Linguistic and auditory processing skills in non-syndromic children with cleft palate: A scoping review.

Auditory processing difficulties Cleft lip and palate Language disorder Reading difficulties

Journal

Journal of communication disorders
ISSN: 1873-7994
Titre abrégé: J Commun Disord
Pays: United States
ID NLM: 0260316

Informations de publication

Date de publication:
Historique:
received: 03 08 2019
revised: 26 05 2020
accepted: 30 05 2020
pubmed: 28 7 2020
medline: 18 9 2021
entrez: 27 7 2020
Statut: ppublish

Résumé

Cleft lip and/or palate (CL/P) is the most common congenital craniofacial condition. Children born with CL/P are at increased risk of persistent speech difficulties related to velopharyngeal incompetence (VPI) and compensatory articulation problems. It has also been reported that they achieve poorer results academically than their peers. There is a further body of evidence to suggest delayed language skills. These potentially related outcomes are often reported separately. To review published and unpublished research into the nature of difficulties related to spoken and written language across all non-syndromic cleft diagnoses. To review any evidence of associations between comorbidities. A scoping review was carried out in October 2016 and updated in June 2019 following published methodology (Arksey & O'Malley, 2005; Levac et al. 2010). A search of the literature over the two time points found 38 papers in total. Three main themes were found: oral language skills, reading and auditory processing difficulties. There is evidence of early language delay in children born with CL/P. Evidence of persistent oral language problems is less conclusive. Many studies have reported scores within the average range for language, auditory processing and reading but poorer outcomes when compared to non-cleft control groups. However, studies have used a range of outcome measures, making comparisons difficult. Moreover there is no clear evidence how these difficulties might relate to speech outcomes or educational achievement and no comparison to other populations with speech, language and communication needs (SLCN).

Sections du résumé

BACKGROUND
Cleft lip and/or palate (CL/P) is the most common congenital craniofacial condition. Children born with CL/P are at increased risk of persistent speech difficulties related to velopharyngeal incompetence (VPI) and compensatory articulation problems. It has also been reported that they achieve poorer results academically than their peers. There is a further body of evidence to suggest delayed language skills. These potentially related outcomes are often reported separately.
AIM
To review published and unpublished research into the nature of difficulties related to spoken and written language across all non-syndromic cleft diagnoses. To review any evidence of associations between comorbidities.
METHOD
A scoping review was carried out in October 2016 and updated in June 2019 following published methodology (Arksey & O'Malley, 2005; Levac et al. 2010).
RESULTS
A search of the literature over the two time points found 38 papers in total. Three main themes were found: oral language skills, reading and auditory processing difficulties.
CONCLUSIONS
There is evidence of early language delay in children born with CL/P. Evidence of persistent oral language problems is less conclusive. Many studies have reported scores within the average range for language, auditory processing and reading but poorer outcomes when compared to non-cleft control groups. However, studies have used a range of outcome measures, making comparisons difficult. Moreover there is no clear evidence how these difficulties might relate to speech outcomes or educational achievement and no comparison to other populations with speech, language and communication needs (SLCN).

Identifiants

pubmed: 32712335
pii: S0021-9924(20)30097-6
doi: 10.1016/j.jcomdis.2020.106029
pii:
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

106029

Subventions

Organisme : Department of Health
ID : ICA-CDRF-2017-03-002
Pays : United Kingdom

Informations de copyright

Crown Copyright © 2020. Published by Elsevier Inc. All rights reserved.

Auteurs

Stephanie van Eeden (S)

School of Education, Communication and Language Sciences, Newcastle University, King George VIth Building, Queen Victoria Road, Newcastle upon Tyne, NE1 7RU, United Kingdom; Regional Cleft Lip and Palate Service, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, United Kingdom. Electronic address: s.van-eeden2@newcastle.ac.uk.

Helen Stringer (H)

School of Education, Communication and Language Sciences, Newcastle University, King George VIth Building, Queen Victoria Road, Newcastle upon Tyne, NE1 7RU, United Kingdom. Electronic address: helen.stringer@newcastle.ac.uk.

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