Çocuklarda Dil ve Konuşma Bozuklukları - Nörolojik Yaklaşım
Özet
Çocuklarda dil ve konuşma bozuklukları; zeka, sosyal çevre ve eğitimle doğrudan ilişkili karmaşık gelişimsel süreçlerdir. Tanı süreci, kapsamlı bir öykü ve fiziksel muayene eşliğinde dil bozuklukları, akıcılık sorunları, motor konuşma bozuklukları ve afazi gibi kategorilerin ayırıcı tanısını gerektirir. Tedavi yaklaşımları, altta yatan nedene göre şekillenen konuşma terapisi, ev yönetimi ve destekleyici müdahaleleri kapsayan multidisipliner bir yapıdadır. Erken teşhis ve profesyonel müdahale, çocuğun akademik başarısı ve sosyal yetkinliğinin korunmasında en belirleyici unsurdur.
Language and speech disorders in children are complex processes inherently linked to cognitive development, social environment, and education. Diagnosis involves detailed clinical history and physical examination, necessitating the differentiation between language impairments, fluency disorders, motor speech issues, and aphasia. Treatment strategies require a multidisciplinary approach that integrates professional speech therapy, home-based management, and pharmacological support tailored to the specific diagnosis. Early detection and intervention remain critical factors in preserving the child's academic performance and long-term social well-being.
Referanslar
Bishop DVM, McDonald D. Identifying language impairment in children: combining language test scores with parental report. Int J Lang Commun Disord. 2009;44(5):600-615. doi:10.1080/13682820802259662
Tomblin JB, Records NL, Buckwalter P, Zhang X, Smith E, O’Brien M. Prevalence of specific language impairment in kindergarten children. J Speech Lang Hear Res. 1997;40(6):1245-1260. doi:10.1044/jslhr.4006.1245
Shriberg LD, Fourakis M, Hall SD, et al. Extensions to the Speech Disorders Classification System (SDCS). Clin Linguist Phon. 2010;24(10):795-824. doi:10.3109/02699206.2010.503006
Norbury CF, Gooch D, Wray C, et al. The impact of nonverbal ability on prevalence and clinical presentation of language disorder: evidence from a population study. J Child Psychol Psychiatry. 2016;57(11):1247-1257. doi:10.1111/jcpp.12573
Falcaro M, Pickles A, Newbury DF, et al. Genetic and phenotypic effects of phonological short-term memory and grammatical morphology in specific language impairment. Genes Brain Behav. 2008;7(4):393-402. doi:10.1111/j.1601-183X.2007.00364.x
Newbury DF, Winchester L, Addis L, et al. CMIP and ATP2C2 modulate phonological short-term memory in language impairment. Am J Hum Genet. 2009;85(2):264-272. doi:10.1016/j.ajhg.2009.07.004
Reilly S, Tomblin B, Law J, et al. Specific language impairment: a convenient label for whom? Int J Lang Commun Disord. 2014;49(4):416-451. doi:10.1111/1460-6984.12102
Leonard LB, Deevy P. Tense and aspect in sentence interpretation by children with specific language impairment. J Child Lang. 2010;37(2):395-418. doi:10.1017/S0305000909990018
Rice ML, Tomblin JB, Hoffman L, Richman WA, Marquis J. Grammatical tense deficits in children with SLI and nonspecific language impairment: relationships with nonverbal IQ over time. J Speech Lang Hear Res. 2004;47(4):816-834. doi:10.1044/1092-4388(2004/061)
Archibald LMD, Joanisse MF. On the sensitivity and specificity of nonword repetition and sentence recall to language and memory impairments in children. J Speech Lang Hear Res. 2009;52(4):899-914. doi:10.1044/1092-4388(2009/08-0099)
Balthazar CH, Scott CM. Targeting Complex Sentences in Older School Children With Specific Language Impairment: Results From an Early-Phase Treatment Study. J Speech Lang Hear Res. 2018;61(3):713-728. doi:10.1044/2017_JSLHR-L-17-0105
McLaughlin MR. Speech and language delay in children. Am Fam Physician. 2011;83(10):1183-1188.
Burden V, Stott CM, Forge J, Goodyer I. The Cambridge Language and Speech Project (CLASP). I . Detection of language difficulties at 36 to 39 months. Dev Med Child Neurol. 1996;38(7):613-631. doi:10.1111/j.1469-8749.1996.tb12126.x
Silva PA, McGee R, Williams SM. Developmental language delay from three to seven years and its significance for low intelligence and reading difficulties at age seven. Dev Med Child Neurol. 1983;25(6):783-793. doi:10.1111/j.1469-8749.1983.tb13847.x
Stern LM, Connell TM, Lee M, Greenwood G. The Adelaide preschool language unit: results of follow-up. J Paediatr Child Health. 1995;31(3):207-212. doi:10.1111/j.1440-1754.1995.tb00787.x
Rescorla L. Age 17 language and reading outcomes in late-talking toddlers: support for a dimensional perspective on language delay. J Speech Lang Hear Res. 2009;52(1):16-30. doi:10.1044/1092-4388(2008/07-0171)
Rescorla L. Age 13 language and reading outcomes in late-talking toddlers. J Speech Lang Hear Res. 2005;48(2):459-472. doi:10.1044/1092-4388(2005/031)
Catts HW, Fey ME, Tomblin JB, Zhang X. A longitudinal investigation of reading outcomes in children with language impairments. J Speech Lang Hear Res. 2002;45(6):1142-1157. doi:10.1044/1092-4388(2002/093)
Snowling MJ, Bishop DVM, Stothard SE, Chipchase B, Kaplan C. Psychosocial outcomes at 15 years of children with a preschool history of speech-language impairment. J Child Psychol Psychiatry. 2006;47(8):759-765. doi:10.1111/j.1469-7610.2006.01631.x
Nelson HD, Nygren P, Walker M, Panoscha R. Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force. Pediatrics. 2006;117(2):e298-319. doi:10.1542/peds.2005-1467
Grigorenko EL. Speaking genes or genes for speaking? Deciphering the genetics of speech and language. J Child Psychol Psychiatry. 2009;50(1-2):116-125. doi:10.1111/j.1469-7610.2008.02006.x
Snowling MJ, Melby-Lervåg M. Oral language deficits in familial dyslexia: A meta-analysis and review. Psychol Bull. 2016;142(5):498-545. doi:10.1037/bul0000037
Schum RL. Language screening in the pediatric office setting. Pediatr Clin North Am. 2007;54(3):425-436, v. doi:10.1016/j.pcl.2007.02.010
Coplan J. Evaluation of the child with delayed speech or language. Pediatr Ann. 1985;14(3):203-208. doi:10.3928/0090-4481-19850301-05
Roulstone S, Peters TJ, Glogowska M, Enderby P. A 12-month follow-up of preschool children investigating the natural history of speech and language delay. Child Care Health Dev. 2003;29(4):245-255. doi:10.1046/j.1365-2214.2003.00339.x
Law J, Garrett Z, Nye C. Speech and language therapy interventions for children with primary speech and language delay or disorder. Cochrane database Syst Rev. 2003;(3):CD004110. doi:10.1002/14651858.CD004110
Feldman HM. How Young Children Learn Language and Speech. Pediatr Rev. 2019;40(8):398-411. doi:10.1542/pir.2017-0325
McRae KM, Vickar E. Simple developmental speech delay: a follow-up study. Dev Med Child Neurol. 1991;33(10):868-874. doi:10.1111/j.1469-8749.1991.tb14795.x
Barbu S, Nardy A, Chevrot J-P, et al. Sex Differences in Language Across Early Childhood: Family Socioeconomic Status does not Impact Boys and Girls Equally. Front Psychol. 2015;6:1874. doi:10.3389/fpsyg.2015.01874
Hoff E, Core C. Input and language development in bilingually developing children. Semin Speech Lang. 2013;34(4):215-226. doi:10.1055/s-0033-1353448
Paradise JL, Feldman HM, Campbell TF, et al. Effect of early or delayed insertion of tympanostomy tubes for persistent otitis media on developmental outcomes at the age of three years. N Engl J Med. 2001;344(16):1179-1187. doi:10.1056/NEJM200104193441601
Paradise JL, Rockette HE, Colborn DK, et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics. 1997;99(3):318-333. doi:10.1542/peds.99.3.318
Baird G, Norbury CF. Social (pragmatic) communication disorders and autism spectrum disorder. Arch Dis Child. 2016;101(8):745-751. doi:10.1136/archdischild-2014-306944
Simms MD, Jin XM. Autism, Language Disorder, and Social (Pragmatic) Communication Disorder: DSM-V and Differential Diagnoses. Pediatr Rev. 2015;36(8):355-362; quiz 363. doi:10.1542/pir.36-8-355
Avila L, Riesgo R, Pedroso F, et al. Language and focal brain lesion in childhood. J Child Neurol. 2010;25(7):829-833. doi:10.1177/0883073809350724
Dávila G, Moyano MP, Edelkraut L, et al. Pharmacotherapy of Traumatic Childhood Aphasia: Beneficial Effects of Donepezil Alone and Combined With Intensive Naming Therapy. Front Pharmacol. 2020;11:1144. doi:10.3389/fphar.2020.01144
Kozuka J, Uno A, Matsuda H, Toyoshima Y, Hamano S-I. Relationship between the change of language symptoms and the change of regional cerebral blood flow in the recovery process of two children with acquired aphasia. Brain Dev. 2017;39(6):493-505. doi:10.1016/j.braindev.2017.01.002
Van Hout A. Acquired aphasia in children. Semin Pediatr Neurol. 1997;4(2):102-108. doi:10.1016/s1071-9091(97)80026-5
Cranberg LD, Filley CM, Hart EJ, Alexander MP. Acquired aphasia in childhood: clinical and CT investigations. Neurology. 1987;37(7):1165-1172. doi:10.1212/wnl.37.7.1165
Woods BT, Carey S. Language deficits after apparent clinical recovery from childhood aphasia. Ann Neurol. 1979;6(5):405-409. doi:10.1002/ana.410060505
Demir-Lira ÖE, Levine SC. Reading Development in Typically Developing Children and Children With Prenatal or Perinatal Brain Lesions: Differential School Year and Summer Growth. J Cogn Dev Off J Cogn Dev Soc. 2016;17(4):596-619. doi:10.1080/15248372.2016.1200049
Neumann K, Euler HA, Bosshardt H-G, Cook S, Sandrieser P, Sommer M. The Pathogenesis, Assessment and Treatment of Speech Fluency Disorders. Dtsch Arztebl Int. 2017;114(22-23):383-390. doi:10.3238/arztebl.2017.0383
First MB, Gaebel W, Maj M, et al. An organization- and category-level comparison of diagnostic requirements for mental disorders in ICD-11 and DSM-5. World Psychiatry. 2021;20(1):34-51. doi:10.1002/wps.20825
Mulligan HF, Anderson TJ, Jones RD, Williams MJ, Donaldson IM. Tics and developmental stuttering. Parkinsonism Relat Disord. 2003;9(5):281-289. doi:10.1016/s1353-8020(03)00002-6
Riva-Posse P, Busto-Marolt L, Schteinschnaider A, Martinez-Echenique L, Cammarota A, Merello M. Phenomenology of abnormal movements in stuttering. Parkinsonism Relat Disord. 2008;14(5):415-419. doi:10.1016/j.parkreldis.2007.11.006
Craig A, Hancock K, Tran Y, Craig M, Peters K. Epidemiology of stuttering in the community across the entire life span. J Speech Lang Hear Res. 2002;45(6):1097-1105. doi:10.1044/1092-4388(2002/088)
Dworzynski K, Remington A, Rijsdijk F, Howell P, Plomin R. Genetic etiology in cases of recovered and persistent stuttering in an unselected, longitudinal sample of young twins. Am J speech-language Pathol. 2007;16(2):169-178. doi:10.1044/1058-0360(2007/021)
Walsh B, Usler E, Bostian A, et al. What Are Predictors for Persistence in Childhood Stuttering? Semin Speech Lang. 2018;39(4):299-312. doi:10.1055/s-0038-1667159
Theys C, van Wieringen A, De Nil LF. A clinician survey of speech and non-speech characteristics of neurogenic stuttering. J Fluency Disord. 2008;33(1):1-23. doi:10.1016/j.jfludis.2007.09.001
Jones M, Onslow M, Packman A, et al. Randomised controlled trial of the Lidcombe programme of early stuttering intervention. BMJ. 2005;331(7518):659. doi:10.1136/bmj.38520.451840.E0
Bothe AK, Davidow JH, Bramlett RE, Ingham RJ. Stuttering treatment research 1970-2005: I. Systematic review incorporating trial quality assessment of behavioral, cognitive, and related approaches. Am J speech-language Pathol. 2006;15(4):321-341. doi:10.1044/1058-0360(2006/031)
Menzies RG, O’Brian S, Onslow M, Packman A, St Clare T, Block S. An experimental clinical trial of a cognitive-behavior therapy package for chronic stuttering. J Speech Lang Hear Res. 2008;51(6):1451-1464. doi:10.1044/1092-4388(2008/07-0070)
Maguire GA, Nguyen DL, Simonson KC, Kurz TL. The Pharmacologic Treatment of Stuttering and Its Neuropharmacologic Basis. Front Neurosci. 2020;14:158. doi:10.3389/fnins.2020.00158
Kaipa R, Peterson AM. A systematic review of treatment intensity in speech disorders. Int J Speech Lang Pathol. 2016;18(6):507-520. doi:10.3109/17549507.2015.1126640
Fonville S, van der Worp HB, Maat P, Aldenhoven M, Algra A, van Gijn J. Accuracy and inter-observer variation in the classification of dysarthria from speech recordings. J Neurol. 2008;255(10):1545-1548. doi:10.1007/s00415-008-0978-4
Terband H, Maassen B, Guenther FH, Brumberg J. Auditory-motor interactions in pediatric motor speech disorders: neurocomputational modeling of disordered development. J Commun Disord. 2014;47:17-33. doi:10.1016/j.jcomdis.2014.01.001
Spencer KA, France AA. Perceptual ratings of subgroups of ataxic dysarthria. Int J Lang Commun Disord. 2016;51(4):430-441. doi:10.1111/1460-6984.12219
Tomik B, Guiloff RJ. Dysarthria in amyotrophic lateral sclerosis: A review. Amyotroph lateral Scler Off Publ World Fed Neurol Res Gr Mot Neuron Dis. 2010;11(1-2):4-15. doi:10.3109/17482960802379004
Enderby P. Disorders of communication: dysarthria. Handb Clin Neurol. 2013;110:273-281. doi:10.1016/B978-0-444-52901-5.00022-8
Shakibayi MI, Zarifian T, Zanjari N. Speech characteristics of childhood apraxia of speech: A survey research. Int J Pediatr Otorhinolaryngol. 2019;126:109609. doi:10.1016/j.ijporl.2019.109609
Shriberg LD, Kwiatkowski J, Mabie HL. Estimates of the prevalence of motor speech disorders in children with idiopathic speech delay. Clin Linguist Phon. 2019;33(8):679-706. doi:10.1080/02699206.2019.1595731
Forrest K. Diagnostic criteria of developmental apraxia of speech used by clinical speech-language pathologists. Am J speech-language Pathol. 2003;12(3):376-380. doi:10.1044/1058-0360(2003/083)
Allison KM, Cordella C, Iuzzini-Seigel J, Green JR. Differential Diagnosis of Apraxia of Speech in Children and Adults: A Scoping Review. J Speech Lang Hear Res. 2020;63(9):2952-2994. doi:10.1044/2020_JSLHR-20-00061
Murray E, McCabe P, Heard R, Ballard KJ. Differential diagnosis of children with suspected childhood apraxia of speech. J Speech Lang Hear Res. 2015;58(1):43-60. doi:10.1044/2014_JSLHR-S-12-0358
Maas E, Butalla CE, Farinella KA. Feedback frequency in treatment for childhood apraxia of speech. Am J speech-language Pathol. 2012;21(3):239-257. doi:10.1044/1058-0360(2012/11-0119)
Edeal DM, Gildersleeve-Neumann CE. The importance of production frequency in therapy for childhood apraxia of speech. Am J speech-language Pathol. 2011;20(2):95-110. doi:10.1044/1058-0360(2011/09-0005)
Dell GS, Reed KD, Adams DR, Meyer AS. Speech errors, phonotactic constraints, and implicit learning: a study of the role of experience in language production. J Exp Psychol Learn Mem Cogn. 2000;26(6):1355-1367. doi:10.1037//0278-7393.26.6.1355
Turner SJ, Mayes AK, Verhoeven A, Mandelstam SA, Morgan AT, Scheffer IE. GRIN2A: an aptly named gene for speech dysfunction. Neurology. 2015;84(6):586-593. doi:10.1212/WNL.0000000000001228
Lai CS, Fisher SE, Hurst JA, Vargha-Khadem F, Monaco AP. A forkhead-domain gene is mutated in a severe speech and language disorder. Nature. 2001;413(6855):519-523. doi:10.1038/35097076
Roll P, Rudolf G, Pereira S, et al. SRPX2 mutations in disorders of language cortex and cognition. Hum Mol Genet. 2006;15(7):1195-1207. doi:10.1093/hmg/ddl035
Pal DK. Epilepsy and neurodevelopmental disorders of language. Curr Opin Neurol. 2011;24(2):126-131. doi:10.1097/WCO.0b013e328344634a