Speech and language development of children born at < or = 32 weeks' gestation: a 5-year prospective follow-up study

Speech and language comprehension and production were assessed at the age of 5 years in a cohort of children born preterm at < or = 32 weeks' gestational age (N=55) in comparison with children born at term and of similar age, sex, and social backgrounds. Data both including and excluding major neurological disabilities are presented. Mean performance for the entire group of preterm children was significantly lower than for the controls on most of the measures including the composite IQ scores. When the nine children who had major neurological disabilities were excluded from the preterm group, statistically significant differences were found on four of the total 12 speech and language measures. Intellectually normal preterm children without major neurological disability were slower than the controls on rapid word retrieval. In addition, difficulties in comprehending relative concepts were typical for the preterm children. The results suggest 'subtle dysnomia', which is indicative of later reading problems. On global verbal measures and on the basic speech and language aspects the study groups did not differ. Specific language impairment, defined as a discrepancy of > 1SD between Performance IQ and Verbal IQ scores, showed a tendency to be more common in the control group. Within both the study groups, the boys showed a tendency for a greater discrepancy between their Performance and Verbal IQ scores.     

Detection of digitalis compounds using a surface plasmon resonance-based biosensor

A prospective national investigation comprising 633 extremely low birthweight (ELBW) infants born alive in the 2-y period 1990-1992 with a birthweight of < or = 1000 g and gestational age of > or = 23 completed weeks was conducted regarding neurosensory outcome and growth. Three-hundred and sixty-two (98%) surviving ELBW infants were assessed at a median age of 36 months, using a specially designed protocol. At follow-up, mean height, weight and head circumference in both boys and girls were significantly lower than the reference values. The incidence of cerebral palsy was 7% among all children and 14%, 10% and 3% in children born at 23-24, 25-26 and > or = 27 gestational weeks, respectively. At least one obvious handicap was present in 14%, 9% and 3% of these three groups of children, respectively. After adjustment for gestational age, a significantly increased risk of handicap was found in children with intraventricular haemorrhage grade > or = 3 and/or periventricular leucomalacia and in children with retinopathy of prematurity stage > or = 3. The results show that more than 90% of ELBW children born at > or = 25 completed gestational weeks were without neurosensory handicap at 36 months of corrected age. In infants born at 23-24 weeks of gestation, both survival and long-term outcome were less favourable.     

Langues de présentation des consignes et performances motrices chez des bilingues fran?ais/créole aux Antilles fran?aises.

In this study, I examine whether the language used for instructions influences motor performance among bilingual children in a learning situation. Eighty bilingual French/Creole children (age means 10.4) were distributed into two experimental groups to learn how to perform a motor task. One group received instructions in French and the other one in Creole. The data suggest that the language of presentation affects the execution of a motor task. Both groups had the same performance level at the beginning of the experiment. However, the group taught in Creole obtained better performances than the group taught in French at the end of the learning situation. The results are discussed in terms of their implications to physical education and motor rehabilitation of bilinguals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neurobehaviour of school age children born to diabetic mothers

AIM: To study the neurobehavioural effects that diabetes during pregnancy might have on children by school age. METHODS: The neurobehavioural function of 57 school age children born to 48, well controlled diabetic mothers was compared with 57 control children matched for age, birth order, and parental socioeconomic status, using several cognitive, behavioural, sensory and motor neurological tests. RESULTS: The IQ scores of the index group children were similar to those of control children (117.7 +/- 13.4 vs 118.5 +/- 10.1). There were no differences between the groups in various sensory motor functions. However, the index group children performed less well than the controls on indices of fine and gross motor functions, as observed on the Bruininks-Oseretzky test of motor proficiency. The scores of children born to diabetic mothers were higher than controls on the Touwen and Prechtl neurological examination. They also performed worse in the Pollack tapper test which is designed to detect minor neurological deficits, inattention, and hyperactivity. The index children had higher scores on the Conners abbreviated parent-teacher questionnaire which measures hyperactivity and inattention. There was a negative correlation between the performance of the index group children on various neurodevelopmental and behavioural tests and the severity of hyperglycaemia, as assessed by blood glycosylated haemoglobin and acetonuria. CONCLUSIONS: Diabetes during pregnancy adversely affects some fine neurological functions in children at school age, but not their cognitive scores. These effects are not correlated with the degree of glycaemic control.     

Language skills of children and adolescents with Down syndrome: II. Production deficits

Hypotheses that children and adolescents with Down syndrome show (a) a specific expressive language impairment, (b) a "critical period" for language acquisition, (c) a "simple sentence syntactic ceiling" in production, and (d) deficit in grammatical morphology were investigated cross-sectionally. Conversational and narrative language samples from 47 children and adolescents with Down syndrome (Trisomy 21), aged 5 to 20 years, were compared to those from 47 control children aged 2 to 6 years matched statistically for nonverbal mental age. Children with Down syndrome appear to have a specific language impairment, compared to control children, in number of different words and total words (in the first 50 utterances) and in mean length of utterance (MLU). Total utterance attempts per minute were more frequent in the Down syndrome group. Narrative samples contained more word tokens, more word types, and longer MLU than conversation samples, for both groups. Intelligibility of narratives was significantly poorer for the Down syndrome group than controls. Analyses of narrative language sample by age sub-group showed no evidence of a critical period for language development ending at adolescence, nor of a "syntactic ceiling" at MLUs corresponding to simple sentences for the Down syndrome group. Omissions of word tokens and types were more frequent in the older Down syndrome than the younger control sample, matched on MLU.     

External sources of individual differences? A cross-linguistic analysis of the phonetics of mothers' speech to 1-yr-old children.

Wide individual differences in early word production characterize children learning the same language, but the role of specific adult input in this interchild variability is unknown. Sampling the speech of American, French, and Swedish mothers (5 in each language group) to their 1-yr-old children, this study analyzed the distribution of consonantal categories, word length, and final consonants in running speech, content words, initial consonant of content words, and target words (adult models of words attempted by the children) as well as the children's own early words (from age 9 mo to about 18 mo). Variability is greater in child words than adult speech, and individual mother–child dyads show no evidence of specific maternal influence on the phonetics of the child's speech. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Speech perception, metalinguistic awareness, reading, and vocabulary in Chinese–English bilingual children.

In this study, we examined the intercorrelations among speech perception, metalinguistic (i.e., phonological and morphological) awareness, word reading, and vocabulary in a 1st language (L1) and a 2nd language (L2). Results from 3 age groups of Chinese–English bilingual children showed that speech perception was more predictive of reading and vocabulary in the L1 than L2. While morphological awareness uniquely predicted reading and vocabulary in both languages, phonological awareness played such a role after we controlled for morphological awareness only in the L2, which was alphabetic. L1 speech perception and metalinguistic awareness predicted L2 word reading but not vocabulary, after we controlled for the corresponding L2 variables. Hence, there are both similarities and differences between the 2 languages in how the constructs are related. The differences are attributable to variations in language properties and learning contexts. Implications of the present results for an effective L2 learning program are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Grammatical characteristics of Swedish children with SLI

Spontaneous speech samples from 10 Swedish children were collected and analyzed grammatically. The subjects consisted of 5 children with SLI and 5 MLU matched controls with normal grammatical development. The children with SLI differed significantly from the controls in their more restricted usage of word order patterns and in number of grammatical errors. As in studies on English-speaking children with SLI, the Swedish children with SLI had a large number of omissions of grammatical morphemes. Verb-related errors were more common than noun-related errors. Contrary to reports on children with SLI acquiring other languages, however, word order errors were also very common in the Swedish children with SLI. A restricted usage of word order pattern in combination with errors of word order indicates that not only morphological deficits but also syntactic difficulties can be found in children with SLI relative to MLU controls, depending on the target language. The findings show the importance of cross-linguistic comparisons of children with SLI.     

At risk for language disorders? Correlates and course of language disorders in preschool children born at risk

The language abilities of 324 children of an at-risk population were investigated at age 2 and 4.5 y. Modified research criteria of the ICD-10 for specific developmental disorders of speech and language were applied. Frequencies between 4% and 7%, depending on age and type of disorder, were diagnosed among children whose performance on the language measure was only 1 instead of ICD-10's 2 SD below group mean, but the discrepancy measure of 1 SD between non-verbal language score and language measure was retained. Psychosocial aspects of a child's environment proved to be better predictors of later language disorders than obstetric complications. Stability of specific language disorders was on the whole fairly low, but children who perform below age level on language measures remained at risk. Gender differences are almost compensated by the age 4.5 y.     

Visual motor performance of psychotic children.

Explored visual motor deviations by means of a Childhood Psychosis Scale applied to the Primary Visual-Motor Test protocols of 130 psychotic children (6–12 yrs), and 507 normal and retarded (IQ range 35–79) controls. 45.4% of the psychotic sample achieved critical scores on the scale as compared to 1.7% of the normal Ss and 12.9% of the retarded Ss. It was possible to match 94 of the psychotic children with nonpsychotic controls on the basis of CA and MA. Significantly more psychotics than matched controls were high scorers. Correlations with MA were moderately significant for each group. In IQ comparisons, significantly more psychotics who were retarded had critical scores than did normal-IQ psychotics. Age at diagnosis, type and length of treatment, recency of diagnosis, and degree of organicity did not discriminate between high- and low-responding psychotics. Base rate problems and theoretical aspects of the scale items are discussed. The scale appears useful as a screening device for normal and retarded children under the age of 13 yrs, with particular utility in detecting psychotic aspects of functioning among the retarded. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-initiated speech repairs: A reflection of communicative monitoring in young children.

Demonstrated the frequent occurrence of self-initiated repairs in the speech of 18 kindergartners and 18 2nd graders. Ss' speech during 15 sessions of "show and tell," a classroom sharing time, was scored for the spontaneous occurrence of repetitions; corrections of word choice, reference, and syntax; postponements; and abandonments. Second-graders more frequently repeated words, inserted ideas, and corrected words within their utterances than the kindergartners, but all forms of repair were found among kindergartners as well. Findings are consistent with older children's greater ability to monitor the messages of others but at the same time reveal considerable communicative monitoring in 5-yr-olds. Implications for language development are discussed. (39 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Written language production and neuropsychological function in children with traumatic brain injury

OBJECTIVE: To establish the early consequences of traumatic brain injury (TBI) on spontaneous written language production in children by examining writing deficits as a function of injury severity and correlating written performance with neuropsychological data. DESIGN: Case-control cohort study. SETTING: Two regional medical centers. PATIENTS: Seventy-six children, aged 8 to 15 years, with mild, moderate, or severe closed head injury were compared with controls who were individually matched on the premorbid characteristics of age, gender, school grade, behavior, and academic performance. MAIN OUTCOME MEASURES: Assessment of written language production and neuropsychological function was undertaken approximately 1 month following resolution of posttraumatic amnesia. Case-control differences on 16 measures of spontaneous written narratives were computed. RESULTS: Factor analysis and conceptual similarities suggested that the measures of written language fell into five domains: Efficiency, Completeness, General Readability, Error, and Vocabulary. A highly significant, moderate correlation between these measures and severity of injury was found. The highest correlations were found for the written language domains of Efficiency and Completeness and the lowest for the Vocabulary domain. Moderate correlations were also found between measures of written language and neuropsychological function. CONCLUSIONS: At 1 month after resolution of posttraumatic amnesia, written language production in children with TBI is negatively correlated with severity of injury. Some aspects of written language production are affected to a greater extent than others. Considerable common ground was found between written language production and neuropsychological function.     

Articulation Accuracy and Vocabulary Size Contributions to Phonemic Awareness and Word Reading in English Language Learners.

Relationships among articulation, vocabulary, phonemic awareness, and word reading were examined in 45 children who spoke either Hmong or Spanish as their primary language. A theoretical perspective suggesting that English articulation and vocabulary would influence children's English phonemic awareness and English word reading was developed. Articulation influenced both kindergarten phonemic awareness and 1st-grade word reading. Letter-sound knowledge was also associated with kindergarten phonemic awareness, and 1st-grade phonemic awareness was related to 1st-grade word reading. The results are discussed in relationship to 2nd-language speech, articulation, and beginning reading. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Newborn infants' memory for speech sounds retained over 24 hours.

Newborn infants were exposed to speech sounds in 2 sessions separated by 24 hrs. Their habituation and recovery to these sounds were assessed by spontaneous head orienting toward the sound's location. 36 neonates were assigned to 1 of 3 groups: a no-change group that heard the same word both days, a change group that heard a different word each day, and a Day 2 age-control group that heard 1 of the 2 words for the 1st time on Day 2. Both groups habituated to the sound on Day 1 and recovered head turning after the 24-hr delay, but infants who heard the same word again responded less than did age controls. In addition, these infants also began turning away from the sound, unlike the other 2 groups. Following habituation, all groups displayed comparable levels of recovery by turning toward a novel posttest stimulus. Neonates appeared to retain memory for a specific sound over a 24-hr period when presented with the same sound over both days. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding and assessing communicative disorders in children

The pediatrician is frequently confronted with the problem of diagnosis and treatment of preschool-aged children suspected of having middle ear disease and speech / language impairments. Guidelines for referral of these children (otolaryngologist, audiologist, speech therapist) have not been clearly defined. The use of tympanometry and acoustic reflex testing was described to assist in the diagnosis of middle ear pathology, to provide an objective way to monitor spontaneous or antibiotic-induced remissions and to determine more accurately when a referral for surgical intervention is needed. A 35-item screening test is described, permitting speech and language assessments in the office and quantifying and comparing with age peers: vocabulary, articulation, receptive language and expressive language abilities. These office interventions enhance the physician's ability to judiciously recommend consultations.     

Neuropsychological consequences of very low birth weight and asphyxia at term: follow-up until school-age

This prospective, longitudinal study examined neuropsychological consequences of different conditions associated with risks of perinatal asphyxia. Four groups of children, 5 to 9 years of age, were studied: (1) very low birth weight (VLBW) children born small for gestational age (SGA) (n = 34); (2) VLBW children born appropriate for gestational age (AGA) (n = 43); (3) children with signs of birth asphyxia at term (birth asphyxia) (n = 36), and (4) control children (n = 45). Moderately and severely disabled children were excluded. The WISC-R and the NEPSY, a new neuropsychological assessment consisting of attention, language, motor, sensory, visuospatial, and memory subtests, were administered. The VLBW-SGA group had the poorest test results. The VLBW-AGA group was somewhat less impaired, whereas the birth asphyxia group performed at the control group level. Impairment, when present, tended to be diffuse in all groups, affecting psychometric intelligence, naming, visuo-motor performance, tactile finger discrimination, attention, and phonological analysis.     

Identifiers of predominantly Spanish-speaking children with language impairment

The purpose of this study was to identify a set of measures that would discriminate 31 predominantly Spanish-speaking children with normal language (NL children) from 31 children with language impairment (LI children). The LI children were identified as such by experienced, bilingual (Spanish/English), ASHA-certified, speech-language pathologists who were currently seeing the children in their caseloads. Children ranged in age from 5 to 7 years and were matched for age, gender, and school. Additionally, nonverbal cognitive measures assured that they did not differ significantly intellectually. Measures of vocabulary, novel bound-morpheme learning skills, and language form were randomly administered to all children. Further, parents responded to questions about their perceptions of their children's speech and language skills and family history of speech and language problems. A stepwise discriminant analysis indicated that 4 measures discriminated the groups of children with a sensitivity of 91.3% and a specificity of 100% (p < .0001): parental report of the child's speech and language skills, number of errors per T-unit, mean length per T-unit, and family history of speech and language problems. A second discriminant analysis indicated that the sensitivity and specificity could be maintained when only the first 2 measures were included. Confirmatory discriminant analyses of the 2- and 4-measure models indicated that the discriminant accuracy was stable on an independent sample.     

Communication of oral deaf and normally hearing children at 36 months of age

Eighteen orally educated deaf and 18 normally hearing 36-month-old children were observed in a play session with their mother. Communicative behavior of the child was coded for modality and communicative function. Although the oral deaf children used a normal range of functions, both the quantity and proportions differed from normally hearing children. Whereas the normally hearing 3-year-olds used speech almost exclusively, the deaf children exhibited about equal use of speech, vocalizations, and gestures. Spoken language scores of the deaf children at 5 years of age were best predicted by (a) more frequent use of speech at age 36 months, (b) more frequent use of the Statement function, and (c) relatively infrequent use of the Directive function. It is suggested that some communicative functions are more informative or heuristic than others, and that the early use of these functions is most likely to predict later language competence.     

Subgrouping children with familial phonologic disorders

Familial aggregation of speech and language disorders was examined as a basis of subgrouping children with phonologic disorders. Fifty-nine children with phonologic disorders were subgrouped according to whether or not other nuclear family members reported a history of speech/language disorders. Thirty-four subjects (58%) reported at least one other nuclear family member affected and 25 subjects (42%) reported no other nuclear family members affected. Groups were compared on measures of articulation, phonology, language, and oral motor skills to determine if the familial phonologic subgroup presented a unique profile of speech and language deficits. Significant group differences were not observed. However, children with positive nuclear family histories tended to perform more poorly than children without histories on all tasks, although not reaching significance. Although all parents were considered to have achieved normal adult articulation, parents of children with positive family histories also tended to perform more poorly than parents of children with negative histories. Results suggested that poorer oral motor coordination and productive phonology may distinguish individuals with familial phonologic disorders from individuals with phonologic disorders of unknown origin.