Speech Impairment in Boys With Fetal Alcohol Spectrum Disorders

Hayo Terband, Manon Spruit, Ben Maassen

    Research output: Contribution to journalArticleAcademicpeer-review

    3 Citations (Scopus)
    416 Downloads (Pure)

    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.

    Original languageEnglish
    Pages (from-to)1405-1425
    Number of pages21
    JournalAmerican journal of speech-language pathology
    Volume27
    Issue number4
    Early online date31-Oct-2018
    DOIs
    Publication statusPublished - Nov-2018

    Keywords

    • PRACTICAL CLINICAL APPROACH
    • REPEATED-MEASURES DESIGNS
    • PRENATAL ALCOHOL
    • BEHAVIOR PROBLEMS
    • UNITED-STATES
    • FOLLOW-UP
    • CHILDREN
    • PREVALENCE
    • EXPOSURE
    • LANGUAGE

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