Classification of Speech and Language Profiles in 4-Year-Old Children With Cerebral Palsy: A Prospective Preliminary Study

Abstract

Purpose In this study, the authors proposed and tested a preliminary speech and language classification system for children with cerebral palsy. Method Speech and language assessment data were collected in a laboratory setting from 34 children with cerebral palsy (CP; 18 male, 16 female) with a mean age of 54 months ( SD = 1.8). Measures of interest were vowel area, speech rate, language comprehension scores, and speech intelligibility ratings. Results Canonical discriminant function analysis showed that 3 functions accounted for 100% of the variance among profile groups, with speech variables accounting for 93% of the variance. Classification agreement varied from 74% to 97% based on 4 different classification paradigms. Conclusions The results of this study provide preliminary support for the classification of speech and language abilities of children with CP into 4 initial profile groups. Further research is necessary to validate the full classification system.