Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Mar 22;5(1):33-37.
doi: 10.1002/ped4.12250. eCollection 2021 Mar.

Global and communicative development skills in preschool children with cleft lip and palate

Mayalle Rocha Bonfim Jurado  1 , Maria Gabriela Cavalheiro  2 , Camila de Castro Corrêa  3   4 , Melina Evangelista Whitaker  2 , Simone Rocha de Vasconcelos Hage  1 , Dionísia Aparecida Cusin Lamônica  1 , Luciana Paula Maximino  1   2
Affiliations

Global and communicative development skills in preschool children with cleft lip and palate

Mayalle Rocha Bonfim Jurado et al. Pediatr Investig. .

Abstract

Importance: Cleft lip and palate (CLP) is globally among the most common childhood malformations. This disorder impacts childhood development, including speech and language, and affects children worldwide.

Objective: To analyze child development skills (adaptive fine motor, gross motor, personal-social, and language) in preschool children with isolated CLP compared with children without this malformation.

Methods: The participants included an experimental group of 27 children with isolated CLP and a comparison group of 27 children without CLP aged between 48 and 59 months. The groups were evaluated using two instruments: the Denver Developmental Screening Test II (DDST-II) and the Avaliação do Desenvolvimento da Linguagem (ADL-Language Development Assessment). Data were analyzed by descriptive and inductive analyses, using the Student's t-test and the Mann-Whitney test, at a significance level of P ˂ 0.05.

Results: All children in the comparison group performed within normal standards for their age range in the DDST-II and the ADL. The worst performance in the experimental group was observed in language skills, followed, in declining order, by adaptive fine motor, personal-social, and gross motor as measured by the DDST-II. Children with isolated CLP also performed poorly in receptive, expressive, and global language in the ADL. No statistically significant differences were observed in the experimental group's scores for the ADL and the DDST-II.

Interpretation: Developmental skill levels were below expectations for children of this age with isolated CLP.

Keywords: Child; Cleft lip and palate; Language; Preschool.

PubMed Disclaimer

Conflict of interest statement

None.

References

    1. De Bodt M, Van Lierde K. Cleft palate speech and velopharyngeal dysfunction: the approach of the speech therapist. B‐ENT. 2006;2 Suppl 4:63‐70. - PubMed
    1. Hardin‐Jones MA, Chapman KL, Wright J, Halter KA, Schulte J, Dean JA, et al. The impact of early palatal obturation on consonant development in babies with unrepaired cleft palate. Cleft Palate Craniofac J. 2002;39:157‐163. - PubMed
    1. Chapman KL. The relationship between early reading skills and speech and language performance in young children with cleft lip and palate. Cleft Palate Craniofac J. 2011;48:301‐311. - PubMed
    1. Schuster M, Maier A, Haderlein T, Nkenke E, Wohlleben U, Rosanowski F, et al. Evaluation of speech intelligibility for children with cleft lip and palate by means of automatic speech recognition. Int J Pediatr Otorhinolaryngol. 2006;70:1741‐1747. - PubMed
    1. Kuehn DP, Moller KT. Speech and language issues in the cleft palate population: The state of the art. Cleft Palate Craniofac J. 2000;37:348.

LinkOut - more resources