Browsing by Subject "SLI"

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  • Tillander, Saara (Helsingfors universitet, 2016)
    Objectives. Specific language impairment (SLI) is a heterogeneous disorder and its symptoms change with development. For most people it has a profound effect on functional ability, participation, and learning. The symptoms are persistent especially among those with difficulties in speech-reception. Simultaneous learning of multiple languages increases the individual variation in linguistic difficulties. Language functioning of Finnish monolingual and multilingual children at age over 10 years has not been thoroughly investigated. The objective of this study was to describe how SLI manifests itself in 11–12-years-old monolingual and multilingual children. The study focused on language ability and health-related quality of life. The acquired information may help in improving supporting practices. Methods. Four male participants at age of 11–12 years living in the Capital Region of Finland, and with SLI diagnosis (F80.2) were recruited from Helsinki University Central Hospital Audiophoniatric ward 22 for the study. Two participants were monolingual and two were multilingual learning Finnish as their second language. The gathered data consisted of language tests and questionnaires intended for parents, teachers, and the participants. Testing was videotaped and the acquired narratives were transcribed. Results were compared against age norms as well as previous literature. Furthermore, the questionnaire data were grouped based on the content, and the results were analyzed qualitatively. In addition, the test results and questionnaire data were compared to each other. Finally, the differences in language abilities were examined in relation to medical reports written before school age. Results and conclusions. All participants had deficiencies in language abilities, but language symptoms, social ability, academic achievement, and quality of life varied individually. Results were in line with previous studies. Difficulties were observed especially in grammatical and reading abilities, short-term memory and word naming. Moreover, according to parents and teachers, the participants had problems in speech reception, narration, pragmatics, and some of them also in social interactions. Finnish vocabulary among the multilingual participants was smaller than that of their monolingual counterparts. However, differences in other areas were larger at single-level than at group-level. Three of the participants still received substantial support in school. Support of the fourth participant had been discontinued due to favorable progress. Majority of the participants perceived their health-related quality of life slightly weaker than that of controls. Based on the results, it is important to support pragmatic skills at school age since previous studies have shown an association of these to social integration. A Study with a larger sample size and longitudinal setting is needed in the future.
  • Strandman, Siisa (Helsingfors universitet, 2015)
    Goals. The aim of the study is to increase the knowledge of Specific Language Impairment (SLI) on 5 year old children, focusing on the symptom profile, prevalence of the symptoms and their custom to cluster together. The study is based on clinical observations and it is part of a longitudinal study. A lot of SLI research has been done, but the symptom profile remains pretty unknown. The literature explains it by the heterogeneity of the disorder and it's tendency to convert by the development of the children. The knowledge of the profile symptom of SLI is needed especially when planning rehabilitation. Resources of the rehabilitation should be targeted properly, because SLI-children have a right to get encompassing and sterling support to adopt communication skills as good as possible. On research work the knowledge of the symptom profile can benefit research for example when qualifying the degree of the difficulty or when predicting the evolution and the possibility of rehabilitation of the disorder. Methods. This was a retrospective study and the data was collected from patient documents. The subjects were 196 children, who examined at Lastenlinna in 1998 or 1999. All the subjects were diagnosed to have SLI with diagnosis F80.1 or/and F80.2. Demographic information and information about the linguistic and comorbid symptoms were collected when subjects were 5 years old. The frequency of the symptoms were examined from the data and the symptoms were clustered with hierarchical cluster analysis. Results and conclusions. Subjects with diagnosis F80.1 had most symptoms in linguistic subclass of speech motor functions and subjects with diagnosis F80.2 in subclass of processing of language. From four possible linguistic subclasses the subjects had symptoms mostly in two or three subclasses. Subjects with diagnosis F80.2 had more symptoms both in linguistic and comorbid subclasses than subjects with diagnosis F80.1. Thirty-seven percent of the subjects had some comorbid diagnosis, of which F82, specific developmental disorder of motor functions, was the most common. 40,4 % of the subjects did not have any comorbid symptoms but when there were any, they were situated mostly in subclass of activity and attention. The symptoms were clustered into three clusters: (1) understanding, (2) speech motor functions with dysgrammatical symptoms and (3) pragmatics. The clusters of understanding and speech motor functions with dysgrammatical symptoms were small groups containing mostly of linguistic symptoms. The only comorbid symptom in the cluster of understanding was the symptom of spontaneous. The cluster of pragmatic symptoms was a very broad cluster containing a lot of linguistic symptoms and almost all comorbid symptoms.