Functional characteristics of children diagnosed with Childhood Apraxia of Speech.

Purpose. The purpose of this study was to describe the complex array of functional problems in children diagnosed by their treating speech/language pathologist with Childhood Apraxia of Speech (CAS), a poorly understood, severe speech sound disorder. Method. We asked parents (n = 201) attending the...

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Published in:Disability & Rehabilitation Vol. 31; no. 2; pp. 94 - 103
Main Authors: Teverovsky EG, Bickel JO, Feldman HM
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd 2009
Online Access:View this record in EBSCOhost
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      dt: 2009
      vid: 31
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Functional characteristics of children diagnosed with Childhood Apraxia of Speech.
      aug:
        au:
          Teverovsky EG
          Bickel JO
          Feldman HM
        affil: University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
      sug:
        subj:
          Apraxia In Infancy and Childhood
          Functional Status In Infancy and Childhood
          International Classification of Functioning, Disability, and Health Utilization
          Adolescence
          Adult
          Child
          Child, Preschool
          Congresses and Conferences
          Descriptive Statistics
          Factor Analysis
          Female
          Functional Assessment
          Funding Source
          Health Resource Utilization
          Male
          Parents
          Questionnaires
          Rehabilitation, Pediatric
          Speech-Language Pathology
          Survey Research
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Female
          Male
      ab: Purpose. The purpose of this study was to describe the complex array of functional problems in children diagnosed by their treating speech/language pathologist with Childhood Apraxia of Speech (CAS), a poorly understood, severe speech sound disorder. Method. We asked parents (n = 201) attending the first national parent conference on CAS to voluntarily complete a survey, which evaluated 43 functional domains from the International Classification of Functioning, Disability, and Health-Children and Youth version (ICF-CY). The survey also included questions about co-existing medical, developmental, and mental health conditions and about service utilization. Data were analyzed using descriptive statistics and exploratory factor analysis. Results. The most prevalent functional problems in addition to communication were attention (focus), vestibular function, temperament, fine hand use, maintaining attention, and learning to write. Four orthogonal factors accounted for 23% of the variance in functional problems: Cognitive and Learning Problems, Social Communication Difficulties, Behavioral Dysregulation, and Other Oral Motor Problems. Over half the sample had health, mental health, and developmental conditions. Almost all of the children used early intervention and speech/language therapy services. Conclusions. The ICF-CY provided a systematic approach for describing and categorizing functional problems in children with CAS. The identified factors should guide the multidisciplinary team in conducting comprehensive evaluations, rehabilitation, and long-term follow-up of children with CAS.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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