Language Development & Cognition Development in Children with Cerebral Palsy

Main Article Content

Dr Aneela Irshad
Dr Muhammad Sikander Ghayas Khan
Dr Qurrat ul Ain
Dr Razia Sultana
Dr Maria Sheikh
Dr Hamza Khalid

Abstract

BACKGROUND; Cerebral Palsy is most prevalent physical disability in children all over the world. Although with advances in maternity, obstetrics and gynecological sciences worldwide its incidence has been decreased significantly as compared past decade, yet, the developing countries are in a process to adopt such methods. From psychosocial and communication point of view, mainly impaired cognition and language ability are the factors families and people around have to manage with children of cerebral palsy. Even the children may survive to a bigger age but these areas are doubted to remain unchanged.


OBJECTIVES; Therefore, the objectives of this study are to find out relationship or differences among chronological, language and cognitive ages in children with cerebral palsy.


METHODS; This was a cross sectional survey conducted in both government and private sectors. The study was completed in four months after synopsis approval. A sample of convenience consisting 78 children (families) was used. A predefined criterion of eligibility was used. Portage guide was used to collect data. Data was collected as hands out questionnaire or interview interpreter. SPSS 16.0 was used to analyze data, descriptive statistics such as mean, standard deviation, frequency and percentages were calculated. Paired sample t test was used to compare the differences in ages. Whereas the statistics of correlation were used in order to find out relationship between different sorts of ages.


RESULTS; The result showed out of total 78 respondents 49(62.8%) were males and 29(37.2%) were females. Paired sample test results showed comparison between language age and cognitive age of children that mean difference was 0.458 with standard deviation 1.81 and t value 2.237 and degree of freedom 77, significance value 0.028. Paired sample test results showed comparison between actual age and cognitive age of children that mean difference was 2.300 with standard deviation 1.63 and t value 12.389 and degree of freedom 77, significance value 0.000.


CONCLUSION; There was significant difference found in mean ages of cognitive and language ages in cerebral palsy children. Also, there was significant correlation between these ages.

Article Details

How to Cite
Aneela Irshad, Muhammad Sikander Ghayas Khan, Qurrat ul Ain, Razia Sultana, Maria Sheikh, & Hamza Khalid. (2023). Language Development & Cognition Development in Children with Cerebral Palsy. Journal of Health and Rehabilitation Research, 3(1). Retrieved from https://jhrlmc.com/index.php/home/article/view/39
Section
Articles
Author Biographies

Dr Aneela Irshad, Speech Therapist

Shuja Speech and Language Therapy Centre

Dr Muhammad Sikander Ghayas Khan, Associate Professor

Department of Rehabilitation Sciences, Faculty Allied Health Sciences, Lahore

Dr Qurrat ul Ain, HOD Speech and Language Pathology

Avicenna Medical and Dental college

Dr Razia Sultana , Senior Special Education Teacher

Department of Special Education

Dr Maria Sheikh, Speech Therapist

Department of Special Education Punjab

Dr Hamza Khalid , Speech Therapist

Shuja Speech and Language Therapy Centre

References

Charollais A, Stumpf MH, Beaugrand D, Lemarchand M, Radi S, Pasquet F, et al. [Evaluation of language at 6 years in children born prematurely without cerebral palsy: prospective study of 55 children]. Arch Pediatr. 2010;17(10):1433-9.

Asbell S, Donders J, Van Tubbergen M, Warschausky S. Predictors of reading comprehension in children with cerebral palsy and typically developing children. Child Neuropsychol. 2010;16(4):313-25.

Marret S, Chollat C, de Quelen R, Pinto Cardoso G, Abily-Donval L, Chadie A, et al. [Course and neurological/behavioral development of preterm children]. Arch Pediatr. 2015;22(2):195-202.

Bottcher L. Children with spastic cerebral palsy, their cognitive functioning, and social participation: a review. Child Neuropsychol. 2010;16(3):209-28.

Ibrahim SH, Bhutta ZA. Prevalence of early childhood disability in a rural district of Sind, Pakistan. Dev Med Child Neurol. 2013;55(4):357-63.

Geytenbeek JJ, Heim MM, Vermeulen RJ, Oostrom KJ. Assessing comprehension of spoken language in nonspeaking children with cerebral palsy: application of a newly developed computer-based instrument. Augment Altern Commun. 2010;26(2):97-107.

Sigurdardottir S, Vik T. Speech, expressive language, and verbal cognition of preschool children with cerebral palsy in Iceland. Dev Med Child Neurol. 2011;53(1):74-80.

Spittle AJ, Spencer-Smith MM, Cheong JL, Eeles AL, Lee KJ, Anderson PJ, et al. General movements in very preterm children and neurodevelopment at 2 and 4 years. Pediatrics. 2013;132(2):2013-0177.

Blackmer AB, Feinstein JA. Management of Sleep Disorders in Children With Neurodevelopmental Disorders: A Review. Pharmacotherapy. 2016;36(1):84-98.

Caillies S, Hody A, Calmus A. Theory of mind and irony comprehension in children with cerebral palsy. Res Dev Disabil. 2012;33(5):1380-8.

Chen CM, Hsu HC, Chen CL, Chung CY, Chen KH, Liaw MY. Predictors for changes in various developmental outcomes of children with cerebral palsy--a longitudinal study. Res Dev Disabil. 2013;34(11):3867-74.

Holck P, Nettelbladt U, Sandberg AD. Children with cerebral palsy, spina bifida and pragmatic language impairment: differences and similarities in pragmatic ability. Res Dev Disabil. 2009;30(5):942-51.

Holck P, Sandberg AD, Nettelbladt U. Inferential ability in children with cerebral palsy, spina bifida and pragmatic language impairment. Res Dev Disabil. 2010;31(1):140-50.

Peeters M, Verhoeven L, de Moor J, van Balkom H. Importance of speech production for phonological awareness and word decoding: the case of children with cerebral palsy. Res Dev Disabil. 2009;30(4):712-26.

Nash K, Sheard E, Rovet J, Koren G. Understanding fetal alcohol spectrum disorders (FASDs): toward identification of a behavioral phenotype. ScientificWorldJournal. 2008;8:873-82.

Nasef N, Shabaan AE, Schurr P, Iaboni D, Choudhury J, Church P, et al. Effect of clinical and histological chorioamnionitis on the outcome of preterm infants. Am J Perinatol. 2013;30(1):59-68.

Dwyer GM, Walker K, Baur L, Badawi N. Developmental outcomes and physical activity behaviour in children post major surgery: an observational study. BMC Pediatr. 2016;16(123):016-0660.

Odd DE, Whitelaw A, Gunnell D, Lewis G. The association between birth condition and neuropsychological functioning and educational attainment at school age: a cohort study. Arch Dis Child. 2011;96(1):30-7.

Serenius F, Kallen K, Blennow M, Ewald U, Fellman V, Holmstrom G, et al. Neurodevelopmental outcome in extremely preterm infants at 2.5 years after active perinatal care in Sweden. Jama. 2013;309(17):1810-20.

Iwata S, Nakamura T, Hizume E, Kihara H, Takashima S, Matsuishi T, et al. Qualitative brain MRI at term and cognitive outcomes at 9 years after very preterm birth. Pediatrics. 2012;129(5):2011-1735.

Heathcock JC, Baranet K, Ferrante R, Hendershot S. Daily Intervention for Young Children With Cerebral Palsy in GMFCS Level V: A Case Series. Pediatr Phys Ther. 2015;27(3):285-92.

Pogribna U, Burson K, Lasky RE, Narayana PA, Evans PW, Parikh NA. Role of diffusion tensor imaging as an independent predictor of cognitive and language development in extremely low-birth-weight infants. AJNR Am J Neuroradiol. 2014;35(4):790-6.

Pogribna U, Burson K, Lasky RE, Narayana PA, Evans PW, Parikh NA. Role of diffusion tensor imaging as an independent predictor of cognitive and language development in extremely low-birth-weight infants. American Journal of Neuroradiology. 2014;35(4):790-6.

Pappas A, Kendrick DE, Shankaran S, Stoll BJ, Bell EF, Laptook AR, et al. Chorioamnionitis and early childhood outcomes among extremely low-gestational-age neonates. JAMA Pediatr. 2014;168(2):137-47.

Adams-Chapman I. Insults to the developing brain and impact on neurodevelopmental outcome. J Commun Disord. 2009;42(4):256-62.

Cupples L, Ching TY, Crowe K, Seeto M, Leigh G, Street L, et al. Outcomes of 3-year-old children with hearing loss and different types of additional disabilities. J Deaf Stud Deaf Educ. 2014;19(1):20-39.

Larsson M, Sandberg AD. Phonological awareness in Swedish-speaking children with complex communication needs. J Intellect Dev Disabil. 2008;33(1):22-35.

Radic JA, Vincer M, McNeely PD. Outcomes of intraventricular hemorrhage and posthemorrhagic hydrocephalus in a population-based cohort of very preterm infants born to residents of Nova Scotia from 1993 to 2010. J Neurosurg Pediatr. 2015;15(6):580-8.

Skiold B, Alexandrou G, Padilla N, Blennow M, Vollmer B, Aden U. Sex differences in outcome and associations with neonatal brain morphology in extremely preterm children. J Pediatr. 2014;164(5):1012-8.

Wong HS, Huertas-Ceballos A, Cowan FM, Modi N. Evaluation of early childhood social-communication difficulties in children born preterm using the Quantitative Checklist for Autism in Toddlers. J Pediatr. 2014;164(1):26-33.

Walker K, Loughran-Fowlds A, Halliday R, Badawi N, Stewart J, Holland AJ. Developmental outcomes at three years of age of infants with esophageal atresia. J Pediatr Surg. 2016;51(2):249-51.

Geytenbeek JJ, Mokkink LB, Knol DL, Vermeulen RJ, Oostrom KJ. Reliability and validity of the C-BiLLT: a new instrument to assess comprehension of spoken language in young children with cerebral palsy and complex communication needs. Augment Altern Commun. 2014;30(3):252-66.

Serruya MD, Kahana MJ. Techniques and devices to restore cognition. Behav Brain Res. 2008;192(2):149-65.

Blair LM, Pickler RH, Anderson C. Integrative Review of Genetic Factors Influencing Neurodevelopmental Outcomes in Preterm Infants. Biol Res Nurs. 2016;18(2):127-37.

von Tetzchner S, Verdel M, Barstad BG, Gravas EM, Jahnsen R, Krabbe S, et al. The effect of interventions based on the programs of The Institutes for the Achievement of Human Potential and Family Hope Center. Dev Neurorehabil. 2013;16(4):217-29.

Cook AM, Adams K, Volden J, Harbottle N, Harbottle C. Using Lego robots to estimate cognitive ability in children who have severe physical disabilities. Disabil Rehabil Assist Technol. 2011;6(4):338-46.

Himmelmann K, Lindh K, Hidecker MJC. Communication ability in cerebral palsy: A study from the CP register of western Sweden. european journal of paediatric neurology. 2013;17(6):568-74.