Early Predictors and Correlates of Communication Function in Children With Cerebral Palsy

被引:20
作者
Hidecker, Mary Jo Cooley [1 ,2 ]
Slaughter, Jaime [3 ,4 ]
Abeysekara, Purni [5 ]
Ho, Nhan T. [6 ]
Dodge, Nancy [7 ]
Hurvitz, Edward A. [8 ]
Workinger, Marilyn Seif [9 ]
Kent, Ray D. [10 ]
Rosenbaum, Peter [11 ]
Lenski, Madeleine [2 ]
Vanderbeek, Suzette Baez [12 ]
DeRoos, Steven [13 ]
Paneth, Nigel [2 ,14 ]
机构
[1] Univ Wyoming, Div Commun Disorders, Laramie, WY 82071 USA
[2] Michigan State Univ, Dept Epidemiol & Biostat, E Lansing, MI 48824 USA
[3] Drexel Univ, Dept Hlth Syst & Sci Res, Philadelphia, PA 19104 USA
[4] Drexel Univ, Dept Epidemiol & Biostat, Philadelphia, PA 19104 USA
[5] Drexel Univ, Dept Community Hlth & Prevent, Philadelphia, PA 19104 USA
[6] Columbia Univ, Med Ctr, Sergievesky Ctr, New York, NY USA
[7] Helen DeVos Childrens Hosp, Dept Pediat, Grand Rapids, MI USA
[8] Univ Michigan, Dept Phys Med & Rehabil, Ann Arbor, MI 48109 USA
[9] Marshfield Clin Res Inst, Marshfield, WI USA
[10] Univ Wisconsin, Waisman Ctr, Madison, WI 53705 USA
[11] McMaster Univ, CanChild Ctr Childhood Disabil Res, Hamilton, ON, Canada
[12] Univ Penn, Dept Dermatol, Philadelphia, PA 19104 USA
[13] Helen DeVos Childrens Hosp, Div Pediat Neurol, Grand Rapids, MI USA
[14] Michigan State Univ, Dept Pediat & Human Dev, E Lansing, MI 48824 USA
基金
美国国家卫生研究院;
关键词
cerebral palsy; Communication Function Classification System (CFCS); Gross Motor Function Classification System (GMFCS); Manual Ability Classification System (MAC); communication milestone; GROSS MOTOR FUNCTION; ABILITY CLASSIFICATION-SYSTEM; MANUAL ABILITY; LANGUAGE THERAPY; OLDER-PEOPLE; SPEECH; ADULTS; LONELINESS; INTELLIGIBILITY; IMPAIRMENTS;
D O I
10.1177/0883073817754006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Birth characteristics and developmental milestones were evaluated as early predictors/correlates of communication in children with cerebral palsy. The hypothesis was that maternal report of child's age for vocal play and first words would predict current functional communication. A case series of 215 children, 2 to 17 years (mean age = 8.2 years, SD = 3.9) with cerebral palsy was recruited from medical practices in 3 Michigan cities. Early developmental data were collected by maternal interview. The child's Communication Function Classification System (CFCS) level was obtained from parent. Predictors of less functional communication included gestational age >32 weeks, number of comorbidities, age of first words after age 24 months, and use of communication methods other than speech. Several birth characteristics and developmental language milestones were predictive of later communication performance for children with cerebral palsy. These characteristics and milestones should trigger referrals for communication evaluations, including speech, language, hearing, and/or augmentative and alternative communication.
引用
收藏
页码:275 / 285
页数:11
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