Oromotor dysfunction and communication impairments in children with cerebral palsy:a register study

Parkes, Jackie, Hill, Nan, Platt, Mary Jane and Donnelly, Caroline (2010) Oromotor dysfunction and communication impairments in children with cerebral palsy:a register study. Developmental Medicine & Child Neurology, 52 (12). pp. 1113-1119.

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Abstract

Aim: To report the prevalence, clinical associations, and trends over time of oromotor dysfunction and communication impairments in children with cerebral palsy (CP). Method: Multiple sources of ascertainment were used and children followed up with a standardized assessment including motor speech problems, swallowing/chewing difficulties, excessive drooling, and communication impairments at age 5 years. Results: A total of 1357 children born between 1980 and 2001 were studied (781 males, 576 females; median age 5y 11mo, interquartile range 3–9y; unilateral spastic CP, n=447; bilateral spastic CP, n=496; other, n=112; Gross Motor Function Classification System [GMFCS] level: I, 181; II, 563; III, 123; IV, 82; IV, 276). Of those with ‘early-onset’ CP (n=1268), 36% had motor speech problems, 21% had swallowing/chewing difficulties, 22% had excessive drooling, and 42% had communication impairments (excluding articulation defects). All impairments were significantly related to poorer gross motor function and intellectual impairment. In addition, motor speech problems were related to clinical subtype; swallowing/chewing problems and communication impairments to early mortality; and communication impairments to the presence of seizures. Of those with CP in GMFCS levels IV to V, a significant proportion showed a decline in the rate of motor speech impairment (p=0.008) and excessive drooling (p=0.009) over time. Interpretation: These impairments are common in children with CP and are associated with poorer gross motor function and intellectual impairment.

Item Type:	Article
Uncontrolled Keywords:	age of onset,cerebral palsy,child,child, preschool,communication disorders,developmental disabilities,female,follow-up studies,humans,ireland,male,mouth diseases,movement,prevalence,registries,retrospective studies
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023)
Depositing User:	Users 2731 not found.
Date Deposited:	22 Nov 2011 10:14
Last Modified:	21 Apr 2023 07:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/35500
DOI:	10.1111/j.1469-8749.2010.03765.x

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