TY - JOUR
T1 - Factors associated with motor speech control in children with spastic cerebral palsy
AU - Chen, Chia Ling
AU - Lin, Keh Chung
AU - Chen, Chia Hui
AU - Chen, Chih Chi
AU - Liu, Wen Yu
AU - Chung, Chia Ying
AU - Chen, Chung Yao
AU - Wu, Ching Yi
PY - 2010/7
Y1 - 2010/7
N2 - 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.
AB - 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.
KW - Cerebral palsy
KW - Motor severity
KW - Motor speech control
KW - Oro-motor control
KW - Speech intelligibility
UR - http://www.scopus.com/inward/record.url?scp=77957361049&partnerID=8YFLogxK
M3 - 文章
C2 - 20804671
AN - SCOPUS:77957361049
SN - 0255-8270
VL - 33
SP - 415
EP - 423
JO - Chang Gung Medical Journal
JF - Chang Gung Medical Journal
IS - 4
ER -