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[Present situation and thinking of studies on apoplectic aphasia].

There were different emphasis between Chinese medicine and Western medicine in the study of apoplectic aphasia, the study of Chinese medicine lay particular emphasis on treatment with more interfering methods but lacking unifying evaluation criteria; while studies of Western medicine lay particular emphasis on studies of mechanisms, classification and language rehabilitation of aphasia, etc.. Selection and application of scientific study methods are key to attain expectation results of studies, and deeply make studies of apoplectic aphasia, so as to explore and establish the model of integrated Chinese and western medicine study of aphasia, promote rehabilitation of language function and increase life quality of the patient of apoplexy.

Aphasia↗

[Language development and play behavior of retarded children].

The relationship of symbolic play behavior, general cognitive functioning and language in 108 mentally retarded children was studied. Correlations between play and language measures were found with mental age partialed out. Clinical implications for planning language facilitation programs with mentally retarded children are discussed.

Child↗

A minority perspective in the diagnosis of child language disorders.

The effective diagnosis and treatment of persons from diverse minority language backgrounds has become an important issue in the field of speech and language pathology. Yet, many SLPs have had little or no formal training in minority language, there is a paucity of normative data on language acquisition in minority groups, and there are few standardized speech and language tests appropriate for these groups. We described a diagnostic process that addresses these problems. The diagnostic protocol we have proposed for a child from a Black English-speaking background characterizes many of the major issues in treating minority children. In summary, we proposed four assessment strategies: gathering referral source data; making direct observations; using standardized tests of non-speech and language behavior (cognition, perception, motor, etc.); and eliciting language samples and probes.

Black or African American↗

Assessing phonology in young children.

We have presented a discussion of three important concepts regarding early phonological assessment. The first is that the child's language level must be considered in collecting and analyzing a sample and in interpreting the results. For a child with age-level language abilities, the sample should consist of both a single-word test and a running speech sample; both independent and relational analyses are appropriate. For a child with delayed expressive language and a small productive vocabulary, a sample comprised of spontaneous productions is more appropriate. In this case, the sample should be analyzed in terms of sound classes and syllable and word shapes that occur; a phonological process analysis is inappropriate. Lexical selection patterns should be noted. The results of the analyses should be interpreted in view of the expectations for the child's language level. A child with a normally developing language system is expected to have more advanced phonology than a child of the same age with delayed language. Thus, a child with a large vocabulary and word combinations is expected to have an expanding phonological system, with a full range of sound classes and syllable and word shapes. If a child is delayed in language and is still within the first 50-word stage, the expectation is that the phonological system will be more limited. Critical features for the phonology of early productive vocabulary have been identified. Lack of one or more of these features is indicative of atypical phonological development at any age and language level. The second concept is that the phonological system as a whole must be considered. In particular, the analyses and expectations should be based on the presence or absence of sound classes and syllable shapes rather than on sounds per se. Lack of an entire class or syllable structure would be cause for concern; lack of a particular sound, even though it has been shown to be acquired early, would not be. Thus, lack of the entire fricative class at 36 months would be of concern, whereas errors on /f/, which according to Prather et al., 1975, is mastered by this age, would not be. The third important concept emerges from the case studies; both studies demonstrate that longitudinal assessment is necessary to document changing profiles over the course of development. A child such as David, who has a normal-but-delayed profile in language and phonology at one age, may subsequently exhibit atypical patterns as phonology and language dissociate.(ABSTRACT TRUNCATED AT 400 WORDS)

Articulation Disorders↗

Cleft palate. Intervention.

Results of recent investigations (O'Gara and Logemann, 1990; Estrem and Broen, 1989) indicate that the presence of an unrepaired cleft will influence a toddler's early phonologic development and lexical selectivity. Although additional information is needed to characterize the early vocalizations of children with cleft palate, the available findings underscore the need for early, aggressive speech-language intervention. The education and assistance in language stimulation provided to parents during a child's first year of life can minimize the deleterious effects of an unrepaired palate. Treatment for older children and adults with borderline VPI continues to pose management problems for the SLP. Although new palatal training strategies and tools have been developed and employed with some success, efficacy studies are needed to identify those patients who are likely to benefit from behavioral intervention and those who ultimately will require surgical management.

Child↗

Rehabilitation in cerebral palsy.

Cerebral palsy is the most frequent physical disability of childhood onset. Over the past four decades, prevalence has remained remarkably constant at 2 to 3 per 1,000 live births in industrialized countries. In this article I concentrate on the rehabilitation and outcome of patients with cerebral palsy. The epidemiologic, pathogenetic, and diagnostic aspects are highlighted briefly as they pertain to the planning and implementation of the rehabilitation process.

Cerebral Palsy↗

Relation between receptive language and cognitive maturity in persons with mental retardation.

We examined the correlations between receptive language level and performance on indices of nonverbal cognitive functioning for 20 persons with mental retardation and for 20 children without mental retardation matched to them on nonverbal MA. The correlations suggested that the retarded group focused on the formal, sequential properties of language. The correlations also suggested that the nondisabled group placed less emphasis on the formal, sequential properties of language and more on semantic, conceptual properties. These differences in approach may explain why the persons with mental retardation did poorly on the task of understanding spoken language compared to the children without mental retardation.

Adolescent↗

Speech-language habilitation of hearing-impaired children: basis for assessment and training.

Spoken language assessment and training for profoundly deaf children should be based on normal developmental sequences. However, existing models of normal speech/language development have not been able to account for shifts from one developmental level to another. The implications of more recent theories of the development of expressive communication are reviewed. The concept of levels of spoken language development is reevaluated in terms of these theories. It is proposed that the developmental landmarks that initiate each level are a product of changes with growth in underlying subsystems. Some of these changes are specific to motor subsystems, but in addition, the interaction of motor, cognitive, linguistic, and social domains is stressed. The implications of these findings for development of assessment procedures and speech/language training programs is summarized.

Child Behavior↗

[Characteristics of speech disorders in patients with early infantile autism of endogenous etiology].

The paper is concerned with a study into the characteristic features of language pathology in children with early infantile autism of the process genesis. 68 patients with early infantile autism were entered into the study. The language as the earliest function of the central nervous system may suffer first of all. Language disorders of varying pathogenetic levels consequent on retarded development, catatonic disorders, mental regression, and pathology of the associative process have been revealed. Measures aimed at language pathology rehabilitation have been elaborated.

Autistic Disorder↗

Multielectrode cochlear implantation in children: the Quebec experience.

The Quebec Cochlear Implant Research Program has implanted three children since August 1987. This paper reports the results obtained with these children. All of them improved their auditory abilities with cochlear implantation and training. However, the abilities which spontaneously recovered following implantation, the speed of improvement, and the overall level of performance are different from one child to the other. Our data suggest that the age at onset of hearing loss, and possibly the number of years of deafness, may be related to the differences in performance.

Age Factors↗

Sentence level auditory comprehension treatment program for aphasic adults.

The purpose of this study was to investigate whether a newly developed sentence level auditory comprehension (SLAC) treatment program could be used to improve language comprehension test scores in adults with chronic aphasia. Results indicate that the SLAC treatment program can be used with chronic patients; performance on a standardized test (the Token Test) was improved after treatment; and improved performance could not be predicted from either anatomic CT scan lesion sites or pretreatment test scores. One advantage to the SLAC treatment program is that the patient can practice listening independently with a tape recorder device (Language Master) and earphones either in the hospital or at home.

Aphasia↗

Cueing verbs: a treatment strategy for aphasic adults (CVT).

This investigation demonstrated that the treatment protocol, "Cueing Verbs: A Treatment Strategy for Aphasic Adults" (hereafter referred to as CVT), was an effective rehabilitation technique. Specifically, this CVT was shown to be beneficial with marked/moderate to mild fluent aphasic adults. Additionally, the study addressed such issues as optimal treatment frequencies, treatment initiation and termination points, and criteria for success and failure. Finally, the six-tier hierarchy of treatment levels are presented with all variables operationally defined.

Aged↗

[Early education and social rehabilitation of young trisomic children].

The early education of the trisomic child, through simple and often repeated advice, makes it possible to avoid the recurrence of educational errors linked to parental uncertainties. Such an educational package, presented in the form of games and play, should be implemented very early, and if possible before the sixth month. Linguistic work will cover the aspects of psychomotor awakening, the preparation of pre-language, the acquisition of the landmarks that are essential for any form of communication and practical advice to the mother. The initial stage of social rehabilitation involves the integration of the child in its own family. Between the age of 18 months and 3 years, a social evolution with a regular rhythm is proposed thanks to the possibilities offered by crèches and day-care centres. Around the age of 3 years old, school becomes the logical next step towards such rehabilitation.

Child↗

Language intervention at schools: changing orientations within the South African context.

The role of the speech therapist in the school has changed drastically over the last decade. The reasons for these changes originate from a growing realisation of the importance of contextualising intervention within a particular community. This article aims at providing an analysis of the present school population in South Africa with specific reference to the Black schools as a basis for discussion on the role of the speech and language therapist within this context. The problems of second language learning and teaching are highlighted and the role of the language therapist as a consultant within the Black school system is emphasized.

Black or African American↗