Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children ... Article
Article  |   April 01, 2010
Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway
Author Affiliations & Notes
  • Guro Andersen, MD
    Norwegian Cerebral Palsy Registry, Tonsberg, Norway
    Habilitation center, Vestfold Hospital, Tønsberg, Norway
    Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway
  • Tone R. Mjøen, OT
    Habilitation Center, Vestfold HospitalTønsberg, Norway
  • Torstein Vik, MD
    Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and TechnologyTrondheim, Norway
    Department of Women's and Children's Health, St. Olav University HospitalTrondheim, Norway
Article Information
Speech, Voice & Prosodic Disorders / Augmentative & Alternative Communication / Special Populations / Genetic & Congenital Disorders / Articles
Article   |   April 01, 2010
Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway
SIG 12 Perspectives on Augmentative and Alternative Communication, April 2010, Vol. 19, 12-20. doi:10.1044/aac19.1.12
SIG 12 Perspectives on Augmentative and Alternative Communication, April 2010, Vol. 19, 12-20. doi:10.1044/aac19.1.12
Abstract

This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

Acknowledgments
We would like to express our thanks to all colleagues at the pediatric and habilitation departments in Norway, who provided the data.
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