Department of Communication Sciences & Disorders, Northeastern University, Boston, MA.
Am J Speech Lang Pathol. 2024 Mar 7;33(2):1040-1050. doi: 10.1044/2023_AJSLP-23-00267. Epub 2024 Jan 12.
This study aimed to examine the contribution of speech motor impairment (SMI), language impairment, and communication modality to communicative and overall participation outcomes in school-age children with cerebral palsy (CP).
Eighty-one caregivers of children with CP provided information about their child's speech and language skills, communication modality, and participation through a web-based survey. Caregiver responses to two validated scales were used to quantify children's communicative participation and overall participation. Children were classified into four speech-language profile groups and three communication modality groups for comparison, based on caregiver-reported information regarding their child's communication skills.
Children with CP who had co-occurring SMI and language impairment had significantly lower levels of communicative participation and involvement in activities overall, compared to children with SMI alone. Among children with SMI, augmentative and alternative communication (AAC) use was associated with greater overall frequency of participation and involvement in life activities.
Children with CP who have both SMI and language impairment and those who are nonspeaking communicators should be prioritized early for communication interventions focused on maximizing participation, including consideration of AAC.
本研究旨在探讨言语运动障碍（SMI）、语言障碍和交流方式对伴有脑瘫（CP）的学龄儿童的交流和整体参与结果的影响。
81 名 CP 儿童的照顾者通过网络调查提供了有关其儿童言语和语言技能、交流方式和参与情况的信息。照顾者对两个经过验证的量表的回答用于量化儿童的交流参与度和整体参与度。根据照顾者报告的有关其儿童沟通技能的信息，对儿童进行言语语言状况分组和三种交流方式分组，进行比较。
与仅有 SMI 的儿童相比，同时存在 SMI 和语言障碍的 CP 儿童的交流参与度和总体活动参与度显著降低。在 SMI 儿童中，辅助和替代沟通（AAC）的使用与日常生活活动的整体参与度和参与频率增加有关。
同时存在 SMI 和语言障碍的 CP 儿童以及非言语交流者应优先考虑进行以最大限度提高参与度为重点的沟通干预，包括对 AAC 的考虑。
