| Objective:To analyze the correlation of language development level with types of cerebral palsy (CP) and gross motor function in children with CP.Methods:The children with CP treated in Qingdao Women and Children's Hospital from January 2012 to January 2013 were assessed with Gross Motor Function Classification System (GMFCS),and Sign-Significate Language Development Test.The retardation rate and severity of language reception and expression as well as their relationships with the CP types and GMFCS levels were explored.Results:Among 113 cases,42 were in GMFCS levels Ⅰ and Ⅱ,27 in Ⅲ,and 44 in Ⅳ and Ⅴ.Most children with hemiplegia belonged to the mild movement disorders:18.75% delay in language reception and 37.5% delay in language expression.Of the children with spastic diplegia,half were for mild dyskinesia and half for moderate and severe dyskinesia:28/42 (66.67%) delay in language reception and 35(83.33%) delay in language expression.Spastic quadriplegia,ataxia,dyskinetic and mixed types of CP were mainly associated with moderate and severe dyskinesia: 88.89%,75.00%,91.67%,71.43% delay in language development respectively.The children with dyskinetic and mixed types of CP had obviously better language reception than expression (P<0.05 for all),however,delay in language reception and expression was fair.There was a positive correlation between language retardation rate and GMFCS levels in children with CP (r=0.402 and 0.389 for language reception and expression respectively,P<0.01).Conclusions:Language reception and/or expression retardation are common in children with CP and the incidence and severity are also associated with CP types as well as the GMFCS levels.Planning appropriate language therapeutic intervention is therefore vital,especially for children with spastic quadriplegia,dyskinetic,mixed types of CP and those with GMFCS levels of Ⅲ to V. |
