DCD)特征的初步调查,DCD是一种以运动能力差和功能受限为特征的神经发育障碍。
患有CAS的儿童使用《儿童运动评估量表第二版》、《发育性协调障碍问卷》和一份发育史问卷进行了全面的运动评估,以确定他们是否符合《精神疾病诊断与统计手册》第五版(DSM-5)中规定的DCD诊断标准。
根据DSM-5标准,七名参与者中有六人符合DCD标准。其中四名儿童同时被诊断为发育性语言障碍,且均符合DCD标准。
与先前的研究一致,大多数参与者表现出运动缺陷,85%符合DCD标准。尽管运动缺陷发生率很高,但只有57%的人之前接受过物理/职业治疗评估和干预,只有一人之前被诊断为DCD。这些发现表明,正式的运动评估对患有CAS诊断的儿童至关重要。