- Language Development in Children at Risk for Severe Expressive Language Delay.
This article describes a 3-year follow-up of 3 children who were at risk for severe expressive language delay. At age 3, all subjects were without mental retardation and had good verbal comprehension, but spoke less than a few words. At that time they were already using gestures for communicative purposes.<BR>Their developmental process was analyzed using the“acquisition model of expressive language”and the“model of correlating factors for expressive language delay.”Analysis demonstrated that all subjects followed the same sequential order in acquiring expressive language: 1) use of gestures to compensate for inadequate oral expressive vocabulary, 2) utterance of single syllables through imitation, 3) utterance of polysyllabic words, and 4) increase in oral expressive vocabulary before age 4. However, each subject showed different problems in acquiring oral expression, and their outcomes were not same. For example, some of the children's articulation skills, phonological skills, or narrative skills remain poor.<BR>Clinical implications of these findings for the management of children who are at risk for severe expressive language delay are discussed.<BR>(Children with severe expressive language delay : speech delayed children older than 4 years of age, who can at least understand two-word combinations but speak less than a few words.)
音声言語医学 35 (3), 240-254, 1994