Early Predictors and Correlates of Communication Function in Children With Cerebral Palsy

Author:

Hidecker Mary Jo Cooley12ORCID,Slaughter Jaime34,Abeysekara Purni5,Ho Nhan T.6,Dodge Nancy7,Hurvitz Edward A.8,Workinger Marilyn Seif9,Kent Ray D.10,Rosenbaum Peter11,Lenski Madeleine2,Vanderbeek Suzette Báez12,DeRoos Steven13,Paneth Nigel214

Affiliation:

1. Division of Communication Disorders, University of Wyoming, Laramie, WY, USA

2. Department of Epidemiology & Biostatistics, Michigan State University, East Lansing, MI, USA

3. Department of Health Systems & Sciences Research, Drexel University, PA, USA

4. Department of Epidemiology & Biostatistics, Drexel University, PA, USA

5. Department of Community Health & Prevention, Drexel University, PA, USA

6. Sergievesky Center, Columbia University Medical Center, New York, NY, USA

7. Department of Pediatrics, Helen DeVos Children’s Hospital, Grand Rapids, MI, USA

8. Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA

9. Marshfield Clinic Research Institute, Marshfield, WI, USA

10. Waisman Center, University of Wisconsin–Madison, Madison, WI, USA

11. CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada

12. Department of Dermatology, University of Pennsylvania, Philadelphia, PA, USA

13. Division of Pediatric Neurology, Helen DeVos Children’s Hospital, Grand Rapids, MI, USA

14. Department of Pediatrics & Human Development, Michigan State University, East Lansing, MI, USA

Abstract

Birth characteristics and developmental milestones were evaluated as early predictors/correlates of communication in children with cerebral palsy. The hypothesis was that maternal report of child’s age for vocal play and first words would predict current functional communication. A case series of 215 children, 2 to 17 years (mean age = 8.2 years, SD = 3.9) with cerebral palsy was recruited from medical practices in 3 Michigan cities. Early developmental data were collected by maternal interview. The child’s Communication Function Classification System (CFCS) level was obtained from parent. Predictors of less functional communication included gestational age >32 weeks, number of comorbidities, age of first words after age 24 months, and use of communication methods other than speech. Several birth characteristics and developmental language milestones were predictive of later communication performance for children with cerebral palsy. These characteristics and milestones should trigger referrals for communication evaluations, including speech, language, hearing, and/or augmentative and alternative communication.

Funder

National Institute of Neurological Disorders and Stroke

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

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