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The Efficacy of Speech and Language Therapy for Children with Speech and Language Delays according to the Eiologies  

Kim, June Bum (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Suh, Jin-Soon (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Kim, Young-Hoon (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Chung, Seung-Yun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Lee, In-Goo (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Whang, Kyung-Tai (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Lee, Byung-Churl (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Publication Information
Clinical and Experimental Pediatrics / v.48, no.9, 2005 , pp. 924-928 More about this Journal
Abstract
Purpose : Treatment efficacy for children with speech and language delay has been the subject of considerable debate in recent years. We evaluated the clinical features of children with delayed speech and language and their prognoses according to their etiologies after 6 months of speech and language therapy. Methods : From January, 2000 to March, 2004, we retrospectively reviewed 56 children with speech and language delay who were administered speech and language therapy for 6 months in Uijongbu St. Mary's Hospital. Results : Of 56 cases, the proportion of developmental language disorder was 66.1 percent, structural malformation 19.6 percent, mental retardation 12.5 percent, hearing defect 1.8 percent. The ratio of male to female was 4.6 : 1 and the most frequent age group was over 47 months. The mean age of first spontaneous words with useful meaning was 15.9 months. The mean gestational age of the subjects was 39.8 weeks. The proportion of full-term infants was 96.4 percent and of premature infants was 3.6 percent. As for the birth order, the proportion of the first baby was 51.8 percent, the one of second babies it was 42.9 percent, and percent of third babies it was 7.1 percent. After 6 months of language intervention, 32.4 percent of patients with developmental language disorder showed normal linguistic development. All the patients with mental retardation showed sustained language and speech delay. As for the patients with structural malformations, five out of 11 patients showed normal linguistic development. Conclusion : The relatively advanced old age of majority of participants in this study suggests the necessity of screening test for language delay in this local community.
Keywords
Speech and language delay; Speech and language therapy; Etiology; Effect;
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1 Law J, Garrett Z, Nye C. The efficacy of treatment for children with developmental speech and language delay/ disorder : a meta-analysis. J Speech Lang Hear Res 2004; 47:924-43   DOI   ScienceOn
2 Plante E. Criteria for SLI : The Stark and Tallal legacy and beyond. J Speech Lang Hear Res 1998;41:951-7
3 American Psychiatric Association. Diagnostic and statistical manual of mental disorder. 4th ed. Washington : American Psychiatric Associaton, 2000
4 Coplan J, Gleason JR. Unclear speech : Recognition and significance of unintelligible speech in preschool children. Pediatrics 1988;82:447-52
5 Tomblin JB, Smith E, Zhang X. Epidemiology of specific language impairment : Prenatal and perinatal risk factors. J Commun Disord 1997;30:325-44   DOI   ScienceOn
6 Lee K. Language development in first 3 years of life and early language screening scale. J Korean Pediatr Soc 1991; 34:465-73
7 Kripke C. Therapy for speech and language delay. Am Fam Physician 2004;69:2823-4
8 Law J, Conti-Ramsden G. Treating children with speech and language impairments. BMJ 2000;321:908-9   DOI   ScienceOn
9 Harel S, Greenstein Y, Kramer U, Yifat R, Samuel E, Nevo Y, et al. Clinical characteristics of children referred to a child development center for evaluation of speech, language and communication disorders. Pediatr Neurol 1996;15: 305-11   DOI   ScienceOn
10 Kim SJ, Kim YH, Lee YK, Kim DU, Han SH, Chung SY, et al. The clinical features of children with developmental language disorder. J Korean Child Neurol Soc 2001;9:122-8
11 Glogowska M, Roulstone S, Enderby P, Peters TJ. Randomised controlled trial of community based speech and language therapy for preschool children. BMJ 2000;321:923- 26.   DOI   ScienceOn
12 Ludlow CL. Children's language disorders : recent research advances. Ann Neurol 1980;7:497-507   DOI   PUBMED   ScienceOn
13 Lee K. Children with delayed speech development. Korean J Pediatr 1992;35:1236-42
14 Stevenson J, Richman N. The prevalence of language delay in a population of three year-old children and its association with general retardation. Devel Med Child Neurol 1976; 18:431-41   DOI   ScienceOn
15 Silva PA. The prevalence, stability and significance of developmental language delay in preschool children. Devel Med Child Neurol 1980;22:768-77   DOI   ScienceOn
16 Yew JH, Kim YD, Lee KS. The study for causes of childhood language disorders. J Korean Child Neurol Soc 2004;2:85-91
17 Tomblin JB. The effect of birth order on the occurrence of developmental language impairment. Br J Disord Commun 1990;25:77-84.   DOI
18 Robinson RJ. Causes and associations of severe and persistent specific speech and language disorders in children. Devel Med Child Neurol 1991;33:943-62   DOI   ScienceOn
19 Solomons G. Prevalence of speech and hearing problems in a child development clinic population. Clin Pediatr 1970;9: 384-9   DOI   PUBMED   ScienceOn
20 McRae KM, Vickar E. Simple developmental speech delay : a follow-up study. Dev Med Child Neurol 1991;33:868-74   DOI   ScienceOn
21 Whitehurst GJ, Fischel JE. Practitioner review : early developmental language delay : what, if anything, should the clinician do about it? J Child Psychol Psychiatry 1994;35: 613-48   DOI   ScienceOn
22 Shriberg LD, Tomblin JB, McSweeny JL. Prevalence of speech delay in 6-year-old children and comorbidity with language impairment. J Speech Lang Hear Res 1999;42: 1461-81
23 Gibbard D, Coglan L, MacDonald J. Cost-effectiveness analysis of current practice and parent intervention for children under 3 years presenting with expressive language delay. Int J Lang Commun Disord 2004;39:229-44   DOI   ScienceOn
24 Coplan J, Gleason JR, Ryan R, Burke MG, Williams ML. Validation of an early language milestone scale in a highrisk population. Pediatrics 1982;70:677-83
25 Largo RH, Molinari L, Comenale Pinto L, Weber M, Duc G. Language development of term and preterm children during the first five years of life. Dev Med Child Neurol 1986;28:333-50   DOI   ScienceOn
26 Silva PA, Williams S, McGee R. A longitudinal study of children with developmental language delay at age three: later intelligence, reading and behaviour problems. Devel Med Child Neurol 1987;29:630-40   DOI   ScienceOn