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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(6):584-590.
Diagnosis and Clinical Features of Children with Language Delay.
Kim, Seong Woo , Shin, Jung Bin , You, Sung , Yang, Eun Ju , Lee, Sun Kyoung , Chung, Hee Jung , Song, Dong Ho
1Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hospital, Korea.
2Department of Pediatrics, National Health Insurance Corporation Ilsan Hospital, Korea.
3Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. sk0510@hanmail.net
4Department of Psychiatry, Yonsei University College of Medicine, Korea.
언어발달이 지연된 환아들의 진단과 이에 따른 임상양상
김성우, 신정빈, 유성, 양은주1, 이선경1, 정희정2, 송동호3
국민건강보험공단 일산병원 재활의학과, 1연세대학교 의과대학 재활의학교실, 2국민건강보험공단 일산병원 소아과, 3연세대학교 의과대학 정신과학교실
Abstract
Objective
To determine the diagnosis and investigate the clinical features of children with language delay.
Method
One hundred seventy-eight children who were referred to the Developmental Delay Clinic for the evaluation of suspected language delay were prospectively enrolled. Multidisciplinary assessment was done by a physiatrist, pediatric neurologist and pediatric psychiatrist. All patients took speech evaluation, full battery of cognitive assessment and hearing test.
Results
The common diagnoses of children with language delay were mental retardation (MR), specific language impairment (SLI) and autism spectrum disorder (ASD) in the order of frequency. The early developmental history showed delay of acquisition of motor milestone in MR group. The brain magnetic resonance image (MRI) and single photon emission computerized tomography (SPECT) findings couldn't help to distinguish the brain pathology in SLI, MR and ASD. The result of speech evaluation showed more severely involved in ASD and MR rather than SLI.
Conclusion
In the clinical assesment and management of the children with language delay, the comprehensive assessment which includes cognition and personal-social area as well as language itself would be helpful for the understanding and setting up the therapeutic plan of these children. (J Korean Acad Rehab Med 2005; 29: 584-590)
Key Words: Diagnosis, Clinical features, Specific language impairment, Mental retardation, Autism spectrum disorder


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