Speech Intelligibility in Children With Cerebral Palsy in Relation to the Level of Intellectual Functioning and the Presence of Epilepsy
DOI:
https://doi.org/10.59519/mper1001Keywords:
cerebral palsy, speech intelligibility, speech developmentAbstract
The aim of this research is to determine the intelligibility of speech in children with cerebral palsy of pre-school and young school age in relation to the level of intellectual functioning and the presence or absence of epilepsy. The research sample consists of 30 children with spastic cerebral palsy, aged 6 to 8 years. In the research, a Test for intelligibility of speech was used as a measuring instrument (Vladisavljević, 1983).
According to the results of the assessment of speech intelligibility, the highest percentage of children with spastic cerebral palsy has a slightly distorted speech (33.3%), followed by children with very distorted speech (23.3%) and completely incomprehensible speech (23.3%), while 20% of children have an intelligible speech. Research has found statistically significant effect of the presence of intellectual disability and epilepsy on the intelligibility of speech in children with spastic cerebral palsy (p < 0.05).
References
1. Andersen, G., Mjøen, T.R., & Vik, T. (2010). Prevalence of speech problems and the use of augmentative and alternative communication in children with cerebral palsy: A registry-based study in Norway. Perspectives on Augmentative and Alternative Communication, 19(1), 1-28. doi.org/10.1044/aac19.1.12
2. Aicardi, J., Bax, M., & Gillberg, C. (2009). Diseases of the nervous system in childhood. London: Mac Keith Press.
3. Cockerill, H., Elbourne, D., Allen, E., Scrutton, D., Will, E., McNee, A., Fairhurst, C., & Baird, G. (2014). Speech, communication and use of augmentative communication in young people with cerebral palsy: The SH&PE population study. Child: care, health and development, 40(2), 149-157. doi.org/10.1111/cch.12066
4. Crary, M. A. (1995). Clinical evaluation of developmental motor speech disorders. Seminars in Speech and Language, 16, 2.
5. Duffy, J. R. (2005). Motor speech disorders: Substrates, differential diagnosis, and management. Philadelphia, PA: Elsevier Mosby.
6. Golubović, S. (2004). Procena dizartrije. Istraživanja u defektologiji, 5, 61-80.
7. Golubović, S. (2007). Poremećaji fluentnosti govora. Beograd: Društvo defektologa Srbije, Merkur.
8. Golubović, S. (2011). Motorički poremećaji govora. Beograd: Fakultet za specijalnu edukaciju i rehabilitaciju, Univerzitet u Beogradu, Merkur.
9. Golubović, S. (2012). Gnosogena, pervazivna i psihopatologija verbalne komunikacije. Drugo, izmenjeno i dopunjeno izdanje. Beograd: Društvo defektologa Srbije, Tonplus.
10. Golubović, S. (2016). Gnosogena, pervazivna i psihopatologija verbalne komunikacije. Treće, izmenjeno i dopunjeno izdanje. Beograd: Društvo defektologa Srbije, Tonplus.
11. Hustad, K.C. (2006). Estimating the intelligibility of speakers with dysarthria. Folia Phoniatrica et Logopaedica, 58(3), 217-228. doi.org/10.1159/000091735
12. Hustad, K.C., Schueler, B., Schultz, L., & DuHadway, C. (2012). Intelligibility of 4-year-old children with and without cerebral palsy. Journal of speech, language, and hearing research, 55(4), 1177-1189. doi.org/10.1044/1092-4388(2011/11-0083)
13. Kennes, J., Rosenbaum, P., Hanna, S. E., Walter, S., Russell, D., Raina, P., Bartlett, D., & Galuppi, B. (2002). Health status of schoolaged children with cerebral palsy: Information from a population-based sample. Developmental Medicine and Child Neurology, 44, 240–247. doi.org/10.1017/S0012162201002018
14. Liu, H.M., Tsao, F.M., & Kuhl, P.K. (2005). The effect of reduced vowel working space on speech intelligibility in Mandarin-speaking young adults with cerebral palsy. The Journal of the Acoustical Society of America, 117(6), 3879. doi. org/10.1121/1.1898623
15. Love, R. J. (2000). Childhood motor speech disability. Boston: Allyn & Bacon.
16. Nordberg, A., Miniscalco, C., Lohmander, A., & Himmelmann, K. (2012). Speech problems affect more than one in two children with cerebral palsy: Swedish population-based study. Acta Pædiatrica, 1-6. doi.org/10.1111/apa.12076
17. Parkes, J., Hill, N., Platt, M.J., & Donelly, C. (2010). Oromotor dysfunction and communication impairments in children with cerebral palsy: a register study. Developmental medicine and child neurology, 52(12), 1113-1119. doi.org/10.1111/j.1469-8749.2010.03765.x
18. Patel, R. (2003). Acoustic characteristics of the question–statement contrast in severe dysarthria due to cerebral palsy. Journal of Speech Language and Hearing Research, 46, 1401–1415. doi.org/10.1044/1092-4388(2003/109)
19. Pennington, L. (1999). Assessing the communication skills of children with cerebral palsy: Does speech intelligibility make a difference? Child Language Teaching and Therapy, 159–169. doi.org/10.1177%2F026565909901500204
20. Pennington, L., & McConachie, H. (1999). Mother–child interaction revisited: Communication with nonspeaking physically disabled children. International Journal of Language and Communication Disorders, 34, 391–416. doi.org/10.1080/136828299247351
21. Pennington, L., Smallman, C., & Farrier, F. (2006). Intensive dysarthria therapy for older children with cerebral palsy: findings from six cases. Child Language Teaching and Therapy, 22(3), 255–273. doi.org/10.1191%2F0265659006ct307xx
22. Pirila, S., Van der Meere, J., Pentikainen, T., Ruusu-Niemi, P., Korpela, R., Kilpinen, J., & Nieminen, P. (2007). Language and motor speech skills in children with cerebral palsy. Journal of communication disorders, 40(2), 116-128. doi.org/10.1016/j.jcomdis.2006.06.002
23. Platt, L.J., Andrews, G., Young, M., & Quinn, P.T. (1980). Dysarthria of adult cerebral palsy. Journal of Speech, Language, and Hearing Research, 23(1), 28-40. doi.org/10.1044/jshr.2301.28
24. Savić, A., Radivojević, D., Car-Kovačević, N., & Ignjatović, P. (1997). Klinička slika dece sa cerebralnom paralizom. U A. Savić (Ur.), Detinjstvo, habilitacija, integracija (str. 29–30). Beograd: Zavod za cerebralnu paralizu i razvojnu neurologiju.
25. Sigurdardottir, S., & Vik, T. (2011). Speech, expressive language, and verbal cognition of preschool children with cerebral palsy in Iceland. Developmental medicine and child neurology, 53 (1), 74-80. doi.org/10.1111/j.1469-8749.2010.03790.x
26. Surveillance of Cerebral Palsy in Europe. (2000). Surveillance of cerebral palsy in Europe: A collaboration of cerebral palsy surveys and registers. Surveillance of Cerebral Palsy in Europe (SCPE). Developmental Medicine and Child Neurology, 42, 816–824.
27. Vladisavljević, S. (1983). Test za ispitivanje razumljivosti govora. U: S. Vladisavljević, Đ. Kostić i M. Popović (Ur.): Testovi za ispitivanje govora i jezika. (str. 43). Beograd: Zavod za udžbenike i nastavna sredstva.
28. Yorkston, K. M., Beukelman, D. R., Strand, E. A., & Bell, K. R. (1999). Management of motor speech disorders in chidlren and adults. Austin: Pro-ed.
29. Živković, Z., & Golubović, S. (2009). The intelligibility of speech in children with cerebral palsy. U S.T. Jovičić & M. Sovilj (Eds.), Speech and linguage: Interdisciplinary Research (pp 424-440). Belgrade: IASC & IEPSP.
30. Živković, Z. (2010). Pokretljivost artikulacionih organa i razumljivost govora kod dece sa cerebralnom paralizom (Magistarska teza). Beograd: Fakultet za specijalnu edukaciju i rehabilitaciju, Univerzitet u Beogradu.
31. Živković, Z., & Golubović, S. (2012). Korelacija između izgovora konsonanata i tipa cerebralne paralize. Defektologija, 2(18), 95-104.
32. Živkovic, Z., & Golubovic, S. (2012). The tongue mobility in patients having the cerebral palsy. Pokretljivost jezika kod pacijenata sa cerebralnom paralizom. Vojnosanitetski pregled, 69(6), 488-491. doi:10.2298/VSP1206488Z
33. Živković, Z. (2016). Govorno jezički razvoj kod dece sa intrakranijalnom hemoragijom na rođenju (Doktorska disertacija). Beograd: Fakultet za specijalnu edukaciju i rehabilitaciju, Univerzitet u Beogradu.
34. Živković, Z., & Golubović, S. (2016). Deskriptivna i korelaciona analaiza prejezičkog razvoja govora i pojave prvih smislenih reči kod dece sa intrakranijalnom hemoragijom I/II i cerebralnom paralizom. U M. Vantić-Tanjić (Ur.), Tematski zbornik radova, VII Međunarodna naučno-stručna konferencija “Unapređenje kvalitete života djece i mladih”, (str.521-530). Tuzla: Udruženje za podršku i kreativni razvoj djece i mladih i Edukacijsko-rehabilitacijski fakultet.
35. Živković, Z., Golubović S., & Mentus, T. (2016). Govorno-jezički razvoj kod dece sa intrakranijalnom hemoragijom prvog i drugog stepena u prve tri godine života. U S. Potić, Š. Golubović i M. Šćepanović (Ur.), Inkluzivna teorija i praksa/Inclusive Theory and Practice, Tematski zbornik radova međunarodnog značaja/ International Thematic Collection of Papers (str. 223-230). Novi Sad: Društvo defektologa Vojvodine.
36. Zubčević, S. (2013). Epilepsije u djece sa cerebralnom paralizom. Paediatrica Croatica, 57(1), 112-117.
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Copyright (c) 2026 Slavica Golubović, Marija Guberinić, Nevena Ječmenica, Zorica Živković
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