Article

Treating motor speech dysfunction in children with CP requires an
understanding of the mechanism underlying speech motor control. However, there is
a lack of literature in quantitative measures of motor control, which may
potentially characterize the nature of the speech impairments in these children.
This study investigated speech motor control in children with cerebral palsy (CP)
using kinematic analysis. METHODS: We collected 10 children with mild spastic CP,
aged 4.8 to 7.5 years, and 10 age-matched children with typical development (TD)
from rehabilitation department at a tertiary hospital. All children underwent
analysis of percentage of consonants correct (PCC) and kinematic analysis of
speech tasks: poly-syllable (PS) and mono-syllable (MS) tasks using the Vicon
Motion 370 system integrated with a digital camcorder. Kinematic parameters
included spatiotemporal indexes (STIs), and average values and coefficients of
variation (CVs) of utterance duration, peak oral opening displacement and
velocity. An ANOVA was conducted to determine whether PCC and kinematic data
significantly differed between groups. RESULTS: CP group had relatively lower
PCCs (80.0-99.0%) than TD group (p = 0.039). CP group had higher STIs in PS
speech tasks, but not in MS tasks, than TD group did (p = 0.001). The CVs of
utterance duration for MS and PS tasks of children with CP were at least three
times as large as those of TD children (p < 0.01). However, average values of
utterance duration, peak oral opening displacement and velocity and CVs of other
kinematic data for both tasks did not significantly differ between two groups.
CONCLUSION: High STI values and high variability on utterance durations in
children with CP reflect deficits in relative spatial and/or especially temporal
control for speech in the CP participants compared to the TD participants.
Children with mild spastic CP may have more difficulty in processing increased
articulatory demands and resulted in greater oromotor variability than normal
children. The kinematic data such as STIs can be used as indices for detection of
speech motor control impairments in children with mild CP and assessment of the
effectiveness in the treatment.

Langue : ANGLAIS