Logo image
Speech Impairment in Boys With Fetal Alcohol Spectrum Disorders
Journal article   Open access   Peer reviewed

Speech Impairment in Boys With Fetal Alcohol Spectrum Disorders

Hayo Terband, Manon Spruit and Ben Maassen
American journal of speech-language pathology, Vol.27(4), pp.1405-1425
11/01/2018
DOI: 10.1044/2018_AJSLP-17-0013
PMID: 30398563
url
https://doi.org/10.1044/2018_AJSLP-17-0013View
Published (Version of record) Open Access

Abstract

Background: Fetal alcohol spectrum disorders (FASD) are a highly prevalent spectrum of patterns of congenital defects resulting from prenatal exposure to alcohol. Approximately 90% of the cases involve speech impairment. Yet, to date, no detailed symptom profiles nor dedicated treatment plans are available for this population. Purpose: This study set out to chart the speech and speech motor characteristics in boys with FASD to profile the concomitant speech impairment and identify possible underlying mechanisms. Method: Ten boys with FASD (4.5-10.3 years old) and 26 typically developing children (4.1-8.7 years old; 14 boys, 12 girls) participated in the study. Speech production and perception, and oral motor data were collected by standardized tests. Results: The boys with FASD showed reduced scores on all tasks as well as a deviant pattern of correlations between production and perception tasks and intelligibility compared with the typically developing children. Speech motor profiles showed specific problems with nonword repetition and tongue control. Conclusions: Findings indicate that the speech impairment in boys with FASD results from a combination of deficits in multiple subsystems and should be approached as a disorder rather than a developmental delay. The results suggest that reduced speech motor planning/programming, auditory discrimination, and oral motor abilities should be considered in long-term, individually tailored treatment.
Audiology & Speech-Language Pathology Life Sciences & Biomedicine Linguistics Rehabilitation Science & Technology Social Sciences

Details

Metrics

Logo image