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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(6):1198-1205.
Developmental Delay of Language in Cerebral Palsy Children.
Kim, Hyeon Sook , Kwon, Jeong Yi , Choe, June Jungyun
1Department of Physical Medicine and Rehabilitation, Sungkyunkwan University, College of Medicine.
2Department of Physical Medicine and Rehabilitation, Samsung Medical Center.
영유아기 뇌성마비 환아들에서 언어 발달 지연 양상
김현숙, 권정이, 최정윤1
성균관대학교 의과대학 재활의학교실 및 1삼성서울병원 재활의학과
Abstract

Objective
To evaluate the pattern of developmental delay of language and to correlate the language with other developmental areas in cerebral palsy children.


Method
Sequenced Inventory of Communication Development (SICD) was studied in 31 children with cerebral palsy of age ranging from 11 months to 48 months. Korean Denver Developmental Screening Test (DDST) was also performed in 18 children simultaneously.


Results
On SICD, 10 children (32.3%) showed the receptive language delay and 13 children (41.9%) showed the expressive language delay. Among 15 spastic quadriplegic children, 40% showed the delay of receptive language development, 53.3% showed the delay in expressive language development. Among 10 spastic diplegic children, 30% showed the delay of both receptive and expressive language development. One spastic right hemiplegic child showed a delay of expressive language development, but 4 left hemiplegic children showed the normal language development. One hypotonic cerebral palsy child showed a delay of both receptive and expressive language development.

The expressive language was delayed more than the receptive language.

SICD correlated highly with the language sector of DDST. And both SICD and DDST language sectors correlated with the other sectors of DDST (personal-social, fine motor-adaptive, gross motor), especially with the fine motor sector (r=0.912, 0.918, 0.976, p<0.001).


Conclusion
There is a considerably high incidence of developmental delay of language in cerebral palsy children, especially among spastic quadriplegic children.

The early evaluation and treatment for the developmental delay of language need to be included in a general rehabilitation program for the cerebral palsy children.

Key Words: Sequenced Inventory of Communication Development, Cerebral palsy, Language development, Sequenced Inventory of Communication Development, Denver Developmental Screening Test


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