Speech problems affect more than one in two children with cerebral palsy: Swedish population-based study
Version of Record online: 27 NOV 2012
©2012 The Author(s)/Acta Pædiatrica ©2012 Foundation Acta Pædiatrica
Volume 102, Issue 2, pages 161–166, February 2013
How to Cite
Nordberg, A., Miniscalco, C., Lohmander, A. and Himmelmann, K. (2013), Speech problems affect more than one in two children with cerebral palsy: Swedish population-based study. Acta Paediatrica, 102: 161–166. doi: 10.1111/apa.12076
- Issue online: 10 JAN 2013
- Version of Record online: 27 NOV 2012
- Accepted manuscript online: 3 NOV 2012 09:47AM EST
- Manuscript Accepted: 30 OCT 2012
- Manuscript Revised: 22 OCT 2012
- Manuscript Received: 25 APR 2012
- Norrbacka-Eugenia Foundation
- Västra Götaland Region
- Habilitation & Health
- Disabilities Committee
- Cerebral palsy;
- Speech ability;
- Speech disorder
To describe speech ability in a population-based study of children with cerebral palsy (CP), in relation to CP subtype, motor function, cognitive level and neuroimaging findings.
A retrospective chart review of 129 children (66 girls, 63 boys) with CP, born in 1999–2002, was carried out. Speech ability and background information, such as type of CP, motor function, cognitive level and neuroimaging data, were collected and analysed.
Speech disorders were found in 21% of the children and were present in all types of CP. Forty-one per cent of the children with speech disorders also had mental retardation, and 42% were able to walk independently. A further 32% of the children were nonverbal, and maldevelopment and basal ganglia lesions were most common in this group. The remaining 47% had no speech disorders, and this group was most likely to display white matter lesions of immaturity.
More than half of the children in this CP cohort had a speech disorder (21%) or were nonverbal (32%). Speech ability was related to the type of CP, gross motor function, the presence of mental retardation and the localization of brain maldevelopment and lesions. Neuroimaging results differed between the three speech ability groups.