Speech development in children with sequelae of obstetrics palsy

Olga E. Agranovich; Агранович Ольга Евгеньевна; Zoya E. Agranovich; Агранович Зоя Евгеньевна; Evgeniya I. Ermolovich; Ермолович Евгения Игоревна; Ekaterina V. Petrova; Петрова Екатерина Владимировна; Evgeny D. Blagovechtchenski; Благовещенский Евгений Дмитриевич

doi:10.17816/PTORS110783

Speech development in children with sequelae of obstetrics palsy

Authors: Agranovich O.E.¹, Agranovich Z.E.², Ermolovich E.I.¹, Petrova E.V.¹, Blagovechtchenski E.D.¹^,3
Affiliations:
1. H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
2. Center for Restorative Treatment Child Psychiatry named after S.S. Mnukhin
3. National Research University “Higher School of Economics”
Issue: Vol 10, No 4 (2022)
Pages: 385-396
Section: Clinical studies
URL: https://journals.eco-vector.com/turner/article/view/110783
DOI: https://doi.org/10.17816/PTORS110783
ID: 110783

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Abstract
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Abstract

BACKGROUND: Obstetrics plexus occurs in 0.4–4 cases per 1000 newborns. Moreover, 70%–92% of the patients have mild injuries that spontaneously recover within 2 months after delivery, and the remaining patients have secondary deformities of the limbs, leading to motor disorders of varying severities. Studies have reported that the limited or absence of hand motor functions can lead to cognitive deficits and speech underdevelopment.

AIM: To study the features of speech development in children with obstetrics palsy.

MATERIAL AND METHODS: From 2020 to 2021, we performed speech examination of 33 children with obstetrics palsy from the age of 3–15 (average age, 8.10 ± 3.71) years. All patients were divided into four groups: group 1 (3–4 years, n = 6), group 2 (5–6 years, n = 10), group 3 (7–10 years, n = 9), and group 4 (11–15 years, n = 8). Speech examination and orthopedic, neurological, and statistical tests were performed. The results of the examination were analyzed statistically.

RESULTS: In this study, 78.8% of the patients with obstetric palsy had speech pathology. Children with speech disorders had more severe neurology and motor disturbance than children without speech pathology. In group 1, speech disorders were identified in 66.7%; group 2, 90.0%; group 3, 66.7%; group 4, 87.5%. Group 1 had speech development delay and phonetic–phonemic underdevelopment. Group 2 had general speech underdevelopment and phonetic–phonemic underdevelopment. Group 3 had general speech, lexical–grammatical, and phonetic–phonemic underdevelopment, Group 4 had general speech and lexical–grammatical underdevelopment. Moreover, 73.1% of the children had minimal dysarthria (predominantly in children of groups 1 and 2). Groups 3 and 4 had written expression disorder.

CONCLUSIONS: The study demonstrates a high incidence of speech disorders in children with obstetrics palsy. These children demand early speech examination and timely correction of existing disorders.

Keywords

obstetrics palsy, children, speech and motor disorders, upper limbs

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About the authors

Olga E. Agranovich

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

Author for correspondence.
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, Dr. Sci. (Med.)

Russian Federation, Saint Petersburg

MD, PhD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Evgeny D. Blagovechtchenski

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

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

PhD, Cand. Sci. (Biol.)

Russian Federation, Saint Petersburg; Moscow

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