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ERIC Number: EJ905105
Record Type: Journal
Publication Date: 2010-Dec
Pages: 7
Abstractor: As Provided
Reference Count: 0
ISSN: ISSN-0012-1622
Oromotor Dysfunction and Communication Impairments in Children with Cerebral Palsy: A Register Study
Parkes, Jackie; Hill, Nan; Platt, Mary Jane; Donnelly, Caroline
Developmental Medicine & Child Neurology, v52 n12 p1113-1119 Dec 2010
Aim: To report the prevalence, clinical associations, and trends over time of oromotor dysfunction and communication impairments in children with cerebral palsy (CP). Method: Multiple sources of ascertainment were used and children followed up with a standardized assessment including motor speech problems, swallowing/chewing difficulties, excessive drooling, and communication impairments at age 5 years. Results: A total of 1357 children born between 1980 and 2001 were studied (781 males, 576 females; median age 5y 11mo, interquartile range 3-9y; unilateral spastic CP, n = 447; bilateral spastic CP, n = 496; other, n = 112; Gross Motor Function Classification System [GMFCS] level: I, 181; II, 563; III, 123; IV, 82; IV, 276). Of those with "early-onset" CP (n = 1268), 36% had motor speech problems, 21% had swallowing/chewing difficulties, 22% had excessive drooling, and 42% had communication impairments (excluding articulation defects). All impairments were significantly related to poorer gross motor function and intellectual impairment. In addition, motor speech problems were related to clinical subtype; swallowing/chewing problems and communication impairments to early mortality; and communication impairments to the presence of seizures. Of those with CP in GMFCS levels IV to V, a significant proportion showed a decline in the rate of motor speech impairment (p = 0.008) and excessive drooling (p = 0.009) over time. Interpretation: These impairments are common in children with CP and are associated with poorer gross motor function and intellectual impairment.
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A