Estimating Speech Impairment Profiles of Children with Cerebral Palsy Using a Novel Assessment Protocol Mapped with Updated Reviews

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Abstract

Purpose: Cerebral palsy (CP), being a neurological condition, is characterized by abnormalities in either the muscle tone, coordination, and/or motor functions caused by damage to the developing brain. Dysarthria commonly exists as an independent entity in approximately half of the patients with CP, or sometimes with a combination of both impairments. Due to the high variability (type and motor distribution) in the severity of the impairment in CP, a comprehensive speech impairment profile is warranted for deriving a highly customized interventional plan for them. Objectives: Therefore, the current study aims to develop one such assessment protocol and utilize the same to estimate the speech impairments in children with CP. The objectives of the study were to develop a speech assessment protocol, to administer the same on the patients with CP, and to estimate their speech impairments. Method: The study followed a cross-sectional design with a non-random convenience sampling method. A total of 51 patients between 3 and 12 years of age diagnosed with CP (any type, severity, motor tone, or motor distribution) were included in the study. The study was conducted in two phases. Phase 1 included the development of the speech assessment protocol, while phase 2 included the administration and profiling of the retrieved data. Descriptive statistics were used to profile the data based on the frequency and percentage of occurrences. Results: The results have been organized based on the general and oral profile, and subsystems of speech (respiration, phonation, resonance, prosody, articulation, and overall intelligibility) of patients with spastic, flaccid, and ataxic CP. Conclusion: The developed protocol is comprised of multiple crucial domains that requires to be assessed during a formal speech assessment. The protocol helps tap upon the relevant family, natal, and other medical histories which becomes crucial during the counselling process.

Original languageEnglish
Pages (from-to)45-76
Number of pages32
JournalCritical Reviews in Physical and Rehabilitation Medicine
Volume36
Issue number3
DOIs
Publication statusPublished - 2024

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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