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Biomedical subjects

S M Goorhuis-Brouwer

Publications and source records attributed to S M Goorhuis-Brouwer.

13 recordsLinked to original sources
PubMed1999

Specific language impairments and behavioural problems.

The behavioural functioning of 56 children with a specific language impairment (SLI), aged 8, 10, and 12 years, was examined by using the Child Behaviour Checklist. Parents as well as teachers filled in the questionnaire. The data shows that 48% of the children with SLI were considered to have behavioural problems either at home or in school. The problems differ significantly from the norm group on internalizing behaviour and total behaviour. The children do not demonstrate more externalizing behaviour than children in the norm group. It is hypothesized that the absence of aggressive behaviour might be a characteristic of children with SLI.

Child↗
PubMed1998

[Communication disorders in children; experiences with a multidisciplinary outpatient diagnosis].

Communication disorders in children can be caused by impaired hearing. However, also other factors can adversely influence speech and language development, such as mental retardation, lack of language stimulation and anatomical defects of speech organs. Speech and language development can be regarded as a symptom; therefore a multidisciplinary diagnostic procedure is essential to the planning of an adequate therapy programme. In the Netherlands a great variety in diagnosis and treatment exists. A child with a communication disorder is usually seen by five specialists, and the interval between recognition of the communication problem by the parents and the final diagnosis, after which therapy starts, sometimes lasts almost three years. Besides that, in a majority of cases speech and language therapy is offered. In order to change this process for the better a prospective research programme was started in the Academic Hospital Groningen, the Netherlands, with a protocolled multidisciplinary diagnostic approach. The first findings are encouraging: 89% of 209 children with supposed communication disorders were diagnosed after one visit to the outpatient clinic.

Adolescent↗
PubMed1996

Specificity of specific language impairment.

In children with specific language impairment (SLI) their problems are supposed to be specifically restricted to language. However, both on theoretical basis as well as on a practical basis it is often difficult to make a sharp distinction between specific and non-specific language disorders. In a three-step study we found in the first place that in a group of children with supposed SLI (n = 319), after multidisciplinary examination, only in 25% of the cases the diagnosis SLI was correct. Secondly we found that after a period of time children with correctly diagnosed SLI showed problems with attention, motor functioning and school achievement. Thirdly we found that the learning difficulties of the children were related to their previous language problems. We hypothesize that SLI is less specific than is generally assumed. It could be a part of a neuropsychological 'syndrome' in which neurological maturation is jeopardized.

Attention Deficit Disorder with Hyperactivity↗
PubMed1995

[Children with a presumably isolated speech-language disorder often have medical or cognitive problems as well].

OBJECTIVE: To assess the language problems of children who otherwise appear to develop normally. DESIGN: A clinical inventory. SETTING: University Hospital Groningen. METHOD: The children (n = 319) were examined according to a standard protocol consisting of: ENT examination, audiologic examination, paedogogic observation and logopaedic examination. Further psychological examination was carried out when needed according to the paedagogic observation. RESULTS: 25 per cent of the children had isolated language problems. For these children logopaedic therapy was indicated. In 75 per cent, a clear associated medical factor, or a retarded cognitive and (or) motor development, was found. Forty per cent of these children received medical treatment and 35 per cent specific paedagogic guidance. In some cases additional logopaedic therapy was given. CONCLUSION: It appears advisable to give children with language problems logopaedic therapy only after a diagnostic examination has been carried out according to a standard protocol as described.

Child↗
PubMed1995

Lack of effect of clonidine on stuttering in children.

OBJECTIVE: The authors studied the effects of the alpha 2-receptor agonist clonidine on stuttering in children. METHOD: Using a double-blind crossover study, they gave placebo or 4 micrograms/kg body weight per day to 25 stuttering children who were 6-13 years old. Stuttering was measured by counting the occurrences of four elementary speech difficulties and by asking parents and teachers to give an overall impression of the amount of stuttering, as well as their impression of how troublesome the stuttering was to the children. RESULTS: Clonidine did not improve stuttering. CONCLUSIONS: Clonidine cannot be recommended as a useful drug for treating children who stutter.

Adolescent↗
PubMed1992

Cleft palate repair: Furlow versus von Langenbeck.

The Furlow cleft palate repair using a double opposing Z-plasty appears to be very promising. In order to detect advantages and disadvantages concerning the technique as well as speech- and hearing results, the Furlow palatoplasty was compared with the classical von Langenbeck technique. Data analysis from 10 children in both groups revealed that the Furlow technique proved to be superior to the von Langenbeck technique as far as speech sound is concerned: at a mean age of 3.5 years, nasality and nasal escape were absent in almost all cases. However, there were no significant differences between the techniques in respect of articulatory skills, language comprehension, language production as well as hearing. Technically, the Furlow technique is more difficult to perform, particularly in wide clefts.

Articulation Disorders↗
PubMed1991

[Voice rehabilitation following larynx extirpation using the Groningen button].

The long term results of implantation of the 'Groningen button' after total laryngectomy were determined retrospectively in the ENT Department of the University Hospital Groningen, after follow-up periods of 6 months to 5 years. The study group consisted of 86 patients who received a Groningen button between 1981 and 1985, 79 men and 7 women with an average age of 60.5 years at the time of the total laryngectomy. The Groningen button is a silicon valve, which is introduced into a tracheo-oesophageal shunt, thus preventing aspiration of oesophageal contents and keeping the shunt open. The valve can be placed primarily during the laryngectomy or secondarily after the laryngectomy. The results of the voice restoration with the Groningen button were better than the results achieved with the injection oesophageal speech only. The results of a primarily constructed shunt with placement of the button were better than those of a button placed secondarily more than one year after the laryngectomy. The average lifetime of a button was about 3 months. The buttons of one-third of all patients were removed permanently after some time. In our study the complications were few. In our opinion a Groningen button can be placed during a laryngectomy to achieve a better voice restoration.

Esophagus↗
PubMed1990

[Disordered speech and language development as a pedagogic problem. Reaction of parents to child speech problems].

Since children live with their parents and meet other children, we looked into the possible effects of language disorders in children on their interactions with the social surroundings. Language disorders are woven into the fabric of communication between parents and child and are not attributes of the child alone. Language-disturbed children are not more difficult in their behavior than normal-speaking children at the same age. However, the parental emotions about the language problem lead to the perception of more difficult behavior. Parents of language-disturbed children try to stimulate the language development of their child. In this they get disappointed by the reactions of the child and become less stimulating. It seems as if in the interactions between parents and child, the child partly creates his own--negative--surroundings.

Child, Preschool↗
PubMed1989

[Audimutitas: An analysis].

There are children who are assumed to have normal hearing and normal intelligence, but who do not speak at all. The phoniatric diagnosis for these children used to be audimutitas. Nowadays these children are not specified any more. They are called language-disturbed and are diagnosed and treated like all other language-disturbed children. An analysis is made of 46 nonspeaking children, aged 1.5-3, who are assumed to understand language in a proper way. The analysis deals with their language (language comprehension, language production and pragmatics) as well as with medical and psychological factors influencing the language disorder. We found no correlations between language comprehension, language production and pragmatics. So, when we know one language aspect, we cannot be sure of the others. We also found various factors contributing to the language problem.

Child, Preschool↗