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Article ; Online: Prevalence of speech and communication disorders in children with CP.

Geytenbeek, Joke

Developmental medicine and child neurology

2011 Volume 53, Issue 1, Page(s) 10–11

MeSH term(s)	Cerebral Palsy/complications ; Cerebral Palsy/epidemiology ; Communication Disorders/epidemiology ; Communication Disorders/etiology ; Humans ; Prevalence ; Speech Disorders/epidemiology ; Speech Disorders/etiology
Language	English
Publishing date	2011-01
Publishing country	England
Document type	Comment ; Journal Article
ZDB-ID	80369-8
ISSN	1469-8749 ; 0012-1622
ISSN (online)	1469-8749
ISSN	0012-1622
DOI	10.1111/j.1469-8749.2010.03803.x
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Article ; Online: Programming Algorithm for the Management of Speech Impairment in Subthalamic Nucleus Deep Brain Stimulation for Parkinson's Disease.

Swinnen, Bart E K S / Lotfalla, Veronia / Scholten, Marije N / Prins, Rosanne H N / Goes, Kelly M / de Vries, Stefanie / Geytenbeek, Joke J M / Dijk, Joke M / Odekerken, Vincent J / Bot, Maarten / van den Munckhof, Pepijn / Schuurman, Peter R / de Bie, Rob M A / Beudel, Martijn

Neuromodulation : journal of the International Neuromodulation Society

2023 Volume 27, Issue 3, Page(s) 528–537

Abstract: Objectives: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD) has an ambiguous relation to speech. Speech impairment can be a stimulation-induced side effect, and parkinsonian dysarthria can improve with STN-DBS. ...

Abstract	Objectives: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD) has an ambiguous relation to speech. Speech impairment can be a stimulation-induced side effect, and parkinsonian dysarthria can improve with STN-DBS. Owing to the lack of an up-to-date and evidence-based approach, DBS reprogramming for speech impairment is largely blind and greatly relies on the physician's experience. In this study, we aimed to establish an evidence- and experience-based algorithm for managing speech impairment in patients with PD treated with STN-DBS. Materials and methods: We performed a single-center retrospective study to identify patients with STN-DBS and speech impairment. Onset of speech impairment, lead localization, and assessment of DBS-induced nature of speech impairment were collected. When DBS settings were adjusted for improving speech, the magnitude and duration of effect were collected. We also performed a systematic literature review to identify studies describing the effects of parameter adjustments aimed at improving speech impairment in patients with PD receiving STN-DBS. Results: In the retrospective study, 245 of 631 patients (38.8%) with STN-DBS had significant speech impairment. The probability of sustained marked improvement upon reprogramming was generally low (27.9%). In the systematic review, 23 of 662 identified studies were included. Only two randomized controlled trials have been performed, providing evidence for interleaving-interlink stimulation only. Considerable methodologic heterogeneity precluded the conduction of a meta-analysis. Conclusions: Speech impairment in STN-DBS for PD is frequent, but high-quality evidence regarding DBS parameter adjustments is scarce, and the probability of sustained improvement is low. To improve this outcome, we propose an evidence- and experience-based approach to address speech impairment in STN-DBS that can be used in clinical practice.
MeSH term(s)	Humans ; Speech ; Parkinson Disease/complications ; Parkinson Disease/therapy ; Subthalamic Nucleus/physiology ; Deep Brain Stimulation ; Retrospective Studies ; Speech Disorders/etiology ; Speech Disorders/therapy
Language	English
Publishing date	2023-07-15
Publishing country	United States
Document type	Systematic Review ; Meta-Analysis ; Journal Article
ZDB-ID	1500372-3
ISSN	1525-1403 ; 1094-7159
ISSN (online)	1525-1403
ISSN	1094-7159
DOI	10.1016/j.neurom.2023.05.002
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Article ; Online: Reliability and validity of the Dutch-language version of the Viking Speech Scale in children with cerebral palsy.

Spaans, Irene E M / Geytenbeek, Joke J M / Vaillant, Emma / de Kleijn, Maaike A M C / Buizer, Annemieke I / Pennington, Lindsay

Child: care, health and development

2022 Volume 49, Issue 3, Page(s) 605–616

Abstract: Purpose: The Viking Speech Scale is used to classify speech performance in children with cerebral palsy (CP). A Dutch-language version (VSS-NL) has recently become available. This study aimed to determine the reliability and validity of the VSS-NL and ... ...

Abstract	Purpose: The Viking Speech Scale is used to classify speech performance in children with cerebral palsy (CP). A Dutch-language version (VSS-NL) has recently become available. This study aimed to determine the reliability and validity of the VSS-NL and the association with motor type of CP, Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS) and Communication Function Classification System (CFCS). Methods: A total of 90 children with CP, recruited throughout the Netherlands, took part in the study. VSS-NL classifications by speech and language therapists unfamiliar (SLT1) and familiar (SLT2) with the child, parents and physicians were compared. Convergent and discriminant validity were determined with the Intelligibility in Context Scale-Dutch (ICS-NL) and the Computer Based Instrument for Low Motor Language Testing (C-BiLLT). Inter- and intrarater reliability were determined by weighted Kappa (ƙ Results: Interrater reliability was excellent between SLT1-SLT2 (ƙ Conclusion: The VSS-NL is a reliable and valid system to classify speech performance in children with cerebral palsy. Classifications can be performed by SLTs, parents and physicians.
MeSH term(s)	Child ; Humans ; Cerebral Palsy ; Speech ; Reproducibility of Results ; Severity of Illness Index ; Language ; Disability Evaluation
Language	English
Publishing date	2022-11-22
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	223039-2
ISSN	1365-2214 ; 0305-1862
ISSN (online)	1365-2214
ISSN	0305-1862
DOI	10.1111/cch.13076
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Article ; Online: Comprehension of spoken language in non-speaking children with severe cerebral palsy: an explorative study on associations with motor type and disabilities.

Geytenbeek, Joke J M / Vermeulen, R Jeroen / Becher, Jules G / Oostrom, Kim J

Developmental medicine and child neurology

2015 Volume 57, Issue 3, Page(s) 294–300

Abstract: Aim: To assess spoken language comprehension in non-speaking children with severe cerebral palsy (CP) and to explore possible associations with motor type and disability.: Method: Eighty-seven non-speaking children (44 males, 43 females, mean age 6y ... ...

Abstract	Aim: To assess spoken language comprehension in non-speaking children with severe cerebral palsy (CP) and to explore possible associations with motor type and disability. Method: Eighty-seven non-speaking children (44 males, 43 females, mean age 6y 8mo, SD 2y 1mo) with spastic (54%) or dyskinetic (46%) CP (Gross Motor Function Classification System [GMFCS] levels IV [39%] and V [61%]) underwent spoken language comprehension assessment with the computer-based instrument for low motor language testing (C-BiLLT), a new and validated diagnostic instrument. A multiple linear regression model was used to investigate which variables explained the variation in C-BiLLT scores. Associations between spoken language comprehension abilities (expressed in z-score or age-equivalent score) and motor type of CP, GMFCS and Manual Ability Classification System (MACS) levels, gestational age, and epilepsy were analysed with Fisher's exact test. A p-value <0.05 was considered statistically significant. Results: Chronological age, motor type, and GMFCS classification explained 33% (R=0.577, R(2) =0.33) of the variance in spoken language comprehension. Of the children aged younger than 6 years 6 months, 52.4% of the children with dyskinetic CP attained comprehension scores within the average range (z-score ≥-1.6) as opposed to none of the children with spastic CP. Of the children aged older than 6 years 6 months, 32% of the children with dyskinetic CP reached the highest achievable age-equivalent score compared to 4% of the children with spastic CP. No significant difference in disability was found between CP-related variables (MACS levels, gestational age, epilepsy), with the exception of GMFCS which showed a significant difference in children aged younger than 6 years 6 months (p=0.043). Interpretation: Despite communication disabilities in children with severe CP, particularly in dyskinetic CP, spoken language comprehension may show no or only moderate delay. These findings emphasize the importance of introducing alternative and/or augmentative communication devices from early childhood.
MeSH term(s)	Cerebral Palsy/complications ; Cerebral Palsy/physiopathology ; Child ; Child, Preschool ; Communication Disorders/etiology ; Communication Disorders/physiopathology ; Comprehension/physiology ; Disability Evaluation ; Female ; Humans ; Language Tests ; Male ; Severity of Illness Index ; Speech Perception/physiology
Language	English
Publishing date	2015-03
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80369-8
ISSN	1469-8749 ; 0012-1622
ISSN (online)	1469-8749
ISSN	0012-1622
DOI	10.1111/dmcn.12619
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Article ; Online: Development curves of communication and social interaction in individuals with cerebral palsy.

Tan, Siok Swan / van Gorp, Marloes / Voorman, Jeanine M / Geytenbeek, Joke Jm / Reinders-Messelink, Heleen A / Ketelaar, Marjolijn / Dallmeijer, Annet J / Roebroeck, Marij E

Developmental medicine and child neurology

2019 Volume 62, Issue 1, Page(s) 132–139

Abstract: Aim: To determine development curves of communication and social interaction from childhood into adulthood for individuals with cerebral palsy (CP).: Method: This Pediatric Rehabilitation Research in the Netherlands (PERRIN)-DECADE study ... ...

Abstract	Aim: To determine development curves of communication and social interaction from childhood into adulthood for individuals with cerebral palsy (CP). Method: This Pediatric Rehabilitation Research in the Netherlands (PERRIN)-DECADE study longitudinally assessed 421 individuals with CP, aged from 1 to 20 years at baseline, after 13 years (n=121 at follow-up). Communication and social interactions were assessed using the Vineland Adaptive Behavior Scales. We estimated the average maximum performance limit (level) and age at which 90% of the limit was reached (age Results: One-hundred individuals without intellectual disability were aged 21 to 34 years at follow-up (39 females, 61 males) (mean age [SD] 28y 5mo [3y 11mo]). Limits of individuals without intellectual disability, regardless of Gross Motor Function Classification System (GMFCS) level, approached the maximum score and were significantly higher than those of individuals with intellectual disability. Ages Interpretation: Individuals with CP and without intellectual disability show developmental curves of communication and social interactions similar to typically developing individuals, regardless of their level of motor function. Those with intellectual disability reach lower performance levels and vary largely in individual development. What this paper adds: Communication and social interactions in individuals with cerebral palsy without intellectual disability develop similarly to typically developing individuals. Communication and social interactions of individuals with intellectual disability develop less favourably and show large variation.
MeSH term(s)	Adolescent ; Adult ; Cerebral Palsy/physiopathology ; Child ; Child, Preschool ; Communication ; Female ; Human Development/physiology ; Humans ; Infant ; Intellectual Disability/physiopathology ; Interpersonal Relations ; Longitudinal Studies ; Male ; Young Adult
Language	English
Publishing date	2019-09-21
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80369-8
ISSN	1469-8749 ; 0012-1622
ISSN (online)	1469-8749
ISSN	0012-1622
DOI	10.1111/dmcn.14351
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Article ; Online: Spoken language comprehension of phrases, simple and compound-active sentences in non-speaking children with severe cerebral palsy.

Geytenbeek, Joke J M / Heim, Margriet J M / Knol, Dirk L / Vermeulen, R Jeroen / Oostrom, Kim J

International journal of language & communication disorders

2015 Volume 50, Issue 4, Page(s) 499–515

Abstract: Background: Children with severe cerebral palsy (CP) (i.e. 'non-speaking children with severely limited mobility') are restricted in many domains that are important to the acquisition of language.: Aims: To investigate comprehension of spoken ... ...

Abstract	Background: Children with severe cerebral palsy (CP) (i.e. 'non-speaking children with severely limited mobility') are restricted in many domains that are important to the acquisition of language. Aims: To investigate comprehension of spoken language on sentence type level in non-speaking children with severe CP. Methods & procedures: From an original sample of 87 non-speaking children with severe CP, 68 passed the pre-test (i.e. they matched at least five spoken words to the corresponding objects) of a specifically developed computer-based instrument for low motor language testing (C-BiLLT), admitting them to the actual C-BiLLT computer test. As a result, the present study included 68 children with severe CP (35 boys, 33 girls; mean age 6;11 years, SD 3;0 years; age range 1;9-11;11 years) who were investigated with the C-BiLLT for comprehension of different sentence types: phrases, simple active sentences (with one or two arguments) and compound sentences. The C-BiLLT provides norm data of typically developing (TD) children (1;6-6;6 years). Binomial logistic regression analyses were used to compare the percentage correct of each sentence type in children with severe CP with that in TD children (subdivided into age groups) and to compare percentage correct within the CP subtypes. Outcomes & results: Sentence comprehension in non-speaking children with severe CP followed the developmental trajectory of TD children, but at a much slower rate; nevertheless, they were still developing up to at least age 12 years. Delays in sentence type comprehension increased with sentence complexity and showed a large variability between individual children and between subtypes of CP. Comprehension of simple and syntactically more complex sentences were significantly better in children with dyskinetic CP than in children with spastic CP. Of the children with dyskinetic CP, 10-13% showed comprehension of simple and compound sentences within the percentage correct of TD children, as opposed to none of the children with spastic CP. Conclusion & implications: In non-speaking children with severe CP sentence comprehension is delayed rather than deviant. Results indicate the importance of following comprehension skills across all age groups, even beyond age 12 years. Moreover, the subtype of CP should be considered when establishing an educational programme for sentence comprehension, and augmentative and alternative communication support. In addition, educational programmes for children with severe CP should take into account the linguistic hierarchy of sentence comprehension when focusing on the input and understanding of spoken language comprehension.
MeSH term(s)	Auditory Perceptual Disorders/diagnosis ; Auditory Perceptual Disorders/psychology ; Cerebral Palsy/diagnosis ; Cerebral Palsy/psychology ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Language Development Disorders/diagnosis ; Language Development Disorders/psychology ; Language Tests ; Male ; Psycholinguistics ; Semantics
Language	English
Publishing date	2015-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1415919-3
ISSN	1460-6984 ; 1368-2822
ISSN (online)	1460-6984
ISSN	1368-2822
DOI	10.1111/1460-6984.12151
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Article ; Online: Reliability and validity of the C-BiLLT: a new instrument to assess comprehension of spoken language in young children with cerebral palsy and complex communication needs.

Geytenbeek, Joke J / Mokkink, Lidwine B / Knol, Dirk L / Vermeulen, R Jeroen / Oostrom, Kim J

Augmentative and alternative communication (Baltimore, Md. : 1985)

2014 Volume 30, Issue 3, Page(s) 252–266

Abstract: In clinical practice, a variety of diagnostic tests are available to assess a child's comprehension of spoken language. However, none of these tests have been designed specifically for use with children who have severe motor impairments and who ... ...

Abstract	In clinical practice, a variety of diagnostic tests are available to assess a child's comprehension of spoken language. However, none of these tests have been designed specifically for use with children who have severe motor impairments and who experience severe difficulty when using speech to communicate. This article describes the process of investigating the reliability and validity of the Computer-Based Instrument for Low Motor Language Testing (C-BiLLT), which was specifically developed to assess spoken Dutch language comprehension in children with cerebral palsy and complex communication needs. The study included 806 children with typical development, and 87 nonspeaking children with cerebral palsy and complex communication needs, and was designed to provide information on the psychometric qualities of the C-BiLLT. The potential utility of the C-BiLLT as a measure of spoken Dutch language comprehension abilities for children with cerebral palsy and complex communication needs is discussed.
MeSH term(s)	Case-Control Studies ; Cerebral Palsy/complications ; Cerebral Palsy/diagnosis ; Child ; Child, Preschool ; Communication Disorders/complications ; Communication Disorders/diagnosis ; Comprehension ; Female ; Humans ; Infant ; Language Tests/standards ; Male ; Psychometrics ; Reproducibility of Results ; Speech
Language	English
Publishing date	2014-09
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Validation Studies
ZDB-ID	2068579-8
ISSN	1477-3848 ; 0743-4618
ISSN (online)	1477-3848
ISSN	0743-4618
DOI	10.3109/07434618.2014.924992
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Article ; Online: Reliability of the Dutch-language version of the Communication Function Classification System and its association with language comprehension and method of communication.

Vander Zwart, Karlijn E / Geytenbeek, Joke J / de Kleijn, Maaike / Oostrom, Kim J / Gorter, Jan Willem / Hidecker, Mary Jo Cooley / Vermeulen, R Jeroen

Developmental medicine and child neurology

2016 Volume 58, Issue 2, Page(s) 180–188

Abstract: Aim: The aims of this study were to determine the intra- and interrater reliability of the Dutch-language version of the Communication Function Classification System (CFCS-NL) and to investigate the association between the CFCS level and (1) spoken ... ...

Abstract	Aim: The aims of this study were to determine the intra- and interrater reliability of the Dutch-language version of the Communication Function Classification System (CFCS-NL) and to investigate the association between the CFCS level and (1) spoken language comprehension and (2) preferred method of communication in children with cerebral palsy (CP). Method: Participants were 93 children with CP (50 males, 43 females; mean age 7y, SD 2y 6mo, range 2y 9mo-12y 10mo; unilateral spastic [n=22], bilateral spastic [n=51], dyskinetic [n=15], ataxic [n=3], not specified [n=2]; Gross Motor Function Classification System level I [n=16], II [n=14], III, [n=7], IV [n=24], V [n=31], unknown [n=1]), recruited from rehabilitation centres throughout the Netherlands. Because some centres only contributed to part of the study, different numbers of participants are presented for different aspects of the study. Parents and speech and language therapists (SLTs) classified the communication level using the CFCS. Kappa was used to determine the intra- and interrater reliability. Spearman's correlation coefficient was used to determine the association between CFCS level and spoken language comprehension, and Fisher's exact test was used to examine the association between the CFCS level and method of communication. Results: Interrater reliability of the CFCS-NL between parents and SLTs was fair (r=0.54), between SLTs good (r=0.78), and the intrarater (SLT) reliability very good (r=0.85). The association between the CFCS and spoken language comprehension was strong for SLTs (r=0.63) and moderate for parents (r=0.51). There was a statistically significant difference between the CFCS level and the preferred method of communication of the child (p<0.01). Also, CFCS level classification showed a statistically significant difference between parents and SLTs (p<0.01). Interpretation: These data suggest that the CFCS-NL is a valid and reliable clinical tool to classify everyday communication in children with CP. Preferably, professionals should classify the child's CFCS level in collaboration with the parents to acquire the most comprehensive information about the everyday communication of the child in various situations both with familiar and with unfamiliar partners.
MeSH term(s)	Cerebral Palsy/classification ; Cerebral Palsy/diagnosis ; Cerebral Palsy/physiopathology ; Child ; Child, Preschool ; Communication ; Comprehension/physiology ; Female ; Humans ; Language ; Language Tests/standards ; Male ; Netherlands ; Reproducibility of Results ; Severity of Illness Index
Language	English
Publishing date	2016-02
Publishing country	England
Document type	Journal Article
ZDB-ID	80369-8
ISSN	1469-8749 ; 0012-1622
ISSN (online)	1469-8749
ISSN	0012-1622
DOI	10.1111/dmcn.12839
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Article ; Online: Language comprehension in young people with severe cerebral palsy in relation to language tracts: a diffusion tensor imaging study.

Harlaar, Laurike / Pouwels, Petra J / Geytenbeek, Joke / Oostrom, Kim / Barkhof, Frederik / Vermeulen, R Jeroen

Neuropediatrics

2013 Volume 44, Issue 5, Page(s) 286–290

Abstract: Patients with severe cerebral palsy (CP) often have poor speech ability but potentially better language comprehension. The arcuate fasciculus and the extreme capsule are two important language tracts between the Wernicke and Broca areas. Using diffusion ... ...

Abstract	Patients with severe cerebral palsy (CP) often have poor speech ability but potentially better language comprehension. The arcuate fasciculus and the extreme capsule are two important language tracts between the Wernicke and Broca areas. Using diffusion tensor imaging, we visualized language tracts and pyramidal tracts in both hemispheres in 10 controls (5 to 18 years) and 5 patients (5 to 23 years) with severe CP. Language comprehension was assessed with a recently designed instrument (the Computer-Based instrument for Low motor Language Testing [C-BiLLT]). The language tracts were visualized in all control children and in four CP patients. In one CP patient without any objective language comprehension skills, no language tract could be visualized. Both language and pyramidal tracts were smaller in patients than in controls. These preliminary data indicate a relation between language tracts and language skills. Further research is necessary to study the value of structural integrity of language tracts in predicting language comprehension in CP patients.
MeSH term(s)	Adolescent ; Brain/physiopathology ; Cerebral Palsy/complications ; Cerebral Palsy/physiopathology ; Child ; Child, Preschool ; Comprehension/physiology ; Diffusion Tensor Imaging ; Female ; Humans ; Language ; Language Disorders/complications ; Language Disorders/physiopathology ; Language Tests ; Male ; Pyramidal Tracts/physiopathology
Language	English
Publishing date	2013-10
Publishing country	Germany
Document type	Journal Article
ZDB-ID	573291-8
ISSN	1439-1899 ; 0174-304X
ISSN (online)	1439-1899
ISSN	0174-304X
DOI	10.1055/s-0033-1341600
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Article ; Online: Language comprehension in nonspeaking children with severe cerebral palsy: Neuroanatomical substrate?

Geytenbeek, Joke J / Oostrom, Kim J / Harlaar, Laurike / Becher, Jules G / Knol, Dirk L / Barkhof, Frederik / Pinto, Pedro S / Vermeulen, R Jeroen

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society

2015 Volume 19, Issue 5, Page(s) 510–520

Abstract: Background and aims: To identify relations between brain abnormalities and spoken language comprehension, MRI characteristics of 80 nonspeaking children with severe CP were examined.: Methods: MRI scans were analysed for patterns of brain ... ...

Abstract	Background and aims: To identify relations between brain abnormalities and spoken language comprehension, MRI characteristics of 80 nonspeaking children with severe CP were examined. Methods: MRI scans were analysed for patterns of brain abnormalities and scored for specific MRI measures: white matter (WM) areas; size of lateral ventricles, WM abnormality/reduction, cysts, subarachnoid space, corpus callosum thinning and grey matter (GM) areas; cortical GM abnormalities, thalamus, putamen, globus pallidus and nucleus caudatus and cerebellar abnormalities. Language comprehension was assessed with a new validated instrument (C-BiLLT). Results: MRI scans of 35 children were classified as a basal ganglia necrosis (BGN) pattern, with damage to central GM areas; in 60% of these children damage to WM areas was also found. MRI scans of 13 children were classified as periventricular leukomalacia (PVL) with little concomitant damage to central GM areas, 13 as malformations and 19 as miscellaneous. Language comprehension was best in children with BGN, followed by malformations and miscellaneous, and was poorest in PVL. Linear regression modelling per pattern group (malformations excluded), with MRI measures as independent variables, revealed that corpus callosum thinning in BGN and parieto-occipital WM reduction in PVL were the most important explanatory factors for poor language comprehension. No MRI measures explained outcomes in language comprehension in the miscellaneous group. Conclusions: Comprehension of spoken language differs between MRI patterns of severe CP. In children with BGN and PVL differences in language comprehension performance is attributed to damage in the WM areas. Language comprehension was most affected in children with WM lesions in the subcortical and then periventricular areas, most characteristic for children with PVL.
MeSH term(s)	Brain/pathology ; Cerebral Palsy/pathology ; Cerebral Palsy/physiopathology ; Child ; Comprehension ; Female ; Humans ; Language ; Leukomalacia, Periventricular/pathology ; Leukomalacia, Periventricular/physiopathology ; Magnetic Resonance Imaging ; Male
Language	English
Publishing date	2015-09
Publishing country	England
Document type	Journal Article
ZDB-ID	1397146-3
ISSN	1532-2130 ; 1090-3798
ISSN (online)	1532-2130
ISSN	1090-3798
DOI	10.1016/j.ejpn.2015.06.001
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In stock of ZB MED Cologne/Königswinter

Order via subito