Language abilities following prematurity, periventricular brain injury, and cerebral palsy.
This study compares language abilities in three groups of children who were born prematurely: children with bilateral spastic cerebral palsy associated with perinatal injury to the periventricular white matter of the brain; a group with similar brain injury but no motor impairment; and a group of controls with no brain injuries. Six boys in each group were 36 to 39 months of age at the time of the study. All achieved a standard score above 80 on the McCarthy Scales of Children's Abilities at the same age. Language samples, generated during parent-child interaction, were analyzed using the Child Language Data Exchange System. The size and diversity of the lexicon was assessed using types and tokens per minute. Morpho-syntactic skills were assessed using number of grammatical morphemes, mean length of utterance and the Index of Productive Syntax. Verbal productivity was assessed using number of utterances per minute. No significant differences were observed among any of the groups on any measure. Measures of the lexicon and morpho-syntactic skills were highly correlated with the scores on the McCarthy Scales of Children's Abilities. The data demonstrated that specific language impairments were not associated with cerebral palsy or brain injury after prematurity at this early stage of language development. However, individual children within each of the groups had delays in skill attainment that warranted language intervention.
Feldman
H M
HM
Department of Pediatrics, University of Pittsburgh School of Medicine.
Janosky
J E
JE
Scher
M S
MS
Wareham
N L
NL
D001921:Brain / Q000503:physiopathology; D001930:Brain Injuries / Q000150:complications* / Q000503:physiopathology; D002547:Cerebral Palsy / Q000150:complications* / Q000503:physiopathology; D002675:Child, Preschool; D003071:Cognition; D005865:Gestational Age; D006801:Humans; D007804:Language Development; D007806:Language Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D007807:Language Tests; D008297:Male; D014705:Verbal Behavior