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KMID : 0391520150230030091
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Journal of the Korean Child Neurology Society
2015 Volume.23 No. 3 p.91 ~ p.98
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The Clinical Features of Late Talker
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Park Jin-Gyeong
Lee Jong-Hoon
Lee Chang-Ho
Jung Ji-Eun
Hong Suk-Jin
Lee Eun-Joo
Park Hye-Jin
Kim Jin-Kyung
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Abstract
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Purpose: This study examined the clinical significance of assessments and intervention of late-talker conducted at 2?3 years old.
Method: We retrospectively reviewed the medical records of 32 late talkers who did not have any other deficits (such as, cognitive, neurological, socio-emotional, or sensory deficits), had visited the hospital, due to delayed language development at 2?3 years old, and were reassessed at 5?6 years old, from January 2007 to May 2015. Language and
cognitive abilities were assessed using multiple scales at the initial and follow-up visits.
Results: All 5(100%) children with only delayed expressive language development at initial assessment improved to the average intelligence at follow-up assessment. The 6(33.3%) of 18 children with delayed mixed expressive-receptive language development showed average intelligence at follow-up; 4(22.2%), specific language impairment; 8(44.5%), borderline intellectual functioning. The 3(33.3%) of 9 children with delayed language and cognitive development showed average intelligence at follow-up; 1(11.1%), specific language impairment; 5(55.6%), borderline intellectual functioning.
Many children experienced some articulation problems or behavioral, emotional, and social difficulties.
Conclusion: Trials of interventions demonstrate improvement in some outcome measures, but conclusions and generalizability are limited. Accurate prediction of persistent language difficulties was not possible at 2?3 years old. Therefore, regular long-term follow-up is required.
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KEYWORD
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Language, Cognition, Intelligence, Language development
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