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Abstract(s)
Aim: The aim of this systematic review was to describe the language’s
development in children with cerebral palsy and its association with other
variables, such as the Cerebral Palsy (CP) subtype and the level of Gross
Motor Function Classification System (GMFCS).
Method: A systematic review was carried out, following the prisma check-list.
The databases consulted were PUBMED, SCOPUS and Web of Science.
Articles published in other languages, than English, and articles that used only
functional measures to assess expressive language, were excluded. The
Systematic Review Protocol was registered in the PROSPERO Register.
Results: A total of 723 publications were found in the PUBMED, SCOPUS and
WEB of SCIENCE databases. Of these articles, 374 duplicates were excluded.
Most of the included studies were developed in European countries and in the
last 10 years. There were only 2 case-control studies, which compared tipically
developped (TD) children with children with CP, as all the others being
observational cohort studies, organized either by CP subtype or by other
functional classifications. Regarding the evaluated language subdomains, all
studies assessed receptive language and most all of those also assessed
expressive language. Within these two main areas, there was great variability in
the specific domains evaluated, from semantics, phonological awareness,
articulation, lexical development.
Conclusion: The data found in this systematic review reinforces the idea
proposed by previous researchers that the motor disorders are often
accompanied by disturbances in cognition and, in particular, in language. In the
studies where the CP children were compared with TD children, although there
was significant variability among subdomains, the performance was, in general,
poorer. In what concerns the association with the GMFCS level and the CP
subtype, all articles showed that as GMFCS level increases, the language
impairments also increase and the dyskinetic subtype seemed to be the one
with poorer performance in language tasks, results that are in line with previous
research.
Description
Keywords
Cerebral palsy Language Gross motor function classification system