NDLI: Alignment of classification paradigms for communication abilities in children with cerebral palsy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hustad, Katherine C. Oakes, Ashley McFadd, Emily Allison, Kristen M.
Description	Country affiliation: United States Author Affiliation: Hustad KC ( Department of Communication Sciences and Disorders, University of Wisconsin - Madison, Madison, WI, USA.); Oakes A ( Waisman Center, University of Wisconsin - Madison, Madison, WI, USA.); McFadd E ( Waisman Center, University of Wisconsin - Madison, Madison, WI, USA.); Allison KM ( Department of Communication Sciences and Disorders, University of Wisconsin - Madison, Madison, WI, USA.)
Abstract	AIM: We examined three communication ability classification paradigms for children with cerebral palsy (CP): the Communication Function Classification System (CFCS), the Viking Speech Scale (VSS), and the Speech Language Profile Groups (SLPG). Questions addressed interjudge reliability, whether the VSS and the CFCS captured impairments in speech and language, and whether there were differences in speech intelligibility among levels within each classification paradigm. METHOD: Eighty children (42 males, 38 females) with a range of types and severity levels of CP participated (mean age 60mo, range 50-72mo [SD 5mo]). Two speech-language pathologists classified each child via parent-child interaction samples and previous experience with the children for the CFCS and VSS, and using quantitative speech and language assessment data for the SLPG. Intelligibility scores were obtained using standard clinical intelligibility measurement. RESULTS: Kappa values were 0.67 (95% confidence interval [CI] 0.55-0.79) for the CFCS, 0.82 (95% CI 0.72-0.92) for the VSS, and 0.95 (95% CI 0.72-0.92) for the SLPG. Descriptively, reliability within levels of each paradigm varied, with the lowest agreement occurring within the CFCS at levels II (42%), III (40%), and IV (61%). Neither the CFCS nor the VSS were sensitive to language impairments captured by the SLPG. Significant differences in speech intelligibility were found among levels for all classification paradigms. INTERPRETATION: Multiple tools are necessary to understand speech, language, and communication profiles in children with CP. Characterization of abilities at all levels of the International Classification of Functioning, Disability and Health will advance our understanding of the ways that speech, language, and communication abilities present in children with CP.
File Format	HTM / HTML
ISSN	00121622
Issue Number	6
Journal	Developmental Medicine & Child Neurology
Volume Number	58
e-ISSN	14698749
Language	English
Publisher	Wiley
Publisher Date	2016-06-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pediatric Neurology
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Pediatrics, Perinatology and Child Health Developmental Neuroscience

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