Abstract
Children with cerebral palsy (CP) face communication challenges stemming from neural lesions, hearing issues, and executive function impairments, which are further complicated by interactions between motor and hearing impairments. These challenges lead to limitations in daily activities and are compounded by delays in diagnosis and interventions, adversely affecting speech, language, and cognitive function. In infants with CP, impaired motor function disrupts both feedforward and feedback mechanisms crucial for speech sound production, exacerbating the overall impact on communication development. Understanding the interplay between hearing loss and speech production in children with CP, especially in the crucial early developmental stages, is essential for implementing timely interventions and guiding multidisciplinary care teams in both clinical and home settings.
Impact Questions
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Children with cerebral palsy (CP) face communication challenges due to neural, hearing, and motor issues, impacting speech and language development.
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Early and comprehensive testing, including auditory brainstem response, is crucial for timely diagnosis and intervention to mitigate adverse effects.
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The article emphasizes the need for advanced diagnostics and multidisciplinary interventions to improve communication skills and cognitive outcomes in children with CP.
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References
Sharp, H. M. & Hillenbrand, K. Speech and language development and disorders in children. Pediatr. Clin. North Am. 55, 1159–1173 (2008).
Fauconnier, J. et al. Participation in life situations of 8-12 year old children with cerebral palsy: cross sectional European study. BMJ 338, b1458 (2009).
Weir, F. W., Hatch, J. L., McRackan, T. R., Wallace, S. A. & Meyer, T. A. Hearing loss in pediatric patients with cerebral palsy. Otol. Neurotol. 39, 59–64 (2018).
Boulet, S. L., Boyle, C. A. & Schieve, L. A. Health care use and health and functional impact of developmental disabilities among US children, 1997–2005. Arch. Pediatr. Adolesc. Med. 163, 19–26 (2009).
Van Naarden Braun, K. et al. Trends in the prevalence of autism spectrum disorder, cerebral palsy, hearing loss, intellectual disability, and vision impairment, metropolitan atlanta, 1991–2010. PLoS ONE 10, e0124120 (2015).
Novak, I., Hines, M., Goldsmith, S. & Barclay, R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics 130, e1285–e1312 (2012).
McIntyre, S. et al. Congenital anomalies in cerebral palsy: where to from here? Dev. Med. Child Neurol. 58, 71–75 (2016).
Gotardo, J. W. et al. Impact of peri-intraventricular haemorrhage and periventricular leukomalacia in the neurodevelopment of preterms: a systematic review and meta-analysis. PLoS ONE 14, e0223427 (2019).
Reid S. M., et al.. A population-based study and systematic review of hearing loss in children with cerebral palsy. Dev. Med. Child Neurol. https://doi.org/10.1111/j.1469-8749.2011.04069.x.
Kaga, K., Ichimura, K., Kitazumi, E., Kodama, K. & Tamai, F. Auditory brainstem responses in infants and children with anoxic brain damage due to near-suffocation or near-drowning. Int J. Pediatr. Otorhinolaryngol. 36, 231–239 (1996).
Zafeiriou, D. I., Andreou, A. & Karasavidou, K. Utility of brainstem auditory evoked potentials in children with spastic cerebral palsy. Acta Paediatr. 89, 194–197 (2000).
Jiang, Z. D. et al. Brainstem auditory outcomes and correlation with neurodevelopment after perinatal asphyxia. Pediatr. Neurol. 39, 189–195 (2008).
Gohari, N. et al. The Prevalence and Causes of Auditory Neuropathy/Dys-synchrony (AN/AD) in Children with Hearing Impairment. Indian J. Otolaryngol. Head. Neck Surg. 71, 71–75 (2019).
Bielecki, I., Horbulewicz, A. & Wolan, T. Risk factors associated with hearing loss in infants: an analysis of 5282 referred neonates. Int. J. Pediatr. Otorhinolaryngol. 75, 925–930 (2011).
Richard, C., Kjeldsen, C., Findlen, U., Gehred, A. & Maitre, N. Hearing loss diagnosis and early hearing-related interventions in infants with or at high risk for cerebral palsy: a systematic review. J. Child Neurol. 36, 088307382110045 (2021).
Rennels, M. & Pickering, L. K. Sensorineural hearing loss in children. Lancet 365, 2085–2086 (2005).
Watkin, P. et al. Language ability in children with permanent hearing impairment: the influence of early management and family participation. Pediatrics 120, e694–e701 (2007).
Muse, C. et al. Joint Committee on Infant Hearing of the American Academy of Pediatrics, Supplement to the JCIH 2007 position statement: principles and guidelines for early intervention after confirmation that a child is deaf or hard of hearing. Pediatrics 131, e1324–e1349 (2013).
Chilosi, A. M. et al. Neurodevelopmental disorders in children with severe to profound sensorineural hearing loss: a clinical study. Dev. Med. Child Neurol. 52, 856–862 (2010).
Meier, A. M. & Guenther, F. H. Neurocomputational modeling of speech motor development. J. Child Lang. 50, 1318–1335 (2023).
Perani, D. et al. Neural language networks at birth. Proc. Natl. Acad. Sci. USA 108, 16056–16061 (2011).
Flynn, T., Lohmander, A., Moller, C. & Magnusson, L. A longitudinal study of hearing and middle ear status in adolescents with cleft lip and palate. Laryngoscope 123, 1374–1380 (2013).
Lee, C. C., Jhang, Y., Relyea, G., Chen, L. M. & Oller, D. K. Babbling development as seen in canonical babbling ratios: a naturalistic evaluation of all-day recordings. Infant Behav. Dev. 50, 140–153 (2018).
Oller, D. K., Eilers, R. E., Neal, A. R. & Schwartz, H. K. Precursors to speech in infancy: the prediction of speech and language disorders. J. Commun. Disord. 32, 223–245 (1999).
Kuhl, P. K. & Meltzoff, A. N. Infant vocalizations in response to speech: vocal imitation and developmental change. J. Acoust. Soc. Am. 100, 2425–2438 (1996).
Kokkinaki, T. & Kugiumutzakis, G. Basic aspects of vocal imitation in infant-parent interaction during the first 6 months. J. Reprod. Infant Psychol. 18, 173–187 (2000).
Kuhl, P. K., Williams, K. A., Lacerda, F., Stevens, K. N. & Lindblom, B. Linguistic experience alters phonetic perception in infants by 6 months of age. Science 255, 606–608 (1992).
Richard, C. et al. Randomized trial to increase speech sound differentiation in infants born preterm. J. Pediatr. 241, 103–108.e3 (2022).
Lee, S. H., Hsiao, T. Y. & Lee, G. S. Audio-vocal responses of vocal fundamental frequency and formant during sustained vowel vocalizations in different noises. Hear Res. 324, 1–6 (2015).
Bruderer, A. G., Danielson, D. K., Kandhadai, P. & Werker, J. F. Sensorimotor influences on speech perception in infancy. Proc. Natl. Acad. Sci. USA 112, 13531–13536 (2015).
Himmelmann, K., Lindh, K. & Hidecker, M. J. C. Communication ability in cerebral palsy: a study from the CP register of western Sweden. Eur. J. Paediatr. Neurol. 17, 568–574 (2013).
Sigurdardottir, S. & Vik, T. Speech, expressive language, and verbal cognition of preschool children with cerebral palsy in Iceland. Dev. Med. Child Neurol. 53, 74–80 (2011).
Sansavini, A., Guarini, A. & Caselli, M. C. Preterm birth: neuropsychological profiles and atypical developmental pathways. Dev. Disabil. Res. Rev. 17, 102–113 (2011).
Hoff Esbjørn, B., Hansen, B. M., Greisen, G. & Mortensen, E. L. Intellectual development in a Danish cohort of prematurely born preschool children: specific or general difficulties? J. Dev. Behav. Pediatr. 27, 477–484 (2006).
Westermann, G. et al. Neuroconstructivism. Dev. Sci. 10, 75–83 (2007).
Rowe, M. L. & Snow, C. E. Analyzing input quality along three dimensions: interactive, linguistic, and conceptual. J. Child Lang. 47, 5–21 (2020).
Tamis-LeMonda, C. S., Luo, R., McFadden, K. E., Bandel, E. T. & Vallotton, C. Early home learning environment predicts children’s 5th grade academic skills. Appl. Dev. Sci. 23, 153–169 (2019).
Tamis-LeMonda, C. S. & Bornstein, M. H. Maternal responsiveness and early language acquisition. Adv. Child Dev. Behav. 29, 89–127 (2002).
Velde, A., Morgan, C., Novak, I., Tantsis, E. & Badawi, N. Early diagnosis and classification of cerebral palsy: an historical perspective and barriers to an early diagnosis. J. Clin. Med. 8, 1599 (2019).
Novak, I. et al. Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment. Arch. Pediatr. Adolesc. Med. 171, 897–907 (2017).
Einspieler, C. & Prechtl, H. F. R. Prechtl’s assessment of general movements: a diagnostic tool for the functional assessment of the young nervous system. Ment. Retard Dev. Disabil. Res Rev. 11, 61–67 (2005).
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Findlen, U., Richard, C. Hearing and speech interactions in children with cerebral palsy, in the first 2 years. Pediatr Res (2024). https://doi.org/10.1038/s41390-024-03403-0
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DOI: https://doi.org/10.1038/s41390-024-03403-0