title: [Diagnostic Accuracy of the LiSe-DaZ for Children with Specific Language Impairment].
abstract: OBJECTIVE
  Currently, only few tests for the development of speech and language exist for bi- or multilingual children in Germany. One of those, the LiSe-DaZ (Linguistic performance measurement - German as a second language), was examined in a prospective study regarding its practicability and the sensitivity to detect children with specific language impairment in a group of children aged 5 to 7 who suffered from a severe language impairment according to clinical tests.
  
  
  METHODS
  74 children (mean age: 60 months; 46% monolingual German-speaking; 54% bi- or multilingual) with severe specific language impairment were examined with the LiSe-DaZ in addition to the clinical established diagnostic during their in-patient stay in the hospital.
  
  
  RESULTS
  The children, on average, showed in the receptive language abilities (LiSe-DaZ vs. TROG-D), the expressive vocabulary (LiSe-DaZ vs. AWST-R or WWT) and in the use of prepositions (LiSe-DaZ vs. Ravensburger Dysgrammatical clinical trial) significantly (p<0,0005) better results in the LiSe-DaZ. Thus, the majority of children were diagnosed as language impaired by clinically established tests whereas the LiSe-DaZ considered the children's language development to be normal. This difference was consistently more prominent for children with German as a second language.
  
  
  CONCLUSIONS
  Compared with the clinically established tests, the informative value of the LiSe-DaZ turned out to be insufficient. The LiSe-DaZ does not detect children with the need of language therapy. Nevertheless, a norming of the established speech tests for bi- or multilingual children would be desirable to avoid unfounded judgements.
authors.affiliation: UM Mainz, HNO Schwerpunkt Kommunikationsstörungen, Mainz.
authors.forename: T
authors.initials: T
authors.lastname: Stephan
authors.affiliation: Stimmheilzentrum Bad Rappenau, Stimm-, Sprach-, Sprech- und Schluckstörungen, Bad Rappenau.
authors.forename: A
authors.initials: A
authors.lastname: Keilmann
mesh_terms: D001039:Aphasia, Broca / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007805:Language Development Disorders / Q000175:diagnosis* / Q000628:therapy; D007807:Language Tests / Q000706:statistics & numerical data*; D007808:Language Therapy; D008297:Male; D019303:Multilingualism; D011446:Prospective Studies; D011594:Psychometrics / Q000706:statistics & numerical data; D012016:Reference Values; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity