Speech breathing in able-bodied children and children with cerebral palsy: A review of the literature and implications for clinical intervention

Author(s): Charron, S.

Journal/Book: Am J Speech Lang Pathol. 1998; 7: 10801 Rockville Pike, Rockville, MD 20852-3279. Amer Speech-Language-Hearing Assoc. 61-78.

Abstract: Management of the communication problems of children with cerebral palsy presents many challenges to speech-language pathologists. In this paper, we focus on one aspect of that challenge, speech breathing. To understand the nature of speech breathing problems in children with dysarthria, it is necessary to have a thorough knowledge of speech breathing in able-bodied children. In the first part of this paper, we review this literature according to four parameters: air pressure, lung volume, air flow, and chest wall shape. Incorporated into this section are data and clinical reports of speech breathing in children with cerebral palsy. In the second part of this paper, we have provided management suggestions for the speech-language pathologist working with children with cerebral palsy. These include the general topics of muscle weakness and incoordination, body positioning, and neurodevelopmental treatment. Throughout this review, it becomes clear that little information regarding either the nature or the treatment of speech breathing in children with cerebral palsy is available and that there is a definite need for basic research as well as treatment efficacy studies.

Note: Article Solomon NP, Univ Minnesota, Dept Commun Disorders, 115 Shevlin Hall, 164 Pillsbury Dr Se, Minneapolis,MN 55455 USA

Keyword(s): speech breathing; children; treatment; cerebral palsy; LARYNGEAL AIRWAY-RESISTANCE; NEURODEVELOPMENTAL TREATMENT; VOWEL PRODUCTION; VOCAL INTENSITY; RIB CAGE; ADULTS; FLOW; VARIABILITY; PRESSURE; AGE

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