Speech development in children of preschool age with arthrogryposis multiplex congenital with upper limb deformities

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Abstract

BACKGROUND: The difficulties or gross disturbance in motor development, which are diagnosed in children at an early age, are one of the prognostic markers of further problems in their speech development.

AIM: This study aimed to determine the speech development of children with arthrogryposis multiplex congenita with upper limb deformities.

MATERIALS AND METHODS: Speech examination was conducted in 21 children with arthrogryposis multiplex congenita preschool age (average age: 5.16 ± 1.49 years) from 2020 to 2021. Patients were divided into 2 groups: group 1 (10 people) with children of younger and middle preschool age (average age 3.81 ± 0.63 years) and group 2 (11 people) with children of older and preparatory preschool age (average age 6.39 ± 0.78 years). The speech examination results were exposed to statistical analysis.

RESULTS: The majority of children with arthrogryposis multiplex congenita had speech pathology (90.5%), whereas general speech underdevelopment dominated over speech development delay (78.9% and 21.1%, respectively). A high frequency of perinatal hypoxic-ischemic encephalopathy in children with arthrogryposis multiplex congenita (80.9%), a complicated perinatal anamnesis (57.1%), and a delay in early motor or speech development (100% and 52.4%, respectively) links with speech disorder development in the future. Patients with arthrogryposis have a large percentage of congenital pathology of the articulatory apparatus structure (57.1%). Of the children, 76.2% were with a total form of arthrogryposis multiplex congenita, whereas 23.8% with an isolated upper extremity lesion. No statistically significant differences were determined in the form of speech pathology between patients with various forms of arthrogryposis multiplex congenita. Children of the first age group had speech disorders in 90% of cases, whereas 90.9% in group 2. Based on the form of speech pathology, patients with general speech underdevelopment and speech development delay were determined in group 1 (55.6% and 44.4%, respectively), whereas children with general speech underdevelopment in group 2 (100%). In the clinical form of speech pathology, dysarthria prevailed in children of both age groups (80%).

CONCLUSIONS: Children with arthrogryposis multiplex congenita with upper limb deformities have a high incidence of speech disorders. Early speech examination and speech therapy eliminated all detected disturbances.

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About the authors

Olga E. Agranovich

H.Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery

Email: olga_agranovich@yahoo.com
ORCID iD: 0000-0002-6655-4108
SPIN-code: 4393-3694
Scopus Author ID: 56913386600
ResearcherId: B-3334-2019
http://www.rosturner.ru/kl10.htm

MD, PhD, D.Sc., head of the department of arthrogryposis, member of the Paediatric Hand International Society Of Surgeons (PHISOS),  Federation of European Societies for Surgery of the Hand (FESSH), The International study group on arthrogryposis

Russian Federation, 64-68 Park Street, St. Petersburg, Pushkin, 196603

Zoya E. Agranovich

State Healthcare Institution Center for Restorative Treatment “Child Psychiatry” named after S.S. Mnukhin

Email: barsik1966@mail.ru
ORCID iD: 0000-0003-1622-7114
Russian Federation, Saint Petersburg

Evgeniya I. Ermolovich

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: dr.lazareva@bk.ru
ORCID iD: 0000-0001-6716-1034
SPIN-code: 6598-5653

MD, neurologist

Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603

Ekaterina V. Petrova

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: pet_kitten@mail.ru
ORCID iD: 0000-0002-1596-3358
SPIN-code: 2492-1260
Scopus Author ID: 57194563255

MD, PhD

Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603

Ildar R. Iskandarov

Kazan State Medical University

Email: iskandarov.ildar@gmail.com
ORCID iD: 0000-0002-4983-1150
SPIN-code: 7154-7420

MD, PhD

Russian Federation, 49, st. Butlerova, Kazan, 420012

Dmitry A. Ivanov

Kazan State Medical University

Email: i.dmitry1988@gmail.com
ORCID iD: 0000-0002-4150-5908
SPIN-code: 9530-1505
Scopus Author ID: 57217735969
Russian Federation, 49, st. Butlerova, Kazan, 420012

Anna N. Shestakova

National Research University “Higher School of Economics”

Email: a.shestakova@hse.ru

PhD

Russian Federation, Moscow

Evgeniy D. Blagoveschenskiy

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; National Research University “Higher School of Economics”

Author for correspondence.
Email: eblagovechensky@hse.ru
ORCID iD: 0000-0002-0955-6633
SPIN-code: 2811-5723
Scopus Author ID: 6506349269
ResearcherId: B-5037-2014

PhD

Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603; Moscow

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Supplementary files

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2. Fig. 1. The level of speech development of children in group 1 with congenital multiple arthrogryposes. SDD: speech development delay; GUS: general underdevelopment of speech

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3. Fig. 2. The form of speech pathology of children in group 1 with congenital multiple arthrogryposes and general underdevelopment of speech

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4. Fig. 3. The level of speech development of children in group 2 with congenital multiple arthrogryposes. GUS: general underdevelopment of speech

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5. Fig. 4. The form of speech pathology of children in group 2 with congenital multiple arthrogryposes and general underdevelopment of speech

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Copyright (c) 2021 Agranovich O.E., Agranovich Z.E., Ermolovich E.I., Petrova E.V., Iskandarov I.R., Ivanov D.A., Shestakova A.N., Blagoveschenskiy E.D.

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