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1.
Acta Paediatr ; 101(9): 946-52, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22591054

RESUMO

AIM: There is little data on whether or not a bilingual upbringing may aggravate specific language problems in children. This study analysed whether there was an interaction of such problems and simultaneous bilingualism. METHODS: Participants were 5- to 7-year-old children with specific language problems (LANG group, N = 56) or who were typically developing (CONTR group, N = 60). Seventy-three children were Swedish-Finnish bilingual and 43 were Swedish-speaking monolingual. Assessments (in Swedish) included tests of expressive language, comprehension, repetition and verbal memory. RESULTS: Per definition, the LANG group had lower scores than the CONTR group on all language tests. The bilingual group had lower scores than the monolingual group only on a test of body part naming. Importantly, the interaction of group (LANG or CONTR) and bilingualism was not significant on any of the language scores. CONCLUSIONS: Simultaneous bilingualism does not aggravate specific language problems but may result in a slower development of vocabulary both in children with and without specific language problems. Considering also advantages, a bilingual upbringing is an option also for children with specific language problems. In assessment, tests of vocabulary may be sensitive to bilingualism, instead tests assessing comprehension, syntax and nonword repetition may provide less biased methods.


Assuntos
Transtornos da Linguagem/epidemiologia , Multilinguismo , Criança , Pré-Escolar , Compreensão , Feminino , Humanos , Masculino , Vocabulário
2.
Int J Psychophysiol ; 68(2): 161-9, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18295363

RESUMO

Specific language impairment (SLI) is diagnosed when a child has problems in producing or understanding language despite having a normal IQ and there being no other obvious explanation. There can be several associated problems, and no single underlying cause has yet been identified. Some theories propose problems in auditory processing, specifically in the discrimination of sound frequency or rapid temporal frequency changes. We compared automatic cortical speech-sound processing and discrimination between a group of children with SLI and control children with normal language development (mean age: 6.6 years; range: 5-7 years). We measured auditory evoked magnetic fields using two sets of CV syllables, one with a changing consonant /da/ba/ga/ and another one with a changing vowel /su/so/sy/ in an oddball paradigm. The P1m responses for onsets of repetitive stimuli were weaker in the SLI group whereas no significant group differences were found in the mismatch responses. The results indicate that the SLI group, having weaker responses to the onsets of sounds, might have slightly depressed sensory encoding.


Assuntos
Percepção Auditiva/fisiologia , Discriminação Psicológica/fisiologia , Potenciais Evocados Auditivos/fisiologia , Transtornos do Desenvolvimento da Linguagem/fisiopatologia , Transtornos da Linguagem/fisiopatologia , Estimulação Acústica , Análise de Variância , Estudos de Casos e Controles , Córtex Cerebral/fisiologia , Córtex Cerebral/fisiopatologia , Criança , Pré-Escolar , Feminino , Humanos , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Transtornos da Linguagem/diagnóstico , Magnetoencefalografia , Masculino , Valores de Referência
3.
Int J Lang Commun Disord ; 43(6): 699-711, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18608612

RESUMO

BACKGROUND: A large proportion of children are exposed to more than one language, yet research on simultaneous bilingualism has been relatively sparse. Traditionally, there has been concern that bilingualism may aggravate language difficulties of children with language impairment. However, recent studies have not found specific language impairment (SLI) or language-related problems to be increased by bilingualism. AIMS: The topic of bilingualism and its effects has high actuality in Finland, where increasing numbers of children in the country's 6% Swedish-speaking minority grow up in bilingual families, where one parent's primary language is Swedish and the other's Finnish. The present study aimed at exploring the influence of such bilingualism on the language profiles of children from this population at risk for language impairment (LI). METHODS & PROCEDURES: Participants were recruited from a language screening of 339 children from kindergartens with instruction only in Swedish, from the Swedish-speaking parts of Finland. Of these children, 33 (9.7%) were defined as a Risk Group for LI, whereas 48 non-risk children were randomly selected to form a control group. When subdividing the children according to home language, 35 were found to be monolingual, Swedish-speaking, and 46 were Swedish-Finnish bilingual. The children underwent neuropsychological assessment during their preschool year. Assessment methods included subtests from the Wechsler Primary and Preschool Scale of Intelligence - Revised and the NEPSY Developmental Neuropsychological Assessment. OUTCOMES & RESULTS: A repeated-measures multiple analysis of covariance (MANCOVA) showed a significant effect of risk of LI on the NEPSY language scores. The effect of home language was not significant and there was no interaction between home language and risk for LI. Non-verbal IQ was controlled for. Across groups, bilingual children scored lower than monolingual children only on measures of vocabulary and sentence repetition. CONCLUSIONS: Although a slight general cost of bilingualism was found in the language profile of the six-year olds in this study, a bilingual background was not associated with more severe language problems in the LI Risk Group. Thus, there would seem to be no need to shield language-impaired children from opportunities for dual language learning.


Assuntos
Linguagem Infantil , Desenvolvimento da Linguagem , Transtornos da Linguagem/etiologia , Multilinguismo , Análise de Variância , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Finlândia , Humanos , Testes de Inteligência , Testes de Linguagem , Masculino , Risco , Suécia
4.
Clin Neurophysiol ; 116(1): 112-9, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15589190

RESUMO

OBJECTIVE: Our objective was to study how well the auditory evoked magnetic fields (EF) reflect the behavioral discrimination of speech sounds in preschool children, and if they reveal the same information as simultaneously recorded evoked potentials (EP). METHODS: EFs and EPs were recorded in 11 preschool children (mean age 6 years 9 months) using an oddball paradigm with two sets of speech stimuli consisting both of one standard and two deviants. After the brain activity recording, children were tested on behavioural discrimination of the same stimuli presented in pairs. RESULTS: There was a mismatch negativity (MMN) calculated from difference curves and its magnetic counterpart MMNm measured from the original responses only to those deviants, which were behaviourally easiest to discriminate from the standards. In addition, EF revealed significant differences between the locations of the activation depending on the hemisphere and stimulus properties. CONCLUSIONS: EF, in addition to reflecting the sound-discrimination accuracy in a similar manner as EP, also reflected the spatial differences in activation of the temporal lobes. SIGNIFICANCE: These results suggest that both EPs and EFs are feasible for investigating the neural basis of sound discrimination in young children. The recording of EFs with its high spatial resolution reveals information on the location of the activated neural sources.


Assuntos
Campos Eletromagnéticos , Potenciais Evocados Auditivos/efeitos da radiação , Fonética , Comportamento Verbal/efeitos da radiação , Estimulação Acústica/métodos , Análise de Variância , Mapeamento Encefálico , Criança , Pré-Escolar , Variação Contingente Negativa/efeitos da radiação , Discriminação Psicológica/efeitos da radiação , Estimulação Elétrica/métodos , Feminino , Lateralidade Funcional , Humanos , Magnetoencefalografia/métodos , Masculino , Tempo de Reação
6.
Cereb Cortex ; 17(4): 849-58, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16707736

RESUMO

This investigation assessed the effectiveness of a phonological intervention program on the brain functioning of bilingual Finnish 6- to 7-year-old preschool children diagnosed with specific language impairment (SLI). The intervention program was implemented by preschool teachers to small groups of children including children with SLI. A matched group of other bilingual children with SLI received a physical exercise program and served as a control group. Auditory evoked magnetic fields were measured before and after the intervention with an oddball paradigm. The brain activity recordings were followed by a behavioral discrimination test. Our results show that, in children with SLI, the positive intervention effect is reflected in plastic changes in the brain activity of the left and right auditory cortices.


Assuntos
Córtex Auditivo/fisiopatologia , Potenciais Evocados Auditivos , Transtornos da Linguagem/fisiopatologia , Transtornos da Linguagem/terapia , Terapia da Linguagem/métodos , Multilinguismo , Psicoterapia de Grupo/métodos , Adaptação Fisiológica , Criança , Pré-Escolar , Humanos , Masculino , Resultado do Tratamento
7.
Epilepsia ; 43(7): 748-56, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12102679

RESUMO

PURPOSE: To study the prevalence and features of visual field constrictions (VFCs) associated with vigabatrin (VGB) in children. METHODS: A systematic collection of all children with any history of VGB treatment in fifteen Finnish neuropediatric units was performed, and children were included after being able to cooperate reliably in repeated visual field tests by Goldmann kinetic perimetry. This inclusion criterion yielded 91 children (45 boys; 46 girls) between ages 5.6 and 17.9 years. Visual field extent <70 degrees in the temporal meridian was considered abnormal VFC. RESULTS: There was a notable variation in visual field extents between successive test sessions and between different individuals. VFCs <70 degrees were found in repeated test sessions in 17 (18.7%) of 91 children. There was no difference in the ages at the study, the ages at the beginning of treatment, the total duration of the treatment, general cognitive performance, or neuroradiologic findings between the patients with normal visual fields and those with VFC, but the patients with VFC had received a higher total dose of VGB. In linear regression analysis, there were statistically significant inverse correlations between the temporal extent of the visual fields and the total dose and the duration of VGB treatment. The shortest duration of VGB treatment associated with VFC was 15 months, and the lowest total dose 914 g. CONCLUSIONS: Because of a wide variation in normal visual-field test results in children, the prevalence figures of VFCs are highly dependent on the definition of normality. Although our results confirm the previous findings that VFC may occur in children treated with VGB, our study points out the need to reevaluate critically any suspected VFC to avoid misdiagnosis. Nevertheless, our study suggests that the prevalence of VFC may be lower in children than in adults, and that the cumulative dose of VGB or length of VGB therapy may add to the personal predisposition for developing VFC.


Assuntos
Anticonvulsivantes/efeitos adversos , Epilepsia/tratamento farmacológico , Vigabatrina/efeitos adversos , Transtornos da Visão/induzido quimicamente , Campos Visuais/efeitos dos fármacos , Adolescente , Fatores Etários , Anticonvulsivantes/uso terapêutico , Criança , Pré-Escolar , Suscetibilidade a Doenças , Relação Dose-Resposta a Droga , Esquema de Medicação , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Prevalência , Vigabatrina/uso terapêutico , Transtornos da Visão/diagnóstico , Transtornos da Visão/epidemiologia , Testes de Campo Visual/estatística & dados numéricos
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