Affiliation:
1. Special Hospital for the Cerebral Palsy and Developmental Neurology, Belgrade
2. Faculty for Special Education and Rehabilitation, Belgrade
Abstract
Background/Aim. In children with cerebral palsy speech is a big problem.
Speech of these children is more or less understandable, depending on the
degree of reduced mobility of articulatory organs. Reduced mobility is
affected by inability to control facial grimacing and poor muscle strength
when performing targeted movements. The aim of this study was to determine
the mobility of tongue in patients with cerebral palsy. Methods. The study
included a sample of 34 children - patients with cerebral palsy who had been
treated in the Special Hospital for the Cerebral Palsy and Developmental
Neurology in Belgrade. The patients were divided according to the determined
diagnosis into two groups: Quadriparesis spastica (n = 11) and Morbus Little
(n = 16). The children, aged 8-12 years, had preserved intelectual abilities,
and all of them had preserved hearing. The study was conducted during the
period from January to September 2009. The functional state of articulatory
organs in both groups was tested by the C-test that examines the anatomic
structure and mobility of the articulatory organs. Results. Our research
showed that both groups of the patients had impaired functional state of the
tongue - the most mobile articulatory organ. Also, the research showed that
the functional state of the tongue was worse in children diagnosed with
Quadriparesis spastica. A statistically significant correlation between the
diagnosis and the functional state of the tongue, the tongue test performance
and the retention of the tongue in a given position was found (r = 0.594, p <
0.005; r = 0.816, p < 0.01 and r = 0.738, p < 0.001, respectively).
Conclusion. A large percentage of children with cerebral palsy were not able
to establish control over the position of articulatory organs, especially the
tongue, and its retention in a given position, all of which affect the
quality of speech.
Publisher
National Library of Serbia
Subject
Pharmacology (medical),General Medicine
Cited by
2 articles.
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