Selma Mie Isotani

Linguagem expressiva de crianças nascidas pré-termo e termo aos dois anos de idade

BACKGROUND expressive language of pre-term children. AIM to compare the expressive vocabulary of two year-old children born prematurely, to that of those born at term. METHODS the study sample was composed by 118 speech-language assessment protocols, divided in two groups: the pre-term group (PTG) composed by 58 underweight premature children followed by a multi-professional team at the Casa do Prematuro (House of Premature Children) at Unifesp, and the full-term group (FTG) composed by 60 full-term born children. In order to evaluate the expressive language of these children, the Lave - Lista de Avaliação do Vocabulário Expressivo (Assessment List of the Expressive Vocabulary) was used. The Lave is an adaptation of the LDS - Language Development Survey - for the Brazilian Portuguese Language. The Lave investigates the expressive language and detects delays in oral language. RESULTS children born underweight and prematurely present a greater occurrence of expressive language delay, 27.6%. These pre-term children present significantly lower expressive vocabulary and phrasal extension than children of the same age born at full-term in all semantic categories. Family income proved to be positively associated to phrasal extension, as well as to gestational age and weight at birth; thus indicating the effect of these adverse conditions still during the third year of age. The audiological status was associated to word utterances in the PTG. CONCLUSION children born prematurely and underweight are at risk in terms of vocabulary development; this determines the need for speech-therapy intervention programs.BACKGROUND: expressive language of pre-term children. AIM: to compare the expressive vocabulary of two year-old children born prematurely, to that of those born at term. METHODS: the study sample was composed by 118 speech-language assessment protocols, divided in two groups: the pre-term group (PTG) composed by 58 underweight premature children followed by a multi-professional team at the Casa do Prematuro (House of Premature Children) at Unifesp, and the full-term group (FTG) composed by 60 full-term born children. In order to evaluate the expressive language of these children, the Lave - Lista de Avaliacao do Vocabulario Expressivo (Assessment List of the Expressive Vocabulary) was used. The Lave is an adaptation of the LDS - Language Development Survey - for the Brazilian Portuguese Language. The Lave investigates the expressive language and detects delays in oral language. RESULTS: children born underweight and prematurely present a greater occurrence of expressive language delay, 27.6%. These pre-term children present significantly lower expressive vocabulary and phrasal extension than children of the same age born at full-term in all semantic categories. Family income proved to be positively associated to phrasal extension, as well as to gestational age and weight at birth; thus indicating the effect of these adverse conditions still during the third year of age. The audiological status was associated to word utterances in the PTG. CONCLUSION: children born prematurely and underweight are at risk in terms of vocabulary development; this determines the need for speech-therapy intervention programs.

Análise da narrativa oral de pré-escolares antes e após estimulação de linguagem

PURPOSE To verify the oral narrative abilities in preschoolers, before and after language stimulation. METHODS Participants were 58 preschoolers. The study was developed in three stages: 1. Pre-stimulation stage (Moment 1) - preschoolers produced the first autonomous narrative based on a sequence of pictures, and the second under adult scaffolding; 2. Stimulation stage - it was conducted a weekly reading of childrens stories in group, for ten weeks; 3. Post-stimulation stage (Moment 2): the same procedure of the first stage was repeated. The results analysis considered: the occurrence of central and secondary events; the accountable/explicable conduct, classified according to physical causes, moral/social rules and internal state; the attribution and rectification of false beliefs, analyzed by the internal states accountable/explicable conduct. RESULTS There was an increase in the occurrence of central events in Moment 2 as well as after the adult scaffolding, with decrease of secondary events comparing both moments and after the scaffolding. Regarding the accountable/explicable conduct, no differences were found between physical, social/moral rules, and internal state conducts. The internal state accountable/explicable conduct was predominantly found in all the autonomous narratives. CONCLUSION Both the reading of childrens stories and the adult scaffolding contribute to the increase in the occurrence of events in autonomous narratives. There is no variation on the type of accountable/explicable conduct in the narratives. The internal state accountable/explicable conduct is predominantly used by preschoolers.

Interpretação de ambiguidades de escolares de Embu das Artes (SP) nascidos com baixo peso

Purpose To assess the development of language regarding the ability to recognize and interpret lexical ambiguity in low-birth-weight schoolchildren enrolled at the school system in the municipality of Embu das Artes, Sao Paulo state, compared with that of schoolchildren with normal birth weight. Methods A case-control, retrospective, cross-sectional study conducted with 378 schoolchildren, both genders, aged 5 to 9.9 years, from the municipal schools of Embu das Artes. Study Group (SG) comprising 210 schoolchildren with birth weight < 2500 g. Control Group (CG) composed of 168 school children with birth weight ≥ 2500 g. Participants of both groups were compared with respect to the skills of recognition and verbal interpretation of sentences containing lexical ambiguity using the Test of Language Competence. Variables of interest: Age and gender of children; age and schooling of mothers. Statistical analysis: Descriptive analysis to characterize the sample and score per group; Students t test for comparison between the total scores of each skill/subtest; Chi-square test to compare items within each subtest; multiple regression analysis for the intervening variables. Results Participants of the SG presented lower scores for ambiguous sentences compared with those of participants of the CG. Multiple regression analysis showed that childs current age was a predictor for all metalinguistic skills regarding interpretation of ambiguities in both groups. Conclusion Participants of the SG presented lower specific and total scores than those of participants of the CG for ambiguity skills. The childs current age factor positively influenced the ambiguity skills in both groups.