ABSTRACT

Aims

This study investigated the occurrence of speech-language disorders during the acute phase of recovery in children with acquired brain injury (ABI) with an age between 0 and 16 years.

Methods

A retrospective chart analysis was performed including 228 children (n = 118 boys, n = 110 girls) who consecutively presented with ABI over a 10-year period (2006–2016) at the children’s rehabilitation center at Ghent University Hospital. Descriptive statistical analyses were applied.

Results

71.1% (162/228) of the children who were admitted to the rehabilitation center presented with a speech-language disorder. Within this sample (n = 162), results demonstrated the occurrence of acquired disorders in language (48.9%), speech (35.1%), learning (33.3%), swallowing (21.5%), and early communicative functions (17.4%). The proportion of children presenting with disturbances in early communicative functions differed by ABI cause. More than half (10/18, 58.8%) of the children who presented with ABI following inflammatory processes demonstrated disorders in early communicative functions.

Conclusions

Especially in young children who present with inflammatory processes as the ABI cause, speech-language pathologists (SLPs) must be aware of disorders in early speech-language development. The present findings allow the SLP to appropriately plan research, education, and clinical management.

中文翻译：

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儿童获得性脑损伤后急性期言语语言障碍的发生：来自根特大学医院的结果

摘要

宗旨

本研究调查了年龄在 0 至 16 岁之间的获得性脑损伤 (ABI) 儿童在恢复的急性期发生的言语语言障碍。

方法

对 228 名儿童（n = 118 男孩，n = 110 女孩）进行了回顾性图表分析，这些儿童在根特大学医院儿童康复中心的 10 年期间（2006-2016 年）连续出现 ABI。应用描述性统计分析。

结果

71.1% (162/228) 进入康复中心的儿童出现语言障碍。在这个样本 ( n = 162) 中，结果表明在语言 (48.9%)、言语 (35.1%)、学习 (33.3%)、吞咽 (21.5%) 和早期交流功能 (17.4%) 方面发生了获得性障碍。出现早期交流功能障碍的儿童比例因 ABI 原因而异。在炎症过程后出现 ABI 的儿童中，超过一半 (10/18, 58.8%) 表现出早期交流功能障碍。

结论

特别是在以炎症过程作为 ABI 原因的幼儿中，语言病理学家 (SLP) 必须意识到早期语言发育的障碍。目前的研究结果使 SLP 能够适当地规划研究、教育和临床管理。