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Speech production in 3-year-old internationally adopted children with unilateral cleft lip and palate.
Int J Lang Commun Disord. 2017 09; 52(5):626-636.IJ

Abstract

BACKGROUND

In the last decade, a large number of children with cleft lip and palate have been adopted to Sweden. A majority of the children were born in China and they usually arrive in Sweden with an unoperated palate. There is currently a lack of knowledge regarding speech and articulation development in this group of children, who also have to deal with a late first language switch.

AIMS

To study consonant proficiency in 3-year-old internationally adopted children with unilateral cleft lip and palate (UCLP) compared with peers with UCLP born in Sweden. Also to study the type and frequency of consonant errors and to perceptually compare velopharyngeal competence between the groups.

METHODS & PROCEDURES

Thirty-two children born between 2006 and 2010 with UCLP participated in the study-14 adopted from China and 18 children born in Sweden. Both groups were treated by the same cleft palate team. Audio recordings at 3 years of age were perceptually analysed by blinded listeners. Consonant proficiency was measured via per cent consonants correct adjusted for age (PCC-A), per cent correct manners (PCM) and per cent correct places (PCP). The prevalence of audible nasal air leakage and velopharyngeal competence were judged and compared between groups. The type and frequencies of consonant errors related to place and manner of articulation were also analysed.

OUTCOMES & RESULTS

The internationally adopted children had significantly fewer correct consonants compared with the Swedish-born children. This was true for PCC-A, PCP and PCM. This group also had significantly higher prevalence of glottal stops/fricatives and deleted target consonants more often. Also the internationally adopted children had a higher prevalence of incompetent velopharyngeal function. The only outcome variable with similar results in the groups was audible nasal air leakage.

CONCLUSIONS & IMPLICATIONS

The present study indicated that there were significant differences regarding consonant proficiency and velopharyngeal competence between internationally adopted children with a UCLP and their Swedish-born peers with UCLP at the age of 3 years. Internationally adopted children with UCLP should be considered an at risk group for a higher prevalence of speech difficulties than non-adoptees. Thus, it is particularly important to follow this group of children over time. Longitudinal studies of speech and language development in internationally adopted children with UCLP are needed.

Authors+Show Affiliations

Institute of Neuroscience and Physiology, Speech and Language Pathology Unit, Sahlgrenska Academy, University of Gothenburg, Sweden. Child Health Care Unit Göteborg & Södra Bohuslän, Närhälsan Primary Care, Region Västra Götaland, Sweden.Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden. Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden. Department of Plastic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden. Department of Otorhinolaryngology and Audiology, Sahlgrenska University Hospital, Gothenburg, Sweden.Institute of Neuroscience and Physiology, Speech and Language Pathology Unit, Sahlgrenska Academy, University of Gothenburg, Sweden. Division of Speech and Language Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28120526

Citation

Larsson, AnnaKarin, et al. "Speech Production in 3-year-old Internationally Adopted Children With Unilateral Cleft Lip and Palate." International Journal of Language & Communication Disorders, vol. 52, no. 5, 2017, pp. 626-636.
Larsson A, Schölin J, Mark H, et al. Speech production in 3-year-old internationally adopted children with unilateral cleft lip and palate. Int J Lang Commun Disord. 2017;52(5):626-636.
Larsson, A., Schölin, J., Mark, H., Jönsson, R., & Persson, C. (2017). Speech production in 3-year-old internationally adopted children with unilateral cleft lip and palate. International Journal of Language & Communication Disorders, 52(5), 626-636. https://doi.org/10.1111/1460-6984.12307
Larsson A, et al. Speech Production in 3-year-old Internationally Adopted Children With Unilateral Cleft Lip and Palate. Int J Lang Commun Disord. 2017;52(5):626-636. PubMed PMID: 28120526.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Speech production in 3-year-old internationally adopted children with unilateral cleft lip and palate. AU - Larsson,AnnaKarin, AU - Schölin,Johnna, AU - Mark,Hans, AU - Jönsson,Radi, AU - Persson,Christina, Y1 - 2017/01/24/ PY - 2016/04/22/received PY - 2016/10/30/revised PY - 2016/10/31/accepted PY - 2017/1/26/pubmed PY - 2018/7/26/medline PY - 2017/1/26/entrez KW - articulation KW - cleft palate KW - internationally adopted KW - speech SP - 626 EP - 636 JF - International journal of language & communication disorders JO - Int J Lang Commun Disord VL - 52 IS - 5 N2 - BACKGROUND: In the last decade, a large number of children with cleft lip and palate have been adopted to Sweden. A majority of the children were born in China and they usually arrive in Sweden with an unoperated palate. There is currently a lack of knowledge regarding speech and articulation development in this group of children, who also have to deal with a late first language switch. AIMS: To study consonant proficiency in 3-year-old internationally adopted children with unilateral cleft lip and palate (UCLP) compared with peers with UCLP born in Sweden. Also to study the type and frequency of consonant errors and to perceptually compare velopharyngeal competence between the groups. METHODS & PROCEDURES: Thirty-two children born between 2006 and 2010 with UCLP participated in the study-14 adopted from China and 18 children born in Sweden. Both groups were treated by the same cleft palate team. Audio recordings at 3 years of age were perceptually analysed by blinded listeners. Consonant proficiency was measured via per cent consonants correct adjusted for age (PCC-A), per cent correct manners (PCM) and per cent correct places (PCP). The prevalence of audible nasal air leakage and velopharyngeal competence were judged and compared between groups. The type and frequencies of consonant errors related to place and manner of articulation were also analysed. OUTCOMES & RESULTS: The internationally adopted children had significantly fewer correct consonants compared with the Swedish-born children. This was true for PCC-A, PCP and PCM. This group also had significantly higher prevalence of glottal stops/fricatives and deleted target consonants more often. Also the internationally adopted children had a higher prevalence of incompetent velopharyngeal function. The only outcome variable with similar results in the groups was audible nasal air leakage. CONCLUSIONS & IMPLICATIONS: The present study indicated that there were significant differences regarding consonant proficiency and velopharyngeal competence between internationally adopted children with a UCLP and their Swedish-born peers with UCLP at the age of 3 years. Internationally adopted children with UCLP should be considered an at risk group for a higher prevalence of speech difficulties than non-adoptees. Thus, it is particularly important to follow this group of children over time. Longitudinal studies of speech and language development in internationally adopted children with UCLP are needed. SN - 1460-6984 UR - https://www.unboundmedicine.com/medline/citation/28120526/Speech_production_in_3_year_old_internationally_adopted_children_with_unilateral_cleft_lip_and_palate_ L2 - https://doi.org/10.1111/1460-6984.12307 DB - PRIME DP - Unbound Medicine ER -