| 1. |
- Larsson, Anna Karin, et al.
(författare)
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Internationally adopted children with and without a cleft lip and palate showed no differences in language ability at school-age
- 2021
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Ingår i: Acta Pædiatrica. - : Wiley. - 1651-2227 .- 0803-5253. ; 110:1, s. 273-279
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this study was to investigate language ability in internationally adopted children aged 7-8 years with and without a unilateral cleft lip and palate. Methods: We compared 27 internationally adopted children with a unilateral cleft lip and palate, adopted from China, with a group of 29 children without a cleft lip and palate, adopted from different countries. Participants were recruited from two cleft lip and palate teams in Sweden and through adoption organisations. Assessments were performed using standardised tests of speech and of receptive and expressive language ability. In addition, a parental questionnaire in which speech, language and communication aspects were rated was used. Results: There were no significant differences in language ability between the groups. The only difference was related to speech ability, where the internationally adopted children with unilateral cleft lip and palate scored significantly lower. However, a high proportion of children in both groups scored low on measures of expressive language compared with test norms. Conclusion: The results suggested that having a cleft lip and palate did not increase the risk of language difficulties. Instead, being internationally adopted may be associated with a risk of delayed language development lasting for several years post-adoption.
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| 2. |
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| 3. |
- Larsson, AnnaKarin, 1975, et al.
(författare)
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Early Speech in Children with Unilateral Cleft Lip and Palate – a Comparative Study of Internationally Adopted and Swedish-Born Children
- 2015
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Ingår i: Oral presentation, 10th European Craniofacial Congress, Göteborg 24-27 June 2015.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: In the last decade, a large number of internationally adopted children with cleft lip and palate has arrived in Sweden. A majority of the children were born in China, usually arriving with an unoperated palate. There is a lack of knowledge regarding the speech/articulation development in this group of patients, who also have to deal with a late first language switch. The main purpose of the present study was to compare the articulation at the age of 3 in a group of internationally adopted children with a control group, consisting of a gender and age matched group of children born in Sweden. Methods: A total number of 43 children born in 2006-2009 with a unilateral cleft lip and palate joined the study, twentytwo adopted children from China (mean age of arrival to Sweden 21 months, SD 6,4) and 21 children born in Sweden. Both groups were treated by the same cleft palate team. The audio recordings of the protocol based 3 year old-visits at the cleft palate team, were perceptually analyzed by blinded listeners. Percent consonants correct (PCC), percent correct places (PCP), percent correct manners (PCM) and the frequencies of glottal articulation and nasal air leakage were compared. Results: Preliminary results show significant differences (p<.05) between groups on the variables PCC, PCP and PCM. No other differences were found. Conclusion: At this early age the adopted children had a lower prevalence of correct articulation. This needs to be followed up carefully longitudinally.
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| 5. |
- Larsson, AnnaKarin, 1975, et al.
(författare)
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Internationally Adopted Children With Unilateral Cleft Lip and Palate-Consonant Proficiency and Perceived Velopharyngeal Competence at the Age of 5.
- 2020
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Ingår i: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. - : SAGE Publications. - 1545-1569. ; 57:7, s. 849-859
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Tidskriftsartikel (refereegranskat)abstract
- To compare consonant proficiency, consonant errors, and the perceived velopharyngeal (VP) competence in internationally adopted (IA) children with unilateral cleft lip and palate (UCLP) and nonadopted (NA) children with the same cleft-palate type at age 5.Case-control study based on phonetic transcriptions of standardized speech recordings of 5-year-olds at a tertiary hospital.Twenty-five IA children were compared to 20 NA children. All consecutive patients at a cleft lip and palate center participated.Consonant proficiency was measured using percentage consonants correct, percentage consonants correct-adjusted for age, percentage correct place, percentage correct manner, and consonant inventory. Cleft speech characteristics (CSCs), developmental speech characteristics (DSCs), and the perceived VP competence were also measured.The IA children had significantly lower values for all consonant proficiency variables (p < .05) and a smaller consonant inventory (p = .001) compared to the NA children. The IA children had a higher frequency of CSCs (IA = 84%, NA = 50%, p < .05) and DSCs (IA = 92%, NA = 65%, p = .057), and twice as many IA children as NA children had perceived VP incompetence (IA = 52%, NA = 25%, p = .17).Severe speech disorder was more common in IA children than in NA children at age 5. Most importantly, the speech disorders seem to be not only cleft-related. More detailed speech assessments with a broader focus are needed for IA children with UCLP. Longitudinal studies are recommended to further investigate the impact of speech difficulties in IA children's daily lives.
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| 6. |
- Larsson, AnnaKarin, 1975
(författare)
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Internationally adopted children with unilateral cleft lip and palate - longitudinal perspectives on speech production and language ability
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Many children with cleft lip and palate have been adopted to Sweden. Most had had no palatal closure performed in their native countries and received their first palatal surgery in Sweden while acquiring a new first language. The main aim of this thesis was to investigate speech production (i.e. consonant proficiency, consonant errors and velopharyngeal competence) and language ability at school age in internationally adopted children from China with unilateral cleft lip and palate. The thesis included data based on phonetic transcriptions and perceptual ratings of audio-recorded standardised routine speech assessments analysed by blinded raters (Studies I–III), standardised speech and language assessments (Study IV) and parental ratings (Studies III and IV). In Study I, speech production was investigated in 14 children at age 3 years and compared with a group of non-adopted children with the same cleft type. Results showed that the internationally adopted children performed significantly lower than the non-adopted children on consonant proficiency and on perceived velopharyngeal competence. In Study II, 25 internationally adopted children were assessed at age 5 years and compared with non-adopted children with the same cleft type. Results showed that the internationally adopted children had significantly fewer correct consonants and more restricted consonant inventories than the non-adopted children. A high proportion (52%) had an incompetent velopharyngeal function, although they did not differ significantly from their non-adopted peers. Study III longitudinally investigated speech production in 17 children between the ages of 3 and 7–8 years. Additionally, relationships between speech production and expressive language at age 7–8 years were studied. Significant progress in consonant proficiency and velopharyngeal competence from age 3 years onwards was found. However, at age 7–8 years more than 80% of the children had a consonant proficiency score at least 2 SD below the age-specific norms. Additionally, the children exhibited difficulties on measures of expressive language. In Study IV, receptive and expressive language ability was investigated in 27 internationally adopted children at age 7–8 years. Comparisons were made with a group of internationally adopted children without cleft lip and palate. The only variable that significantly differed between groups was speech ability, where the children with cleft lip and palate scored lower according to both tests and parental ratings. However, both groups scored low on expressive language ability compared with test norms. In conclusion, internationally adopted children with cleft lip and palate develop their speech-production ability considerably despite having later palatal repair than non-adopted peers. However, many still have speech difficulties at school age. Many of the internationally adopted children, regardless of whether they had a cleft lip and palate, presented with poor expressive language ability at age 7–8 years, and a risk of delayed language development many years after adoption was found in many children.
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| 7. |
- Larsson, AnnaKarin, 1975, et al.
(författare)
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Persisting speech difficulties at 7-8 years of age - a longitudinal study of speech production in internationally adopted children with cleft lip and palate
- 2024
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Ingår i: Logopedics Phoniatrics Vocology. - : Informa UK Limited. - 1401-5439 .- 1651-2022. ; 49:1, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- Aim To longitudinally investigate speech production (consonant proficiency, consonant errors and perceived velopharyngeal competence) in 17 internationally adopted (IA) children with unilateral cleft lip and palate (UCLP) at three time points. Method Consonant proficiency (percent consonants correct, consonant inventory) and number and type of consonant errors were calculated based on blind phonetic transcriptions of words from the Swedish Test of Articulation and Nasality (SVANTE). Velopharyngeal competence was perceptually rated by three blinded experienced speech-language pathologists at the ages of 3, 5 and 7-8 years. Results A significant positive development of speech production was found, although most children still scored very low for consonant proficiency at the age of 7-8 compared with normative values: the median for percent consonants correct was 79.7 and many children still had persisting cleft-related and developmental consonant errors. At the age of 7-8, almost half of the children were rated as having a competent velopharyngeal function and only three as having an incompetent velopharyngeal function. Conclusion Persisting speech difficulties at school age in IA children with UCLP were found in the present study, which is one of the very few longitudinal studies. Our results highlight the need for detailed follow-up of speech production in clinical settings. Speech disorders may have a severe impact on a child's intelligibility and participation with peers, and there is a need for more studies investigating the actual everyday effect of the difficulties found.
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| 8. |
- Larsson, AnnaKarin, 1975, et al.
(författare)
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Speech production in 3-year-old internationally adopted children with unilateral cleft lip and palate.
- 2017
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Ingår i: International journal of language & communication disorders. - : Wiley. - 1460-6984 .- 1368-2822. ; 52:5, s. 626-636
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Tidskriftsartikel (refereegranskat)abstract
- In the last decade, a large number of children with cleft lip and palate have been adopted to Sweden. A majority of the children were born in China and they usually arrive in Sweden with an unoperated palate. There is currently a lack of knowledge regarding speech and articulation development in this group of children, who also have to deal with a late first language switch.To study consonant proficiency in 3-year-old internationally adopted children with unilateral cleft lip and palate (UCLP) compared with peers with UCLP born in Sweden. Also to study the type and frequency of consonant errors and to perceptually compare velopharyngeal competence between the groups.Thirty-two children born between 2006 and 2010 with UCLP participated in the study-14 adopted from China and 18 children born in Sweden. Both groups were treated by the same cleft palate team. Audio recordings at 3 years of age were perceptually analysed by blinded listeners. Consonant proficiency was measured via per cent consonants correct adjusted for age (PCC-A), per cent correct manners (PCM) and per cent correct places (PCP). The prevalence of audible nasal air leakage and velopharyngeal competence were judged and compared between groups. The type and frequencies of consonant errors related to place and manner of articulation were also analysed.The internationally adopted children had significantly fewer correct consonants compared with the Swedish-born children. This was true for PCC-A, PCP and PCM. This group also had significantly higher prevalence of glottal stops/fricatives and deleted target consonants more often. Also the internationally adopted children had a higher prevalence of incompetent velopharyngeal function. The only outcome variable with similar results in the groups was audible nasal air leakage.The present study indicated that there were significant differences regarding consonant proficiency and velopharyngeal competence between internationally adopted children with a UCLP and their Swedish-born peers with UCLP at the age of 3 years. Internationally adopted children with UCLP should be considered an at risk group for a higher prevalence of speech difficulties than non-adoptees. Thus, it is particularly important to follow this group of children over time. Longitudinal studies of speech and language development in internationally adopted children with UCLP are needed.
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| 9. |
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| 10. |
- Larsson, AnnaKarin, 1975, et al.
(författare)
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Speech Production in Internationally Adopted Children With Unilateral Cleft Lip & Palate at Age Three
- 2016
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Ingår i: American Speech-Language-Hearing Assocation (ASHA) Convention, Philadelphia 17-19 November 2016.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Summary: A large number of internationally adopted children with cleft lip and palate has arrived in Sweden during the last decade. Most of the children were born in China and they most often arrived in Sweden with an unoperated palate. There is currently a lack of knowledge regarding the speech development in this group of children, who also have to deal with a late first language switch. Method: The main purpose of the present study was to study speech production in three-year-old internationally adopted children with a unilateral cleft lip and palate (UCLP) and to compare with same-age children born in Sweden with the same type of cleft. A total number of 32 children with UCLP joined the study, 14 adopted children from and 18 children born in Sweden. Both groups were treated by the same cleft palate team. The audio recordings of the protocol based 3 year old-visits at the cleft palate team, were perceptually analyzed by blinded listeners and based on word naming of 59 target words from the SVANTE (Swedish Articulation and Nasality Test). Speech production was measured with 1) percent consonants correct adjusted for age (PCC-A), 2) percent correct places (PCP), 3) percent correct manners (PCM), 4) nasal air leakage and 5) velopharyngeal competence. A speech error analysis was performed and comparisons between groups were made. Clinical implications: Internationally adopted children with UCLP showed more speech difficulties than non-adopted peers at age 3. However, the present study is limited, mainly due to the small sample sizes. Though, the results must be interpreted with caution. However, internationally adopted children may be at great risk of developing more severe speech difficulties than their non-adopted peers and should be thoroughly assessed and followed over time.
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