• Speech Sciences
• /
• v.13 no.2
• /
• pp.59-72
• /
• 2006

In the present study, we investigated the grammaticality judgement skills of children with developmental language impairments. The participants included 20 children with language impairments of ages ranging from 7 to 9 years and of IQ's ranging from 71 to 84, and 40 normally developing children. Twenty normal children were matched with the language impaired children in their language ages and the other 20 normal children were matched with the language impaired children in their chronological ages. The children were asked to judge the grammatical correctness of 48 short sentences, half of which were ungrammatical sentences containing incorrect case-markers and the other half were grammatically correct sentences. Four types of case-markers including nominative "i/ga", accusative "ul/lul", locative "e," and instrumental "ro" were systematically changed to generate the ungrammatical sentences. The language impaired children performed worse than both groups of normally developing children in detecting the ungrammatical sentences and in correcting the case-markers of those sentences. In detecting the errors of ungrammatical sentences, the language impaired children exhibited variable performances across the different case-markers.

• Speech Sciences
• /
• v.10 no.3
• /
• pp.47-64
• /
• 2003

In the present study, the production of grammatical morphemes of Korean-speaking children with and without developmental language impairments was investigated. Ten children with language impairments (LI) (CA: 4; 4-6; 11, LA: 3; .6-5; 10) and 10 normal children (CA: 3;1-6;3, LA: 3;5-5;11) with matched language abilities participated in the study. Sixty pairs of pictures were used to elicit 12 types of predetermined grammatical morphemes. The two pictures of a pair were designed to elicit two sentences of the same sentence structure. After the investigator described one picture of a pair, the children were asked to describe the other picture. The LI children made more errors than the normal children in the production of 6 types of grammatical morphemes including: locative case marker, dative case marker, two connective endings of predicates representing cause and goal, and suffixes for passive and causative verbs. However, the LI children produced some grammatical morphemes as accurately as. the normal children. The two groups were similar in their error patterns. Some explanations for Korean-speaking LI children's use of grammatical morphemes were suggested.

• Clinical and Experimental Pediatrics
• /
• v.51 no.9
• /
• pp.922-934
• /
• 2008

Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

• Clinical and Experimental Pediatrics
• /
• v.49 no.10
• /
• pp.1019-1025
• /
• 2006

Motor delay, when present, is usually the first concern brought by the parents of children with developmental delay. Cerebral palsy that is the most common motor delay, is a nonspecific, descriptive term pertaining to disordered motor function that is evident in early infancy and is characterized by changes in muscle tone, muscle weakness, involuntary movements, ataxia, or a combination of these abnormalities. A wide range of causative disorders and risk factors have been identified for cerebral palsy, and broadly classified into 5 groups; perinatal brain injury, brain injury related to prematurity, developmental abnormalities, prenatal risk factors, and postnatal brain injury. Delay in attaining developmental milestones is the most distinctive presenting complaint in children with cerebral palsy. A detailed history and thorough physical and neurologic examinations are crucial in the diagnostic process. The clinician should be cautious about diagnostic pronouncement unless the findings are unequivocal. Several serial examinations and history review are necessary. All children with cerebral palsy should undergo a neuroimaging study, preferably MRI, because an abnormality is documented on head MRI(89%) and CT(77%). The high incidence rates for mental retardation, epilepsy, ophthalmologic defects, speech and language disorders and hearing impairment make it imperative that all children with cerebral palsy be screened for mental retardation, ophthalmologic and hearing impairments, and speech and language disorders; nutrition, growth, and swallowing also should be closely monitored.

• 대한핵의학회:학술대회논문집
• /
• 1999.11a
• /
• pp.41.2-41.2
• /
• 1999

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.32 no.1
• /
• pp.35-40
• /
• 2021

Objectives: Among the many intervention programs for children with autism spectrum disorder (ASD), the Early Start Denver Model (ESDM) is one of the few approaches that has succeeded in demonstrating clinical efficacy in randomized control trials. Here, we investigate the clinical efficacy of ESDM intervention in young children with ASD in a community setting within Japan. Methods: All subjects were children with ASD who received ESDM intervention during the study period. Each ESDM session lasted 75 min and occurred once per week for at least 12 weeks. The outcome measures consisted of the Kyoto Scale of Psychological Development (K-test), Aberrant Behavior Checklist-Japanese version (ABC-J), and the Clinical Global Impression-Severity scale (CGI-S). Results: Twenty-seven subjects (29.4±6.4 months old) received ESDM intervention that lasted for 8.0±2.6 months on average. The score on Language and Social developmental quotient on the K-test increased significantly after the intervention. The total scores on the ABC-J and CGI-S significantly decreased after completion of the ESDM intervention. Conclusion: Our results suggest that ESDM intervention could reduce the severity of distinct clinical features of ASD, such as impairments in social interaction and communication assessed by the K-test, and maladaptive behavior rated by the ABC-J and CGI-S. We believe that the ESDM adapted to each institution might become one of the standard options for children with ASD in Japan.