Ann Rehabil Med.  2017 Oct;41(5):836-842. 10.5535/arm.2017.41.5.836.

Speech and Linguistic Features of Children With Articulation Disorder

• Kim J
• Kim SW
• Jeon HR
• Woo MR
• Kim HI

• KMID: 2440811
• DOI: http://doi.org/10.5535/arm.2017.41.5.836

Abstract

OBJECTIVE
To analyze speech and linguistic features in children with articulation disorder characterized by consonant and vowel phonological errors.
METHODS
Between February 2007 and June 2015, 117 children who showed articulation disorder were selected for the study. Based on comprehensive speech and language assessments, the subjects were classified into articulation dysfunction (AD), or AD overlapping with language delay. Detailed information of articulation, including percentage of consonants correct (PCC) and normal percentage of variable consonants derived from the Assessment of Phonology and Articulation for Children test, were compared between the two groups.
RESULTS
Totally, 55 children were diagnosed as AD and 62 as AD with language delay. Mean PCC was not significantly different between the two groups. In both groups, the acquisition order of consonants followed the universal developmental sequence. However, differences were observed in the nasal & plosive consonants abnormality between the two groups. When adjusted to their delayed language level in AD with language delay group, 53% of children had appropriate articulation function for their expressive language level.
CONCLUSION
Speech and linguistic characteristics in children with articulation disorder were variable. Therefore, comprehensive assessment is required in children with inaccurate pronunciation, and a proper treatment plan based on the results of assessment should be followed.

Keyword

Childhood; Articulation disorders; Developmental language disorders

MeSH Terms

Articulation Disorders*
Child*
Humans
Language Development Disorders
Linguistics*

Figure

• 

  Fig. 1 The percentage of normal consonants per total number of each consonant, according to age and diagnosis. The acquisition of consonants was following the universal sequence of development in both groups. The percentage of normal plosive and affricate consonants per total number of each consonants was more in AD with language delay group than in AD group, in the age group of 60–71 months (p=0.025 in plosive and p=0.012 in affricate). AD, articulation dysfunction. *p<0.05 indicates values significantly difference from those of AD and AD with language delay group.

Reference

1. Stevenson J, Richman N. The prevalence of language delay in a population of three-year-old children and its association with general retardation. Dev Med Child Neurol. 1976; 18:431–441. PMID: 955307.

2. Beitchman JH, Nair R, Clegg M, Patel PG, Ferguson B, Pressman E, et al. Prevalence of speech and language disorders in 5-year-old kindergarten children in the Ottawa-Carleton region. J Speech Hear Disord. 1986; 51:98–110. PMID: 3702369.

3. 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; 40:1245–1260. PMID: 9430746.

4. Coplan J, Gleason JR. Unclear speech: recognition and significance of unintelligible speech in preschool children. Pediatrics. 1988; 82(3 Pt 2):447–452. PMID: 3405680.

5. Law J, Boyle J, Harris F, Harkness A, Nye C. Screening for speech and language delay: a systematic review of the literature. Health Technol Assess. 1998; 2:1–184.

6. Shriberg LD, Kwiatkowski J. Developmental phonological disorders. I. A clinical profile. J Speech Hear Res. 1994; 37:1100–1126. PMID: 7823556.

7. Ruscello DM. Treating articulation and phonological disorders in children. 3rd ed. St. Louis, MO: Mosby;2008.

8. Kim SW, Jeon HR, Park EJ, Kim HI, Jung DW, Woo MR. The usefulness of M-B CDI-K short form as screening test in children with language developmental delay. Ann Rehabil Med. 2014; 38:376–380. PMID: 25024962.

9. Kim YT, Kim KH, Yoon HR, Kim WS. Sequenced Language Scale for Infants (SELSI). Seoul: Special Education Publication Co.;2003.

10. Kim YT, Sung TJ, Lee YK. Preschool Receptive-Expressive Language Scale (PRES). Seoul: Seoul Welfare Center for People with Disabilities;2003.

11. Yoo HJ, Kim HH, Kim WS, Shin JC. Articulation ability and phonological process in multicultural family children. Speech Sci. 2008; 15:133–144.

12. Kim MJ, Pae SY, Park CI. Assessment of Phonology and Articulation for Children (APAC). Seoul: Human Brain Research & Consulting;2005.

13. Sharp HM, Hillenbrand K. Speech and language development and disorders in children. Pediatr Clin North Am. 2008; 55:1159–1173. PMID: 18929058.

14. Beitchman JH, Wilson B, Johnson CJ, Atkinson L, Young A, Adlaf E, et al. Fourteen-year follow-up of speech/language-impaired and control children: psychiatric outcome. J Am Acad Child Adolesc Psychiatry. 2001; 40:75–82. PMID: 11195567.

15. 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; CD004110.

16. Kwon JY, Kim JS, Woo AM, Kim HJ, Chung ME, Kim HS, et al. Diagnosis of speech disorder and language developmental delay in Korean preschoolers. J Korean Acad Rehabil Med. 2006; 30:309–314.

17. Tyler AA, Lewis KE, Haskill A, Tolbert LC. Efficacy and cross-domain effects of a morphosyntax and a phonology intervention. Lang Speech Hear Serv Sch. 2002; 33:52–66. PMID: 27764416.

18. Kim SW, Shin JB, You S, Yang EJ, Lee SK, Chung HJ, et al. Diagnosis and clinical features of children with language delay. J Korean Acad Rehabil Med. 2005; 29:584–590.

19. Jakobson R. Child language, aphasia and phonological universals. The Hague: Mouton Publisher;1968.

20. Kim YT. The percentage of correct consonants in preschoolers used by Picture Articulation Test. Korean J Commun Disord. 1996; 1:7–33.

21. Park SH, Kang AY, Kang MG, Lee SK. Research trends of articulation and phonological disorder in Korea. J Speech Hear Disord. 2012; 21:1–18.

22. Kim YT. Evaluation and treatment for the children with articulation-phonology disorders. J Educ Stud. 2001; 9:63–83.