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1.
Clin Linguist Phon ; 36(8): 721-737, 2022 08 03.
Artículo en Inglés | MEDLINE | ID: mdl-36044010

RESUMEN

This article describes the phonology of a Granada Spanish-speaking 4-year-old boy with Protracted Phonological Development (PPD) from the perspective of constraint-based nonlinear phonology. Although he had acquired basic word structure and a near-complete repertoire of vowels and consonants, he had difficulties producing more complex word structures (multisyllabic words, clusters, diphthongs) and producing sequences of consonant manner and place features across vowels. The analysis outlines his strengths and needs in phonological development, and proposes an intervention plan to address constraints on complexity and sequences.


Asunto(s)
Lenguaje , Fonética , Preescolar , Humanos , Masculino , Medición de la Producción del Habla
2.
Clin Linguist Phon ; 35(10): 964-982, 2021 10 03.
Artículo en Inglés | MEDLINE | ID: mdl-33251868

RESUMEN

The current study addresses the acquisition of tautosyllabic consonant clusters (CCs) in Chilean preschoolers with typical (TD) versus protracted phonological development (PPD). The objectives were to analyze accuracy of CCs and mismatch (error) patterns as a function of age (4/ 5 years) and TD/PPD group, examining effects of sonority, stress, place of articulation and development of /l/ and /ɾ/ as singletons. Participants included 20 Chilean Spanish-speaking children with TD and 20 with PPD (ages 4 and 5 years). The TD group showed higher accuracy and an age effect. For both developmental groups, timing unit match was higher than full segmental match. CCs with labial and voiceless C1s in stressed syllables were most accurate. In the PPD group, deletions predominated over substitutions, deletions of C1 were significantly higher and the typology of substitutions was more differentiated. Results are evaluated in light of previous research on Chilean preschoolers, and clinical implications are discussed.


Asunto(s)
Trastornos de la Articulación , Fonética , Niño , Preescolar , Humanos , Lenguaje , Desarrollo del Lenguaje , Medición de la Producción del Habla
3.
Children (Basel) ; 10(12)2023 Dec 08.
Artículo en Inglés | MEDLINE | ID: mdl-38136102

RESUMEN

Individuals with Williams Syndrome (WS) have a specific and atypical neuropsychological profile, where language is above what is expected for their mental age, although it shows a late onset. There exists only one longitudinal study in infants younger than 20 months old with WS about early language precursors (joint attention, referential and instrumental behaviors, pointing gesture, verbal tags). The aim of this investigation is to evaluate these precursors in a baby with WS (8 to 18 months). Seven sessions of systematic observation were performed (six at baby's home, one at the Early Childhood Assistance center). The Battelle Developmental Inventory was used to evaluate the baby's development in two occasions (12 and 18 months). The results show an atypical development, and he is 5-6 months under what is expected for his chronological age. Attention towards objects prevails over preference for faces, but this one tends to increase. The pointing gesture does not emerge at the end of the observation period and therefore follows the first words that appear. The implications for the comprehension of the early linguistic profile in WS are discussed, as well as the implications for specific intervention strategies in the context of early childhood care.

4.
Brain Sci ; 12(3)2022 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-35326341

RESUMEN

Linguistic phenotypes of individuals with Fragile X (FXS) and Williams (WS) syndromes exhibit various degrees of pragmatic impairment, involving difficulties in social communication and in adapting to conversational principles. The goal of the present study was to explore syndrome-specific pragmatic profiles of adults with FXS and WS based on the assessment of the observance of Gricean maxims of conversation. The participants were 12 Spanish-speaking adults (6 FXS/6 WS), without a diagnosis of ASD, whose extensive naturalistic conversations (71,859 words) were transcribed and coded with the CHILDES/TALKBANK tools and the PREP-CORP pragmatic protocol. Violations of the maxims of conversation were analyzed, and indexes of cooperation and conversational response were obtained. Both groups showed reduced verbal production and repetitive dysfluencies; prominent features in the FXS profile were higher proportion of non-contingent language, perseverations of topic and form, and impulsive conversational responses; in the WS profile, salient characteristics were higher proportion of tangential utterances, reformulations, and conversational responses reflecting overly literal interpretation. Pragmatic profiles of violation of conversational maxims reflect specific communication skills impaired in adults with FXS and WS and raise the need for assessment and intervention methods that specifically address their social communication abilities.

5.
Front Psychol ; 13: 992512, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36467192

RESUMEN

Williams syndrome is a neurodevelopmental genetic disorder characterized by a unique phenotype, including mild to moderate intellectual disability and an uneven neuropsychological profile of relative strengths and weaknesses. Language structure components (i.e., phonology, morphosyntax, and vocabulary) have been considered an area of specific ability compared to pragmatic language use. However, research on phonological development in Williams syndrome is very scarce, and it suggests atypical patterns. Therefore, the aim of the present study was to explore the profiles of late phonological development in Spanish-speaking children, adolescents, and adults with Williams syndrome, based on the analysis of five classes of processes (Syllable Structure, Substitution, Omission, Assimilation, and Addition) in spontaneous speech. The phonological profiles of seven children (aged 3-8 years), and seven adolescents and young adults (aged 14-25 years) with Williams syndrome were compared with two normative groups of typically developing (TD) children at different stages of late phonological development (aged 3 and 5 years). The frequency of phonological processes in the group of children with Williams syndrome was similar to that of 3-year-old TD children, which suggests that they would be in the first stage of late phonological development (expansion stage). The group of older individuals with Williams syndrome showed a much lower frequency of processes, similar to that of 5-year-old TD children in the last stage of phonological development (resolution stage). However, their phonological processes appeared to be persistent and independent of chronological age. Furthermore, asynchronies in quantitative and qualitative profiles (relative frequency) indicated atypical and complex trajectories in late phonological development, which cannot be described as simply delayed or protracted. Remarkable individual differences were observed, especially in the group of adolescents and adults with Williams syndrome, although the majority of cases conformed to the modal profiles of their groups. A major tendency for Omission, including final consonant deletion, may be considered atypical and specific to Williams syndrome at all ages. The results of the present study raise the need for continued and appropriate phonological assessment and treatment for people with Williams syndrome across the lifespan.

6.
Front Psychol ; 12: 662257, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34054666

RESUMEN

In the context of comparing linguistic profiles across neurodevelopmental disorders, Down syndrome (DS) has captured growing attention for its uneven profile. Although specific weaknesses in grammatical and phonological processing have been reported, research evidence on phonological development remains scarce, particularly beyond early childhood. The purpose of this study was to explore the phonological profiles of children and adolescents with Down syndrome. The profiles were based on the frequency and relative proportion of the processes observed by classes, and they were compared to those of typically developing preschool children of similar verbal age. A complementary goal was to assess the effect of two different methods of elicitation: a test of articulation and spontaneous speech sampling. Finally, intergroup and intragroup differences in full match percentages between three positions at syllable-level (complex onset, medial coda, and final coda) were assessed. The results of the present study confirmed that the frequency of phonological processes in children and adolescents with DS is atypically high and is above what is expected for lexical age and at the same level as grammatical age. Highly increased frequency of processes, consistent in all kinds of processes and positions at the syllable-level, and asynchronous with verbal age and mental age suggest atypical developmental trajectories of phonological development in the Down syndrome population.

7.
Rev. logop. foniatr. audiol. (Ed. impr.) ; 44(1): [100473], Ene-Mar, 2024.
Artículo en Inglés | IBECS (España) | ID: ibc-231908

RESUMEN

Precedents and objectives: Dr Donna Jackson-Maldonado, researcher and professor at the Centro de Estudios Lingüísticos y Literarios of the Universidad Autónoma de Querétaro in Mexico, left us on November 30, 2021. In this article, we review her main scientific contributions related to the three fundamental axes on which she worked: language acquisition, language disorders and language assessment. Methods and results: Dr Jackson-Maldonado's studies on language acquisition included groups of premature babies, late talkers, and typical development children in bilingual and diverse socioeconomic conditions. Moreover, she studied atypical language development in children with hearing loss, children with developmental language disorders and children with Down syndrome and other syndromes. Finally, regarding language assessment, it should be noted that she led the Mexican Spanish version of the Communicative Development Inventories (CDI) that was used as a model for later adaptations in other Romance languages. Discussion and conclusion: Dr Jackson-Maldonado's methodological approach combined rigour with a creative and innovative scientific spirit, yet she integrated theory and clinical practice from its very beginning. She left us an immense research and personal legacy that we want to honour in this paper.


Antecedentes y objetivos: La Dra. Donna Jackson-Maldonado, investigadora y profesora del Centro de Estudios Lingüísticos y Literarios de la Universidad Autónoma de Querétaro en México, nos dejó el 30 de noviembre de 2021. En este artículo repasamos sus principales aportaciones científicas relacionadas con los tres ejes fundamentales sobre los que trabajó: la adquisición del lenguaje, los trastornos del lenguaje y la evaluación del lenguaje. Método y resultados: Las investigaciones de la Dra. Jackson sobre la adquisición del lenguaje incluyeron grupos de bebés prematuros, hablantes tardíos y niños de desarrollo típico en condiciones socioeconómicas bilingües y diversas. Además, estudió el desarrollo atípico del lenguaje en niños con pérdida auditiva, con trastornos del desarrollo del lenguaje y con síndrome de Down, así como otros síndromes. Finalmente, en cuanto a la evaluación lingüística, cabe destacar que lideró la versión en español mexicano de los Inventarios de Desarrollo Comunicativo (CDI) que sirvió de modelo para posteriores adaptaciones en otras lenguas romances. Discusión y conclusiones: El enfoque metodológico de la Dra. Jackson combinó el rigor con un espíritu científico creativo e innovador, además, integró la teoría y la práctica clínica desde sus inicios. Nos dejó un inmenso legado personal e investigador que queremos honrar en este trabajo.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Desarrollo del Lenguaje , Trastornos del Lenguaje , Habla , Fonoaudiología
8.
Front Psychol ; 8: 2337, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29379455

RESUMEN

Narrative skills play a crucial role in organizing experience, facilitating social interaction and building academic discourse and literacy. They are at the interface of cognitive, social, and linguistic abilities related to school engagement. Despite their relative strengths in social and grammatical skills, students with Williams syndrome (WS) do not show parallel cognitive and pragmatic performance in narrative generation tasks. The aim of the present study was to assess retelling of a TV cartoon tale and the effect of an individualized explicit instruction of the narrative structure. Participants included eight students with WS who attended different special education levels. Narratives were elicited in two sessions (pre and post intervention), and were transcribed, coded and analyzed using the tools of the CHILDES Project. Narratives were coded for productivity and complexity at the microstructure and macrostructure levels. Microstructure productivity (i.e., length of narratives) included number of utterances, clauses, and tokens. Microstructure complexity included mean length of utterances, lexical diversity and use of discourse markers as cohesive devices. Narrative macrostructure was assessed for textual coherence through the Pragmatic Evaluation Protocol for Speech Corpora (PREP-CORP). Macrostructure productivity and complexity included, respectively, the recall and sequential order of scenarios, episodes, events and characters. A total of four intervention sessions, lasting approximately 20 min, were delivered individually once a week. This brief intervention addressed explicit instruction about the narrative structure and the use of specific discourse markers to improve cohesion of story retellings. Intervention strategies included verbal scaffolding and modeling, conversational context for retelling the story and visual support with pictures printed from the cartoon. Results showed significant changes in WS students' retelling of the story, both at macro- and microstructure levels, when assessed following a 2-week interval. Outcomes were better in microstructure than in macrostructure, where sequential order (i.e., complexity) did not show significant improvement. These findings are consistent with previous research supporting the use of explicit oral narrative intervention with participants who are at risk of school failure due to communication impairments. Discussion focuses on how assessment and explicit instruction of narrative skills might contribute to effective intervention programs enhancing school engagement in WS students.

9.
Psicothema ; 28(3): 291-7, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27448263

RESUMEN

BACKGROUND: Williams syndrome (WS) is a genetic disorder associated with intellectual disability and characterised by displaying an atypical neuropsychological profile, with peaks and valleys, where language skills seem better preserved than non-verbal intelligence. METHOD: This study researches the narrative competence of nine Spanish-speaking adults with WS. Oral narratives were elicited from a silent film, and narrative coherence was analysed as a function of sequential order of the events narrated at three structure levels, while narrative cohesion was assessed through the frequency of use and type of discourse markers. RESULTS: WS subjects were able to remember a significant proportion of the events from the film, but coherence of narratives, i.e., sequential order of events, was more impaired. Consistently with their linguistic abilities, cohesion of narratives was better preserved, as they used discourse markers to introduce a high proportion of events. CONCLUSIONS: Construction of mental models of the narratives may be constrained in WS by non-verbal cognitive abilities, but narrative competence is also determined by textual pragmatic abilities to organize discourse, which should be addressed by specific intervention in narrative competence.


Asunto(s)
Narración , Síndrome de Williams/fisiopatología , Adolescente , Adulto , Femenino , Humanos , Lenguaje , Masculino , Recuerdo Mental , Síndrome de Williams/psicología , Adulto Joven
10.
Psicothema ; 24(2): 193-8, 2012 May.
Artículo en Español | MEDLINE | ID: mdl-22420344

RESUMEN

This article reports a research on late phonological assimilation processes in child language in order to determine the possible stages in their evolution and the variations in relative frequency as a function of directionality (progressive vs. regressive), distance (contiguous vs. non-contiguous), and type of phonemes involved in assimilations (consonants vs. vowels). The corpus analyzed was collected from 240 children ranging in age between three and six years old. The speech samples were obtained in naturalistic settings of spontaneous conversation with the researchers, and were transcribed and analyzed with the tools provided by the CHILDES Project. Results describe a profile with three stages, reflecting the general dynamics of phonological development. Around the age of four, a general reorganization of the phonological system takes place, and the least frequent assimilation processes (progressive, contiguous and intervocalic) tend to disappear earlier. The most frequent assimilation processes (regressive, non-contiguous and inter-consonant) tend to persist as processing errors in the transition to adult speech. These findings show the functional complexity of late assimilation processes, as well as the need for taking it into account when planning clinical intervention.


Asunto(s)
Desarrollo del Lenguaje , Fonética , Factores de Edad , Niño , Lenguaje Infantil , Preescolar , Femenino , Humanos , Aprendizaje/fisiología , Masculino , España , Pruebas de Articulación del Habla , Población Urbana
11.
Psicothema (Oviedo) ; 28(3): 291-297, ago. 2016. tab, graf
Artículo en Inglés | IBECS (España) | ID: ibc-154625

RESUMEN

BACKGROUND: Williams syndrome (WS) is a genetic disorder associated with intellectual disability and characterised by displaying an atypical neuropsychological profile, with peaks and valleys, where language skills seem better preserved than non-verbal intelligence. METHOD: This study researches the narrative competence of nine Spanish-speaking adults with WS. Oral narratives were elicited from a silent film, and narrative coherence was analysed as a function of sequential order of the events narrated at three structure levels, while narrative cohesion was assessed through the frequency of use and type of discourse markers. RESULTS: WS subjects were able to remember a significant proportion of the events from the film, but coherence of narratives, i.e., sequential order of events, was more impaired. Consistently with their linguistic abilities, cohesion of narratives was better preserved, as they used discourse markers to introduce a high proportion of events. CONCLUSIONS: Construction of mental models of the narratives may be constrained in WS by non-verbal cognitive abilities, but narrative competence is also determined by textual pragmatic abilities to organize discourse, which should be addressed by specific intervention in narrative competence


ANTECEDENTES: el síndrome de Williams (SW) es un trastorno genético asociado con discapacidad intelectual, que presenta un perfil neuropsicológico atípico, con picos y valles, donde las habilidades lingüísticas parecen mejor preservadas que la inteligencia no-verbal. MÉTODO: se investiga la competencia narrativa de un grupo de nueve adultos castellanohablantes con SW. Se elicitaron narraciones orales a partir de una película muda y se evaluó su coherencia narrativa en función del orden secuencial de los eventos narrados en tres niveles estructurales, así como la cohesión narrativa en función de la frecuencia y tipo de marcadores discursivos. RESULTADOS: los sujetos con SW recordaban una alta proporción de los eventos de la película, pero la coherencia de las narraciones, i.e. el orden secuencial de los eventos, aparecía más alterada. En consonancia con sus habilidades lingüísticas, la cohesión de las narraciones aparecía mejor preservada ya que usaban marcadores discursivos para introducir muchos de los eventos. CONCLUSIONES: la construcción de modelos mentales de las narraciones puede verse limitada en el SW por las habilidades cognitivas no-verbales, pero la competencia narrativa también está determinada por las habilidades pragmáticas textuales para organizar el discurso, que podrían abordarse mediante la intervención específica en la competencia narrativa


Asunto(s)
Humanos , Adulto , Síndrome de Williams/psicología , Narración , Competencia Mental , Sentido de Coherencia , Comprensión , Comunicación
12.
Psicothema (Oviedo) ; 24(2): 193-198, abr.-jun. 2012. tab, ilus
Artículo en Español | IBECS (España) | ID: ibc-97811

RESUMEN

Este artículo presenta una investigación de los procesos fonológicos tardíos de asimilación en el lenguaje infantil con el objeto de determinar las posibles etapas en su evolución y las variaciones en su frecuencia relativa en función de la dirección (progresiva vs regresiva), la distancia (contigua vs no contigua) y el tipo de fonemas implicados en las asimilaciones (consonantes vs vocales). El corpus analizado procede de 240 niños entre tres y seis años y las muestras de habla se obtuvieron en situaciones naturales de conversación espontánea y fueron transcritas y analizadas con los instrumentos del Proyecto CHILDES. Los resultados permiten delinear un perfil evolutivo en tres etapas que reflejan la dinámica general del desarrollo fonológico tardío. En torno a los cuatro años se produce una reorganización del sistema fonológico y los procesos de asimilación menos frecuentes (progresivos, contiguos y entre vocales) muestran una tendencia más temprana de resolución. Los procesos más frecuentes (regresivos, no contiguos y entre consonantes) tienden a persistir como errores de procesamiento en la transición al habla adulta. Los datos hallados confirman la complejidad funcional de los procesos tardíos de asimilación y la necesidad de tenerla en cuenta para planificar la intervención clínica (AU)


This article reports a research on late phonological assimilation processes in child language in order to determine the possible stages in their evolution and the variations in relative frequency as a function of directionality (progressive vs. regressive), distance (contiguous vs. non-contiguous), and type of phonemes involved in assimilations (consonants vs. vowels). The corpus analyzed was collected from 240 children ranging in age between three and six years old. The speech samples were obtained in naturalistic settings of spontaneous conversation with the researchers, and were transcribed and analyzed with the tools provided by the CHILDES Project. Results describe a profile with three stages, reflecting the general dynamics of phonological development. Around the age of four, a general reorganization of the phonological system takes place, and the least frequent assimilation processes (progressive, contiguous and intervocalic) tend to disappear earlier. The most frequent assimilation processes (regressive, non-contiguous and inter-consonant) tend to persist as processing errors in the transition to adult speech. These findings show the functional complexity of late assimilation processes, as well as the need for taking it into account when planning clinical intervention (AU)


Asunto(s)
Humanos , Masculino , Femenino , Niño , Lenguaje Infantil , Psicología Infantil/métodos , Psicología Infantil/tendencias , Desarrollo Infantil/fisiología , Crecimiento/fisiología , Psicología Infantil/instrumentación , Psicología Infantil/organización & administración , Psicología Infantil/normas
13.
Rev. logop. foniatr. audiol. (Ed. impr.) ; 27(4): 161-172, dic. 2007. ilus, tab
Artículo en Es | IBECS (España) | ID: ibc-69273

RESUMEN

El objetivo de este artículo es investigar la especificidad del desarrollo gramatical en el síndrome deDown. El estudio del lenguaje en la discapacidadintelectual se enfoca modernamente desde la nociónde «especificidad sindrómica», contrastando los perfilesde distintos síndromes genéticos. El nivel morfosintáctico suele considerarse en términos comparadosel más afectado en las personas con síndromede Down. Tratamos aquí de determinar, más allá delas mediciones gramaticales globales, cuál es la naturaleza específica del perfil de alteraciones morfosintácticas que afectan a las distintas categorías gramaticales en el síndrome de Down.Los sujetos de la muestra fueron 12 niños y adolescentescon síndrome de Down con edades entre7 y 19 años, que acudían a tratamiento logopédicoa la Asociación Síndrome de Down de Asturias. Elprocedimiento se basó en la recogida audiovisual,transcripción y análisis de muestras de habla espontánea,utilizando las herramientas del proyectoCHILDES. Se administró a los sujetos el Test deVocabulario en Imágenes Peabody (TVIP) con el finde establecer posibles relaciones entre el nivel dedesarrollo léxico y el perfil gramatical.Los resultados muestran que la proporción de alteracionesno es cuantitativamente homogénea paratodas las categorías gramaticales, afectando másespecíficamente a los artículos y unidades de relación,tales como preposiciones y conjunciones,independientemente de la edad cronológica o elnivel léxico de cada sujeto. Estos hallazgos puedenser principalmente aplicados a una más eficazintervención, pero también nos permiten establecerdistintos patrones de desarrollo del lenguaje en ladiscapacidad intelectual y contrastar los modelosdel desarrollo típico


The aim of this paper is to investigate the specificity of grammatical deficit in Down syndrome. The study oflanguage within intellectual disability focuses nowadayson the paradigm of «syndrome specificity», contrastingprofiles of several genetic syndromes. The morpho-syntactic level is usually considered to be the mostseverely impaired in comparative studies. Here weintend to determine, beyond global grammatical measures,what is the specific nature of the morpho-syntacticimpairment profile affecting the different grammaticalcategories in the Down syndrome population.The subjects who participated in our study were12 Spanish-speaking Down syndrome children andadolescents aged between 7 and 19, who regularlyreceive the speech therapy provided by the AsturianDown Syndrome Association. Methodology was basedon audiovisual recording, transcription, and analysisof spontaneous speech samples, using the tools providedby the CHILDES project. The «Peabody PictureVocabulary Test» (PPVT) was administered to eachsubject in order to establish possible relationsbetween the lexical development level and the grammaticalprofile.Results show that proportion of impairment is notquantitatively homogeneous for all grammatical categories, affecting more specifically articles and relational units, such as prepositions and conjunctions,independently of chronological age or lexical level ofeach subject. These findings could be of interest notonly for effective intervention strategies in thisimpaired population but also for establishing differentpatterns of language development within intellectualdisability as well as for shaping our modelsof typical language development


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Síndrome de Down , Trastornos del Desarrollo del Lenguaje/diagnóstico , Pruebas del Lenguaje
14.
Psicothema (Oviedo) ; 15(2): 285-291, mayo 2003. tab, graf
Artículo en Es | IBECS (España) | ID: ibc-25914

RESUMEN

Los errores fonológicos pueden atribuirse a procesos de simplificación que el niño aplica al input o a su representación. Entre ellos la metátesis o permutación de la posición de un fonema dentro de la palabra podría presentar unas características diferenciales. Para comprobarlo grabamos en vídeo muestras del habla espontánea de 60 niños repartidos en seis grupos de edad entre tres y seis años, las transcribimos y codificamos utilizando CHILDES, y analizamos en ellas la incidencia y la naturaleza de los procesos de metátesis en relación con otros parámetros del habla y con sus contextos de realización. Para ello y con carácter previo construimos un sistema de categorías de análisis de los procesos fonológicos. Nuestros resultados indican que la metátesis presenta unas características atípicas y de su discusión pueden seguirse conclusiones plausibles que tengan en cuenta la representación de la información fonológica en el lexicón infantil para el procesamiento lingüístico (AU)


Phonological errors can be interpreted as simplification processes that children apply to the input or its representation. Among them metathesis or the exchange (shift) in the position of a phoneme in a word could present distinguishing features. In order to test this hypothesis, we videotaped spontaneous speech samples of 60 children between the age of 3 and 6, we transcribed and codified them using CHILDES, and then we analysed the incidence and the nature of the metathesis processes found, taking into account other parameters of speech as well as their contexts of production. We previously built a system of categories in order to classify the phonological processes underlying children’s errors. Our results show that metathesis presents atypical patterns, and from the discussion that follows plausible conclusions could be drawn about the representation of the phonological information in the child’s lexicon for linguistic processing (AU)


Asunto(s)
Femenino , Preescolar , Masculino , Niño , Humanos , Inteligibilidad del Habla , Trastornos del Habla/epidemiología , Desarrollo del Lenguaje , Percepción del Habla , Conducta Verbal
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