临床应用婴儿发声监视器(IMP)早期识别有脑瘫风险的幼儿沟通障碍:一项前瞻性队列研究。

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Developmental Neurorehabilitation Pub Date : 2022-02-01 Epub Date: 2021-07-09 DOI:10.1080/17518423.2021.1942280
R Ward, N Hennessey, E Barty, C Elliott, J Valentine, R Cantle Moore
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引用次数: 6

摘要

目的:报告脑瘫(CP)“高危”婴儿早期发声的前瞻性纵向数据,用于早期识别沟通障碍。方法:本病例对照纵向前瞻性队列研究报告了36名婴儿的评估,其中18名在入组时被确定为CP风险,18名典型发育(TD)儿童在6个月,9个月和12个月的三个时间点,通过发声行为的标准和规范参考评估获得数据。结果:在6个月大时,被确定为有CP风险的婴儿的早期发声行为与同龄婴儿没有差异,然而,在9个月和12个月时,当典型的前规范和规范牙牙学语出现时,显著的组间差异出现。广义线性混合模型分析显示,与TD婴儿相比,有CP风险的婴儿的早期语言能力和更复杂的言语相关发声行为的发展速度较慢,超过75%的CP婴儿在12个月大时表现出低于正常的发声能力和语言障碍。解释:我们的数据表明,婴儿发声与前规范和规范牙牙学语相关的特征为预测有CP风险的婴儿的沟通结果提供了强有力的证据基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical utilisation of the Infant Monitor of vocal Production (IMP) for early identification of communication impairment in young infants at-risk of cerebral palsy: a prospective cohort study.

Aim: To report prospective longitudinal data of early vocaliszations of infants identified "at-risk" of cerebral palsy (CP) for early identification of communication impairment.

Method: This case-control longitudinal prospective cohort study reports on the assessment of 36 infants, 18 identified as at-risk of CP at the time of enrolment and 18 typically developing (TD) children, at three time points: 6 months, 9 months and 12 months of age, Data were obtained through criterion and norm referenced assessments of vocaliszation behaviors.

Results: Early vocal behaviors of infants identified as at-risk of CP did not differ from their age matched peers at 6 months of age, however, significant group differences emerged at 9 and 12 months when pre-canonical and canonical babble typically emerge. Generalized linear mixed models analysis showed that the rate of development of early language ability and more complex speech-related vocal behaviors was slower for infants at risk of CP when compared to TD infants, with over 75% of infants with CP showing below normal vocal production and impaired language by 12 months of age.

Interpretation: Our data suggest characteristics of infant vocalizations associated with pre-canonical and canonical babbling provide a strong evidence base for predicting communication outcomes in infants at risk of CP.

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来源期刊
Developmental Neurorehabilitation
Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS
CiteScore
3.10
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.
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