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Distractibility and vocabulary deficits in children with spina bifida and hydrocephalus.

This experiment tested the hypothesis that children with spina bifida and hydrocephalus (SBH) are more distractible than normal children, and that the distractibility partially accounts for the language deficits of these children. In Part 1, 15 of these children of primary-school age were compared with controls matched for mental age on a non-verbal task during which irrelevant stimuli were present or absent. Interference effects of the irrelevant stimuli were larger and more persistent for the SBH children. In Part 2, the children and their controls were tested for comprehension of relational words, with and without irrelevant information. The two groups performed similarly when there was no irrelevant information, but the SBH children exhibited vocabulary deficiencies when irrelevant items were present. These findings support the original hypothesis of a relationship between distractibility and language deficits.

Attention↗

Linguistic performance as a function of abstract task demands in children with spina bifida.

Children with spina bifida and hydrocephalus (SBH) have been observed to have deficits in discourse, characterized by a high frequency of irrelevant utterances and poorer performance with abstract than concrete language. The Preschool Language Assessment Instrument (PLAI) was used to compare children with SBH and language-age controls on discourse skills at four levels of abstraction. In addition, a qualitative assessment of differences in types of inadequate productions was conducted. Children with SBH performed comparably to controls on concrete levels of the PLAI, but they produced significantly more 'no response' and irrelevant responses than the controls.

Attention↗

The Cambridge Language and Speech Project (CLASP). I . Detection of language difficulties at 36 to 39 months.

A community-based investigation of the nature, characteristics and evolution of speech and language delay in a sample of 3-year-olds is being carried out in Cambridgeshire. 1936 parents completed a preschool language checklist (PLC) to identify children at risk of language difficulties. Two hundred and seventy-seven children at risk together with 148 controls completed a series of preliminary face-to-face standard language tests to determine expressive, receptive and phonological skills. Concordance between the Cambridge Language and Speech Project (CLASP) identification and speech therapy involvement suggests that the overall (CLASP) screening procedure identified a number of children that current surveillance had missed and support the conclusion that the PLC may be a useful adjunct for child health care services as an aid in prioritising children for referral to speech therapy services. Children with scores of 1 to 3 at 36 months should be reviewed at 39 months, and those with 4 or more should be a high priority for referral. Preliminary examination of the impairment profile suggests that children with language impairments rather than pure speech impairments at 36 and 39 months are more likely to have a broader range of overall language-related deficit.

Age Factors↗

Distinct genetic influences on grammar and phonological short-term memory deficits: evidence from 6-year-old twins.

Children with language impairments have limitations of phonological short-term memory (STM) and have distinctive problems with certain aspects of grammar. Both deficits have been proposed as phenotypic markers of heritable language impairment. We studied 173 twin pairs, selected to be over-representative of children with risk of developmental language impairment, using a battery of standardized language and intelligence tests, a test of nonword repetition to index phonological STM and two elicitation tasks to assess use of verb tense marking. As predicted, the phonological STM and the verb tense measures both discriminated children with risk of language impairment from low risk children, and DeFries-Fulker analysis showed that impairments on both tasks were significantly heritable. However, there was minimal phenotypic and etiological overlap between the two deficits, suggesting that different genes are implicated in causing these two kinds of language difficulty. From an evolutionary perspective, these data are consistent with the view that language is a complex function that depends on multiple underlying skills with distinct genetic origins.

Aging↗

On the clinical relevance of early deficits in critical linguistic functions.

UNLABELLED: The clinical significance of patterns of deficits in semantic and phonological representations observed by Miniscalco et al. is discussed in light of an ecological approach to language development. CONCLUSION: Deficits in semantic representations reflect problems in capturing the core linguistic referential function and should be taken as serious early warning signals for language delay.

Child↗

Language skills at age 6 years in Swedish children screened for language delay at 2(1/2) years of age.

UNLABELLED: This study concerns language outcome in 6-y-old children who participated in a longitudinal community-based study of 105 children screened for language delay (LD) at 2(1/2) y of age. The purpose was to investigate (1) whether results from the 2(1/2)-y screening were persistent at 6 y of age, and (2) what language domains at age 6 were difficult for (a) children with LD at age 2(1/2) y and (b) children with normal language (LN) at the same age. Significant differences between LD and LN at age 2(1/2) y were persistent at age 6. The vulnerability that was identified at 2(1/2) y of age, such as problems with going from single-word utterances to multi-word utterances, seems to persist as delayed development at different language levels and across language domains. CONCLUSION: This study has shown that children who failed the 2(1/2)-y screening are at high risk of having persistent language problems at age 6 y.

Child↗

Physical and behavioral aspects of middle ear disease in school children.

Middle ear disease is today's primary aural health problem in school-age children. Until recently, pediatric health researchers were aware only of the medical consequences that middle ear disease had no children. Except in a few cases of chronic otitis media, the effects of middle ear disease were considered transitory. However, current research on middle ear disease suggests permanent changes in hearing sensitivity, reduced development of the auditory neural network and developmental delays in speech, language and cognitive skills dependent on hearing. This article presents a review of recent studies on the physical and behavioral aspects of middle ear disease and its sequelae in school children.

Auditory Pathways↗

Communication development in Angelman's syndrome.

The communication development in 11 children with Angelman's syndrome is described. The clinical observation that these children appear to have a greater ability with receptive rather than expressive language is investigated and these skills assessed using published communication schedules. In addition the understanding and the use of nonverbal communication such as natural gesture was studied. The data collected highlight the fact that these children have developed very few words and have difficulty in using gestural or sign systems. This has implications for speech and language therapists and the children's remedial programmes. Possible future longitudinal studies are suggested.

Adolescent↗

Randomised controlled trial of community based speech and language therapy in preschool children.

OBJECTIVE: To compare routine speech and language therapy in preschool children with delayed speech and language against 12 months of "watchful waiting." DESIGN: Pragmatic randomised controlled trial. SETTING: 16 community clinics in Bristol. PARTICIPANTS: 159 preschool children with appreciable speech or language difficulties who fulfilled criteria for admission to speech and language therapy. MAIN OUTCOME MEASURES: Four quantitative measures of speech and language, assessed at 6 and 12 months; a binary variable indicating improvement, by 12 months, on the trial entry criterion. RESULTS: Improvement in auditory comprehension was significant in favour of therapy (adjusted difference in means 4.1, 95% confidence interval 0.5 to 7.6; P=0.025). No significant differences were observed for expressive language (1.4, -2.1 to 4.8; P=0.44); phonology error rate (-4.4, -12.0 to 3.3; P=0.26); language development (0.1, -0.4 to 0.6; P=0.73); or improvement on entry criterion (odds ratio 1.3, 0.67 to 2.4; P=0.46). At the end of the trial, 70% of all children still had substantial speech and language deficits. CONCLUSIONS: This study provides little evidence for the effectiveness of speech and language therapy compared with watchful waiting over 12 months. Providers of speech and language therapy should reconsider the appropriateness, timing, nature, and intensity of such therapy in preschool children. Continued research into more specific provision to subgroups of children is also needed to identify better treatment methods. The lack of resolution of difficulties for most of the children suggests that further research is needed to identify effective ways of helping this population of children.

Analysis of Variance↗

[Specific parent training in alalia. 1: Introduction and presentation of the seminar concept].

Developmental aphasia is the most severe form of speech retardation and needs therapeutic intervention. The young age of these children (< 3 years) makes therapy difficult. A specified speech therapy is not possible at this age. Intensive stimulation of verbal communication by the parents is necessary. Therefore we developed a specialized training program for parents. This preparation is very useful for later therapy and should prevent disturbance of interaction between parents and child. We will present our concept.

Aphasia↗

[Specific parent training in alalia. 2: Study of experiences of parents in the seminar].

Specified training for parents of children with developmental aphasia has been offered for several years. We want to guide the parents to a controlled stimulation of speech at home. We asked the former participants about their experiences with this training program. We also studied the realization of the program by parents in everyday life before their children started therapy. The experiences were mainly considered positive, realizing the program did not present difficulties.

Aphasia↗