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PubMed2001

Differential effects of left and right cerebral vascular accidents on language competency.

While language facility was once considered to be the sole province of the "dominant" left hemisphere, clinical and experimental findings suggest the right hemisphere plays an equally important role in many language tasks. To elucidate differential hemispheric language processes, Right Hemisphere Language Battery and Western Aphasia Battery data from left (LHD) and right (RHD) hemisphere cerebral vascular accident (CVA) patients and controls were subjected to multivariate discriminant analysis. The highly significant group differences and overall 95% classification rate obtained confirms the utility of the dependent measures in differential diagnosis. Results suggest CVA patients experience disparate language deficits, with the LHD group experiencing concordant-convergent language deficits and the RHD group displaying discordant-divergent deficits that interfere with the receptive and expressive language skills necessary for successful social discourse.

Brain↗

PubMed1997

Language abilities in children with attention deficit hyperactivity disorder, reading disabilities, and normal controls.

Research has demonstrated a high prevalence of language impairments (LI) and reading disabilities (RD) in children with attention deficit hyperactivity disorder (ADHD). Since RD is also associated with LI, it is unclear whether the language impairments are specific to ADHD or associated with comorbid RD. The language abilities of ADHD children with and without RD were investigated in a task requiring recall of a lengthy narrative, and in tests assessing knowledge of the semantic aspects of language. The study was conducted with 50 boys--14 ADHD, 14 ADHD + RD, 8 RD, and 14 normal controls, aged 7 to 11. Children with ADHD (ADHD-only, ADHD + RD) exhibited difficulties in organizing and monitoring their story retelling. Children with RD (RD-only, ADHD + RD) demonstrated deficits in receptive and expressive semantic language abilities on the language processing tests. The comorbid group (ADHD + RD) exhibited the deficits of both ADHD and RD children. The deficiencies of ADHD children are consistent with higher-order executive function deficits while the deficits of RD children are consistent with deficits in the basic semantics of language processing.

Achievement↗

PubMed2004

An exploration of causes of non-literal language problems in individuals with Asperger Syndrome.

Individuals with Asperger Syndrome (AS), a high functioning variant of Autism, are often noted to possess intact language ability, yet fail to use this language capacity to engage in interactive communication. This difficulty using language in a social context has been referred to as a deficit in pragmatic language. In particular, difficulty understanding nonliteral language devices, such as irony has been observed. This paper examines the veracity of two theories that have attempted to explain the causes of pragmatic language difficulties in individuals with Asperger Syndrome; the theory of Weak Central Coherence (WCC) and Social Inference theory. Fourteen young adults with AS and 24 age-matched controls were assessed on cognitive tasks measuring WCC processes, social inference or Theory of Mind ability, and the ability to interpret ironic remarks. Results indicated that the ability to understand the belief states of others is critical to understanding ironic language in AS.

Adolescent↗

PubMed2001

English language education in Japanese dental schools.

English is the common language of international scientific and cultural exchange. As the world becomes more globalized and with increasing dependence on the Internet, English becomes increasingly important as a second language. English is the official language for all international associations, societies, organizations etc and their meetings and publications. High quality international collaboration usually requires a high standard of English language proficiency. There is very little information regarding English language education in dentistry on a global basis, particularly in Japan. In 1999 we undertook a comprehensive survey of English education in all 29 Japanese dental schools in the form of a questionnaire. Few schools had native-speaking educators or those at native speaker level and most did not have a background in dentistry or the health sciences. There are no ideal textbooks for dental students studying English. Most disciplines within dentistry have a professional society or an association with meetings and publications. Currently there is no such group for English-language education in dentistry. Closer collaboration amongst those concerned may help improve the quality of education. The level of English-language ability of current dental students will affect the quality of future dental educators and researchers.

Dental Research↗

PubMed1991

Concurrent language and motor performance in bilinguals: a test of the age of acquisition hypothesis.

The objective of the present study was to test the hypothesis that the age at which a second language is acquired influences the pattern of cerebral lateralization associated with that language. Subjects who differed in terms of the age at which they had acquired their second language (English or French) were tested on a concurrent task paradigm involving motor and language performance. Hemispheric processing was inferred from the pattern of lateralized and generalized interference between the tasks. No support was found for the age-of-acquisition hypothesis. Instead, the data indicated a language-specific effect. Regardless of age of acquisition and of whether the first language was English or French, bilingual subjects showed lateralized interference effects consistent with left-hemisphere processing when reading in English and translating from French into English, but no lateralized interference when reading in French and translating from English into French. Whether this effect reflects characteristics of the two languages or the influence of social factors in subject-experimenter interaction is considered.

Adult↗

PubMedDate not supplied

A language-specific comprehension strategy.

Infants acquire whatever language is spoken in the environment into which they are born. The mental capability of the newborn child is not biased in any way towards the acquisition of one human language rather than another. Because psychologists who attempt to model the process of language comprehension are interested in the structure of the human mind, rather than in the properties of individual languages, strategies which they incorporate in their models are presumed to be universal, not language-specific. In other words, strategies of comprehension are presumed to be characteristic of the human language processing system, rather than, say, the French, English, or Igbo language processing systems. We report here, however, on a comprehension strategy which appears to be used by native speakers of French but not by native speakers of English.

Hearing↗

PubMed2007

Increasing print awareness in preschoolers with language impairment using non-evocative print referencing.

PURPOSE: This study examined the extent to which using non-evocative, explicit referencing of print concepts during shared storybook reading in the context of language therapy facilitated print concept knowledge in children with language impairment. METHOD: Five children, ages 4 to 5 years, were provided scripted input on 20 print concepts during shared storybook reading that was incorporated into individualized 30-min language intervention sessions that were conducted in the children's classroom twice weekly. The children were not required to make any response to the input on print concepts, and the input was secondary to instruction in the language targets during the 10-min shared storybook reading activity. RESULTS: Using a single-subject, multiple probe design across subjects, results indicated that children's knowledge of print concepts improved markedly when the procedure was incorporated into shared storybook reading and that they continued to learn and maintain knowledge of print concepts with repeated input. CLINICAL IMPLICATIONS: These findings suggest that children with language impairment may benefit from simple non-evocative, explicit referencing strategies that can be easily incorporated into the context of storybook reading during language therapy, thus providing speech-language pathologists with an additional tool for facilitating children's literacy skills.

Awareness↗

PubMed2001

Familial aggregation in specific language impairment.

A case-control family study design, in which the current language-related abilities of all biological, primary relatives (mother, father, siblings) of probands with specific language impairment (SLI) and matched controls were assessed, was used to investigate familial aggregation for language disorders. Current test data from each family member showed the rate of language impairment for mothers, fathers, sisters, and brothers of the SLI probands to be significantly higher than for members of control families. Impairment rates for fathers and mothers were approximately equal, whereas rates for brothers were significantly higher than for sisters. In SLI proband families, Language Impairment (LI) occurred in 13.0% of offspring (excluding proband) with neither parent affected, 40% of offspring with one parent affected, and 71.4% of offspring in families in which both parents were language impaired. Rates of impairment as determined in current testing were compared directly to impairment rates estimated from family-history questionnaires collected from the same families. Group data showed impairment rates estimated from the family-history questionnaires to be similar to the rates based on actual testing. Furthermore, both appeared in line with rates based primarily on questionnaire data as reported previously in the literature. However, case-by-case analyses showed poor intrasubject agreement on classification as language impaired on the basis of current testing as compared to history information.

Adolescent↗

PubMed2003

Intonation abilities of children with speech and language impairments.

Intonation has been little studied in children with speech and language impairments, although deficits in related aspects of prosody have been hypothesized to underlie specific language impairment. In this study a new intonation battery, the Profiling Elements of Prosodic Systems-Child version (PEPS-C), was administered to 18 children with speech and/or language impairments (LI). PEPS-C comprises 16 tasks (8 x 8, Input x Output) tapping phonetic and functional aspects of intonation in four areas: grammar, affect, interaction, and pragmatics. Scores were compared to a chronological age (CA) matched group of 28 children and a group of 18 children matched for language comprehension (LC). Measures of language comprehension, expressive language, nonverbal intelligence, and segmental phonology were also taken. The LI group did not score significantly below the LC group on any PEPS-C task. On 5 of 16 tasks, the LI group scored significantly lower than the CA group. In the LI group, there were just 2 significant correlations between a PEPS-C task and 1 of the nonprosodic measures. The results support the view that intonation is relatively discrete from other levels of speech and language while suggesting some specific areas of possible vulnerability: auditory memory for longer prosodic strings and the of prosody for pragmatic/interactional purposes.

Adult↗

PubMed1975

Language therapy for children: some thoughts on context and content.

A presentation of ideas on the ideal context for language therapy for children, this paper explores in detail the importance of teaching child language, centering language therapy in the present, teaching words with empirical significance to the child, attempting to provide a language context which is generative to unassisted later language learning, and finally, teaching communication, not merely to language skills. In addition a sample core lexicon is presented which was designed to relate the above contextual aspects of therapy to psycholinguistic strategies of language therapy.

Child↗

PubMed1989

A comparison of the age-MLU relation in normal and specifically language-impaired preschool children.

The relation between age and mean length of utterance in morphemes (MLU) was evaluated in a sample of 48 preschool children between 24 and 50 months of age. Twenty-four of these children were diagnosed as having a specific language impairment, and 24 were considered language normal. The groups were matched on age, race, sex, and parental education level. A majority of the children in each group were from lower-middle-class backgrounds. MLU was derived from 20-min mother-child conversations as the dyad engaged in free play. The results showed that (a) age and MLU were significantly correlated in the normal group (r = .75) and in the group of specifically language-impaired children (r = .77), (b) the predicted MLU of the language-impaired group was lower than that of the normal group across the age range, and (c) the rate of MLU change in each group was similar. The age-MLU relation observed in the lower-middle-class normal children compared favorably to that reported previously for middle- to upper-middle-class children (Miller & Chapman, 1981). The finding that MLU changed at a similar rate in the normal and language-impaired groups is evaluated in light of the observation that childhood language disability is usually associated with slower rates of language development.

Age Factors↗

PubMed1989

Lexical learning and language abilities in preschoolers with perinatal brain damage.

Studies of children with early-acquired brain damage have noted limitations on language development following such damage and have raised questions regarding the process by which these children acquire language skills. The purpose of this study was to examine the effects of perinatally acquired brain damage on early language abilities and on lexical development through the use of standard assessments, language samples, and a miniature linguistic system approach to teach a novel lexicon. Four children, ages 26-41 months, with localized, perinatal brain lesions documented on ultrasound or CT scan were selected for this study and were compared to 4 matched controls. The results show no differences in the pattern of scores and learning in children with right and left brain damage. With the exception of phonological development, subjects scored below controls on all formal language measures; however, the subjects often scored at or above test norms. Brain-injured subjects were similar to controls with respect to the number of novel words that they initially learned on comprehension and production tasks and the number that they consistently comprehended. Brain-injured subjects generally acquired fewer words when the criterion was consistent accurate production. Interestingly, subjects required more exposures to novel lexical items than did controls before reaching a given level of proficiency. Production seemed to be more difficult for all children, but more so for the brain-injured subjects. It appears that the effects of early damage have an impact on many aspects of language development and that these apparent deficits may reflect the child's need for greater exposure to language skills and structures before acquiring them.

Brain Damage, Chronic↗

PubMed1990

The initial learning of novel English words: two single-subject experiments with minority-language children.

The two single-subject, alternating treatment design experiments reported here investigated the initial learning of novel words by minority-language children acquiring English as a second language. Four Spanish- and 3 Navajo-speaking children (ages 4:11-6:3) served as subjects. The results for all children in both experiments supported the hypothesis that receptive learning of novel words in a second language would reach a pre-established criterion in fewer trials under a bilingual compared with a monolingual condition. In addition, several children in each study met the learning criterion for both first and second language words in the bilingual condition in approximately the same number of trials needed to reach criterion for the second language words in the monolingual condition. Neither study suggested that the degree of a subject's relative language dominance influenced the learning patterns. The findings are discussed in relation to the linguistic, language-related, and learning requirements of the experimental tasks.

Child↗

PubMed1991

Family history in developmental expressive language delay.

Familial aggregation of language deficits has been demonstrated in previous studies. However, researchers have typically failed to differentiate subgroups of language-impaired children. The present study used questionnaire data to assess the family history of speech, language, and school problems in a group of young children with developmental expressive language delay (ELD) and in a sample of normally developing children. In contrast to previous studies of language and speech problems, no strong familial component of ELD was found. Further, family history was not predictive of later language development in ELD children. These findings argue against genetic and familial causes of ELD and attest to the importance of differentiating subtypes of early language problems.

Chi-Square Distribution↗

PubMed1992

Articulation, language, rate, and fluency characteristics of stuttering and nonstuttering preschool children.

Articulation (Arizona Articulation Proficiency Scale), language (TOLD, Peabody Picture Vocabulary Test), and fluency (Fluency Interview) tests were given to 20 stuttering and 20 nonstuttering male and female preschool children to examine potential performance differences between the two groups. Speaking rate was also measured. There were several significant but minor differences between the two groups. The stuttering children scored lower on seven out of eight language measures than the nonstuttering children and slightly lower than the average score for their age group when compared with the tests' normative samples. Girls demonstrated higher language scores and faster speaking rates. There were no differences between the stuttering and nonstuttering groups on articulation proficiency, although 25% of the stuttering group (all boys) later required articulation treatment. There were few statistically significant correlations between measures of stuttering rate, speaking rate, and language performances within each of the two groups of children, although there were consistent, low-to-moderate negative correlations between stuttering rate and language measures and low positive correlations between speaking rate and language measures. A stepwise regression analysis suggested that selected variables of language proficiency combined with speaking rate were at best moderately predictive (R = .52) of stuttering behavior for the total group of children.

Child, Preschool↗

PubMed1998

Heritability of poor language achievement among twins.

In order to examine the basis of familial associations with poor language achievement, 62 twinship pairs and 3 sets of triplets were studied in which at least one member presented poor oral language status in the absence of other developmental or sensory impairments. Rates of concordance for poor language were compared between the monozygotic (MZ) and dizygotic (DZ) pairs. Concordance for the MZ pairs was .96, whereas it was .69 for the DZ pairs. The DeFries-Fulker method for computing heritability of extreme scores was employed yielding a h2g of .45. Similar results were obtained for those pairs containing only children with performance IQs above 85, but with at least one member having language below -1 SD. A comparison of DZ twins with singleton sibling pairs with at least one affected member and of similar age showed that DZ twins were more similar with respect to language achievement than singleton pairs. Thus, twinning appeared to have influenced twin resemblance among those where at least one member presented poor language achievement. These results support the hypothesis that genetic factors contribute to the liability of poor language achievement in children who do not present other developmental or sensory disorders.

Adolescent↗

PubMed2000

Spoken language production in Huntington's and Parkinson's diseases.

The purpose of this study was to investigate the presence and nature of spoken language deficits in Huntington's (HD) and Parkinson's (PD) diseases. Specifically, the study examined whether (a) the spoken language abilities of patients with HD or PD differ from those of age-matched control participants with no brain damage, (b) HD and PD are associated with similar spoken language profiles, and (c) the spoken language abilities of patients with HD or PD are related to the severity of their motor speech deficits, cognitive impairments, or both. All participants completed picture description tasks and a battery of cognitive and motor speech tests. Syntactic, quantitative, and informativeness measures of spoken language were analyzed. In terms of syntax, patients with HD produced shorter utterances, a smaller proportion of grammatical utterances, a larger proportion of simple sentences, and fewer embeddings per utterance than their non-brain-damaged peers. The HD group also produced utterances that were shorter and syntactically simpler than those of the PD group, despite similar performances on the cognitive and motor speech tests. The only syntactic difference between the PD group and their control group was that patients with PD produced a smaller proportion of grammatical sentences. Although the patient and control participants tended to produce similar amounts of verbal output, less of what the patients said was considered informative. Correlations between language measures and test battery results suggested that the spoken language abilities of patients with HD or PD are related to a variety of neuropsychological and motor speech changes. The implications of these findings for the clinical management of HD and PD are discussed.

Adult↗

PubMed2000

An investigation into aspects of the Mayo early language screening test.

The concurrent validity and inter-tester agreement on the Mayo early language screening test (MELST), and the concurrent validity of parental anxiety about speech and language development as a screening measure were investigated. A sample (aged 18 months to 5 years) comprising 120 children referred to the Mayo speech and language therapy department during 1995 and 80 controls, was assessed on the MELST by their local public health nurse. Within a calendar month each child was reassessed on the MELST by the therapist, who also administered the Reynell developmental language scales (RDLS) and the Edinburgh articulation test (EAT) as criterion measures. Overall, the MELST achieved moderately high sensitivity and specificity measures. Phonological problems were identified with more accuracy than language problems and the test was equally sensitive to impairments in comprehension and expression. The test tended to over-refer and was least accurate in screening the language skills of children at the highest age level (4-5 years). A significant association was found between parental concern and pass/failure on each of the MELST, RDLS and EAT. As a screening measure, parental anxiety achieved high sensitivity, moderate specificity and a moderate positive predictive value. However, it also tended to over-refer, and was also least accurate in identifying speech and/or language disorders at the highest age level. Moderately high inter-tester agreement measures were found, with greater agreement between scoring for controls than referrals. The phonology sections were scored significantly higher by the public health nurses than by the therapist. The results of this study imply that the MELST is sufficiently accurate and reliable to recommend its continued use in child surveillance programmes.

Child, Preschool↗