https://scholars.lib.ntu.edu.tw/handle/123456789/479221
標題: | Factors associated with motor speech control in children with spastic cerebral palsy | 作者: | Chen C.-L. KEH-CHUNG LIN Chen C.-H. Chen C.-C. Liu W.-Y. Chung C.-Y. Chen C.-Y. Wu C.-Y. |
關鍵字: | Cerebral palsy; Motor severity; Motor speech control; Oro-motor control; Speech intelligibility | 公開日期: | 2010 | 卷: | 33 | 期: | 4 | 起(迄)頁: | 415-423 | 來源出版物: | Chang Gung Medical Journal | 摘要: | Background: Speech production is often impaired in children with cerebral palsy (CP). This study investigated the factors associated with motor speech control in children with spastic cerebral palsy. Methods: Thirty-three children with spastic CP who were able to speak were identified for this study. They were classified into two groups: group A (spastic diplegia or hemiplegia, n = 17) and group B (spastic quadriplegia, n = 16). Each child received various assessments, namely cognition, language, modified Verbal Motor Production Assessment for Children (VMPAC), speech intelligibility, CP subtype, and Gross Motor Function Classification System (GMFCS). Results: Group A showed better cognition and language function, higher modified VMPAC scores and better GMFCS levels than group B (p < 0.05). However, the two groups did not significantly differ in speech intelligibility. Linear regression indicated that all modified VMPAC scores were negatively related to CP subtype (adjusted r2 = 0.51~0.63, p < 0.001). The average modified VMPAC scores had a positive relationship with global language scores (adjusted r2 = 0.63, p < 0.001), and the modified VMPAC scores of the sequence subtests were positively related to the full intelligence quotients (adjusted r2 = 0.55, p < 0.001). Conclusion: The findings of this study suggest that motor impairment severity, cognition and language functions are associated with the motor speech control among children with CP. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77957361049&partnerID=40&md5=bafc24aef6e7e812d5673fea4f837cc2 https://scholars.lib.ntu.edu.tw/handle/123456789/479221 |
ISSN: | 2072-0939 | SDG/關鍵字: | article; auditory comprehension; cerebral palsy; child; clinical article; cognitive defect; comprehension; disease severity; female; focal oromotor control; global language function; global motor control; Gross Motor Function Classification System; human; intelligence quotient; language ability; language disability; male; modified Verbal Motor Production Assessment for Children; motor control; motor dysfunction; motor performance; motor speech control; patient assessment; rating scale; spastic diplegic cerebral palsy; spastic hemiplegic cerebral palsy; spastic quadriplegic cerebral palsy; speech; speech intelligibility; verbal behavior; Cerebral Palsy; Child; Child, Preschool; Cognition; Female; Humans; Linear Models; Male; Motor Skills; Quadriplegia; Speech Intelligibility |
顯示於: | 職能治療學系 |
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