Specific Language Impairment Children Research Articles

Syntax at Hand: Common Syntactic Structures for Actions and Language

Evidence that the motor and the linguistic systems share common syntactic representations would open new perspectives on language evolution. Here, crossing disciplinary boundaries, we explore potential parallels between the structure of simple actions and that of sentences. First, examining Typically Developing (TD) children displacing a bottle with or without knowledge of its weight prior to movement onset, we provide kinematic evidence that the sub-phases of this displacing action (reaching + moving the bottle) manifest a structure akin to linguistic embedded dependencies. Then, using the same motor task, we reveal that children suffering from specific language impairment (SLI), whose core deficit affects syntactic embedding and dependencies, manifest specific structural motor anomalies parallel to their linguistic deficits. In contrast to TD children, SLI children performed the displacing-action as if its sub-phases were juxtaposed rather than embedded. The specificity of SLI’s structural motor deficit was confirmed by testing an additional control group: Fragile-X Syndrome patients, whose language capacity, though delayed, comparatively spares embedded dependencies, displayed slower but structurally normal motor performances. By identifying the presence of structural representations and dependency computations in the motor system and by showing their selective deficit in SLI patients, these findings point to a potential motor origin for language syntax.

Hebrew language assessment measure for preschool children: A comparison between typically developing children and children with specific language impairment

The Katzenberger Hebrew Language Assessment for Preschool Children (henceforth: the KHLA) is the first comprehensive, standardized language assessment tool developed in Hebrew specifically for older preschoolers (4;0–5;11 years). The KHLA is a norm-referenced, Hebrew specific assessment, based on well-established psycholinguistic principles, as well as on the established knowledge in the field of normal language development in the preschool years. The main goal of the study is to evaluate the KHLA as a tool for identification of language-impaired Hebrew-speaking preschoolers and to find out whether the test distinguishes between typically developing (TDL) and language-impaired children. The aim of the application of the KHLA is to characterize the language skills of Hebrew-speaking children with specific language impairment (SLI). The tasks comprised in the assessment are considered in the literature to be the sensitive areas of language skills appropriate for assessing children with SLI. Participants included 454 (383 TDL and 71 SLI) mid–high SES, monolingual native speakers of Hebrew, aged 4;0–5;11 years. The assessment included six subtests (with a total of 171 items): Auditory Processing, Lexicon, Grammar, Phonological Awareness, Semantic Categorization, and Narration of Picture Series. The study focuses on the psychometric aspect of the test. The KHLA was found useful for distinguishing between TDL and SLI when the identification is based on the total Z-score or at least two of the subtest-specific Z-scores in −1.25 SD cutoff points. The results provide a ranking order for assessment: Grammar, Auditory Processing, Semantic Categorization, Narration of Picture Series/Lexicon, and Phonological Awareness. The main clinical implications of this study are to consider the optimal cutoff point of −1.25 SD for diagnosis of SLI children and to apply the entire test for assessment. In cases when the clinician may decide to assess only two or three subtests, it is recommended that the ranking order be applied as described in the study.

Case Marking in Hungarian Children with Specific Language Impairment.

This study examines whether children with specific language impairment (SLI) acquiring a language with a rich case marking system (Hungarian) have difficulty with case, and, if so, whether the difficulty is comparable for spatial and nonspatial meanings. Data were drawn from narrative samples and from a sentence repetition task. Suffixes were tested both in their spatial and nonspatial meanings. Participants with SLI were compared to same-age peers and younger typically developing children matched on receptive vocabulary scores ( VC children ). Results show that although case-marking errors are very rare in spontaneous speech in Hungarian children with SLI, the number of case marked nouns and of different case markers is significantly lower in children with SLI. In the elicited production task, overall performance of the children with SLI was significantly below that of VC children, but children with SLI and VC children scored higher with spatial than with nonspatial meanings. The results are in line with expectations based on processing accounts which posit greater difficulties with less transparent details of grammar.

Sequence learning pattern in children with specific language impairment

Abstract The procedural deficit hypothesis (PDH) claims that language deficits in children with specific language impairment (SLI) are caused by sequence learning deficits. Previous studies provided evidence that were both in favor and against this hypothesis. Few studies reported on sequence learning pattern in SLI children using various modifications of the serial reaction time (SRT) task. The present study aimed to examine the PDH by examining sequence learning pattern in SLI using an adapted SRT task. The study also examines the sequence learning pattern among typically developing and SLI children. Results are discussed with relevance to sequence learning pattern and language deficits in SLI children.

Evidence for Distinct Cognitive Profiles in Autism Spectrum Disorders and Specific Language Impairment

Findings that a subgroup of children with an autism spectrum disorder (ASD) have linguistic capabilities that resemble specific language impairment (SLI) have led some authors to hypothesise that ASD and SLI have a shared aetiology. While considerable research has explored overlap in the language phenotypes of the two conditions, little research has examined possible overlap in cognitive characteristics. In this study, we explored nonword and sentence repetition performance, as well as performance on the Children's Embedded Figures Test (CEFT) for children with ASD or SLI. As expected, 'language impaired' children with ASD (ALI) and children with SLI performed worse than both 'language normal' ASD (ALN) and typically developing (TD) children on the nonword and sentence repetition tests. Further, the SLI children performed worse than all other groups on the CEFT. This finding supports distinct cognitive profiles in ASD and SLI and may provide further evidence for distinct aetiological mechanisms in the two conditions.

Quantifying Repetitive Speech in Autism Spectrum Disorders and Language Impairment

We report on an automatic technique for quantifying two types of repetitive speech: repetitions of what the child says him/herself (self-repeats) and of what is uttered by an interlocutor (echolalia). We apply this technique to a sample of 111 children between the ages of four and eight: 42 typically developing children (TD), 19 children with specific language impairment (SLI), 25 children with autism spectrum disorders (ASD) plus language impairment (ALI), and 25 children with ASD with normal, non-impaired language (ALN). The results indicate robust differences in echolalia between the TD and ASD groups as a whole (ALN + ALI), and between TD and ALN children. There were no significant differences between ALI and SLI children for echolalia or self-repetitions. The results confirm previous findings that children with ASD repeat the language of others more than other populations of children. On the other hand, self-repetition does not appear to be significantly more frequent in ASD, nor does it matter whether the child's echolalia occurred within one (immediate) or two turns (near-immediate) of the adult's original utterance. Furthermore, non-significant differences between ALN and SLI, between TD and SLI, and between ALI and TD are suggestive that echolalia may not be specific to ALN or to ASD in general. One important innovation of this work is an objective fully automatic technique for assessing the amount of repetition in a transcript of a child's utterances.

Rotation and generation of mental imagery in children with specific language impairment

To investigate the relationship between mental imagery and specific language impairment (SLI) and explore the assumption that children with SLI are less able to generate mental images and/or convert them, when compared to typical development (TD) children of the same age. Twenty-four children, aged six to eight, took part in two tests to see how well they generated and rotated mental images. The participants were 12 SLI children (six boys and six girls) and 12 TD children (six boys and six girls), matched by age and gender. The statistical analysis showed a significant difference between the two groups when it came to generating mental imagery. However, there were no significant differences with regard to rotating mental imagery. The results suggest imagery deficit in language-impaired children is not caused by mental rotation, but by other aspects of image processing, such as generation, maintenance and interpretation of visual images.

Procedural Learning in Specific Language Impairment: Effects of Sequence Complexity

According to the procedural deficit hypothesis (PDH), abnormal development in the procedural memory system could account for the language deficits observed in specific language impairment (SLI). Recent studies have supported this hypothesis by using a serial reaction time (SRT) task, during which a slower learning rate is observed in children with SLI compared to controls. Recently, we obtained contrasting results, demonstrating that children with SLI were able to learn a sequence as quickly and as accurately as controls. These discrepancies could be related to differences in the statistical structure of the SRT sequence between these studies. The aim of this study was to further assess, in a group of 21 children with SLI, the PDH with second-order conditional sequences, which are more difficult to learn than those used in previous studies. Our results show that children with SLI had impaired procedural memory, as evidenced by both longer reaction times and no sign of sequence-specific learning in comparison with typically developing controls. These results are consistent with the PDH proposed by Ullman and Pierpont (2005) and suggest that procedural sequence-learning in SLI children depends on the complexity of the to-be-learned sequence.

Non‐word repetition performance in Slovak‐speaking children with and without SLI: novel scoring methods

Non-word repetition (NWR) tasks have been found to correlate with language skills and to discriminate between groups of typically developing (TD) children and children with specific language impairment (SLI) across languages. The main aim was to develop an easily-administered NWR screening test that could discriminate between Slovak-speaking TD children and children with SLI. The second aim was to establish if the novel scoring methods for NWR tasks were equally effective at differentiating between the TD versus SLI groups. As Slovak vowels are not reduced in unstressed syllables, it was also sought to establish whether scoring vowels (in addition to the consonants usually assessed in English language tests) would be informative. The paper evaluated the performance of a new NWR task for Slovak-speaking children. Study 1 compared the performance of 60 TD children in three age groups: 3-year-olds (N = 20), 4-your-olds (N = 20) and 5-year-olds (N = 20). Five types of scoring methods were examined: whole-item, number of syllables, syllable structure, consonants, and vowels. Study 2 compared performance on the NWR task administered in Study 1 across three groups of child participants: an SLI group (N = 16), a TD age-matched group (N = 16), and a TD language-matched group (N = 14). Study 1 found an age effect in the TD sample for three out of five of the scoring methods tested (number of syllables, syllable structure, and consonants). Study 2 showed that all five of the scoring methods discriminated between: (1) the group of children with SLI and the TD language-matched (TDLM) sample and (2) the group of children with SLI and the TD age-matched (TDAM) group. The novel NWR tool reliably differentiated between children with SLI and TD children. Scoring cut-off points which demonstrated high rates of success at verifying true-positives (93.75%) and true-negatives (100%) are provided. The most informative scoring methods for Slavic languages (whole-item scoring and vowels correct) are identified and discussed.

Emotional and behavioural outcomes later in childhood and adolescence for children with specific language impairments: meta‐analyses of controlled prospective studies

Prospective evidence on psychological outcomes for children with specific language impairments (SLI) is accumulating. To date, there has been no attempt to summarise what this evidence says about the strength of link between SLI and later child and adolescent emotional and behavioural (EB) outcomes. We undertook a systematic review and meta-analysis (following PRISMA guidelines and involving a literature search to June 2012 of seven databases, including MEDLINE and PsychAPA) of prospective, cohort studies of children with SLI and typical language development (TLD) reporting on the incidence and severity of EB problems later in childhood or adolescence. Nineteen follow-up reports of eight cohorts with 553 SLI children and 1533 TLD controls were identified. Initial assessment was at 3-8.8 years of age and follow-up duration from 2 to 12 years. Pooled across comparable studies, SLI children were about two times more likely to show disorder levels of overall internalising problems, overall externalising and ADHD problems than TLD children. Compared with the average TLD child (50 percentile), at follow-up, the symptom severity of the average SLI child was at the 72 percentile (95% CI 65-79 percentile) on internalising symptoms, the 69 percentile (95% CI 63-74 percentile) on externalising symptoms and the 60 percentile (95% CI 52-68 percentile) on AHDH severity. The findings about risk to specific mental disorders and the severity of specific problems were inconclusive. Relative to typical children, SLI children experience clinically important increases in the severity of diverse emotional, behavioural and ADHD symptoms and more frequently show a clinical level of these problems. The small number of studies included in pooled analysis and methodological heterogeneity reduce the precision and generalisability of the findings. Most studies do not account for initial levels of EB problems.

Family history interview of a broad phenotype in specific language impairment and matched controls

The aim was to study a broader phenotype of language-related diagnoses and problems in three generations of relatives of children with specific language impairment (SLI). Our study is based on a family history interview of the parents of 59 children with SLI and of 100 matched control children, exploring the prevalence of problems related to language, reading, attention, school achievement and social communication as well as diagnoses such as attention-deficit hyperactivity disorder (ADHD), autism, Asperger syndrome, dyslexia, mental retardation, cleft palate and stuttering. The results show a spectrum of language-related problems in families of SLI children. In all three generations of SLI relatives, we found significantly higher prevalence rates of language, literacy and social communication problems. The risk of one or both parents having language-related diagnoses or problems was approximately six times higher for the children with SLI (85%) than for the control children (13%) (odds ratio = 37.2). We did not find a significantly higher prevalence of the diagnoses ADHD, autism or Asperger syndrome in the relatives of the children with SLI. However, significantly more parents of the children with SLI had problems with attention/hyperactivity when compared with the parents of controls. Our findings suggest common underlying mechanisms for problems with language, literacy and social communication, and possibly also for attention/hyperactivity symptoms.

How Children With Specific Language Impairment View Social Situations: An Eye Tracking Study

Children with specific language impairment (SLI) face risks for social difficulties. However, the nature and developmental course of these difficulties remain unclear. Gaze behaviors have been studied by using eye tracking among those with autism spectrum disorders (ASDs). Using this method, we compared the gaze behaviors of children with SLI with those of individuals with ASD and typically developing (TD) children to explore the social perception of children with SLI. The eye gazes of 66 children (16 with SLI, 25 with ASD, and 25 TD) were studied while viewing videos of social interactions. Gaze behaviors were summarized with multidimensional scaling, and participants with similar gaze behaviors were represented proximally in a 2-dimensional plane. The SLI and TD groups each formed a cluster near the center of the multidimensional scaling plane, whereas the ASD group was distributed around the periphery. Frame-by-frame analyses showed that children with SLI and TD children viewed faces in a manner consistent with the story line, but children with ASD devoted less attention to faces and social interactions. During speech scenes, children with SLI were significantly more fixated on the mouth, whereas TD children viewed the eyes and the mouth. Children with SLI viewed social situations in ways similar to those of TD children but different from those of children with ASD. However, children with SLI concentrated on the speaker's mouth, possibly to compensate for audiovisual processing deficits. Because eyes carry important information, this difference may influence the social development of children with SLI.

Auditory middle latency responses in children with specific language impairment

Auditory-evoked potentials represent the response of the auditory pathway to an auditory stimulus. Specific language impairment (SLI) children have delayed language development with difficulties in both understanding and producing spoken language. Hence, the purpose of this study was to determine whether a group of children with SLI had abnormal changes in the auditory middle latency response (AMLR). AMLR was obtained for 19 SLI children and they were studied and compared to normal. Audiological assessment and speech language tests were done for the study group. The results revealed no significant statistical differences between SLI children and the normal with regard to AMLR (P > 0.05). Our results suggest that children with SLI do not have abnormal auditory system response at the level measured by AMLR casting doubt on affection of the hypnotized origin of AMLR, mainly primary auditory cortex, as a cause for delayed language development in those children.

The complexity of narrative interferes in the use of conjunctions in children with specific language impairment

To verify the use of conjunctions in narratives, and to investigate the influence of stimuli's complexity over the type of conjunctions used by children with specific language impairment (SLI) and children with typical language development. Participants were 40 children (20 with typical language development and 20 with SLI) with ages between 7 and 10 years, paired by age range. Fifteen stories with increasing of complexity were used to obtain the narratives; stories were classified into mechanical, behavioral and intentional, and each of them was represented by four scenes. Narratives were analyzed according to occurrence and classification of conjunctions. Both groups used more coordinative than subordinate conjunctions, with significant decrease in the use of conjunctions in the discourse of SLI children. The use of conjunctions varied according to the type of narrative: for coordinative conjunctions, both groups differed only between intentional and behavioral narratives, with higher occurrence in behavioral ones; for subordinate conjunctions, typically developing children's performance did not show differences between narratives, while SLI children presented fewer occurrences in intentional narratives, which was different from other narratives. Both groups used more coordinative than subordinate conjunctions; however, typically developing children presented more conjunctions than SLI children. The production of children with SLI was influenced by stimulus, since more complex narratives has less use of subordinate conjunctions.

Prosodic assessment in Egyptian children with specific language impairment

EnAbstract Background Prosody is the aspect of language that conveys emotion by changes in tone, rhythm, and emphasis during speech. Prosody includes aspects such as intonation and tone of voice. Specific language impairment (SLI) is a developmental disorder in which language development is below the chronological age despite normal nonverbal intelligence and no obvious neurological or physiological impairments or emotional and/or social difficulties that could impact language use. Most of these children experience considerable difficulty in language comprehension and/or production and experience specific problems in learning syntactic rules. In the speech stream, boundaries of major syntactic constituents are reliably marked by prosodic cues. Although deficits in related aspects of prosody have been hypothesized to underlie SLI, prosody has been little studied in Egyptian children having SLIs. Objective The objective of this work was to assess prosody in Egyptian children with an SLI in order to correlate the results with the clinical profile of the patients so as to choose the proper rehabilitation training program. Participants and method This study included 30 Egyptian children with SLIs and 30 normal children as a control group; their ages ranged between 4 and 6 years. Assessment included language assessment using the Arabic language test and prosodic assessment using the protocol of prosodic assessment, which was especially designed to assess prosodic abilities in Arabic-speaking children. Results Results revealed a significant difference in most of the individual and total subjective scores of prosodic skills between the control group and children with SLIs. Although the difference in the average of the total objective scores of prosodic assessment, which included pitch and energy, was highly significant, the average of total sentence duration was insignificant. There was significant correlation between the total language age and all subjective scores and an insignificant correlation with the total objective scores of prosodic assessment skills in SLI children. Conclusion SLI children have defective receptive, expressive, subjective, and objective scores of prosodic assessment skills that should be considered during the rehabilitation program for language stimulation for these children.

Efectos de un programa de intervención en el lenguaje sobre el desarrollo del léxico y del procesamiento fonológico en escolares de Educación Infantil con Trastorno Específico del Lenguaje

This study presents some of the results of a research study on Specific Language Impairment (SLI) pupils. Our aim was to design an intervention programme based on inclusive education principles, which could support both language development and access to reading of a sample. The sample used was made up of six SLI children who had been diagnosed with the help of language and cognitive tests. Implementation was carried out in the pupils´ schools during regular classroom hours as well during remedial classes. In this study we show the effects of the programme on lexical development and phonological processes. The contrast between pre and post-tests was analysed for variables such as lexis, phonological processing and length of utterances. The results show significant improvements in all variables under study.

The impact of specific language impairment on performance in science and suggested implications for pedagogy

The impact of specific language impairment (SLI) on the acquisition of literacy and numeracy skills has been well researched. In contrast little has been written on its impact on the third core subject in the National Curriculum (NC) of science and this article describes a preliminary investigation into the scientific reasoning skills of children with SLI in comparison with those of typically developing (TD) children. In individual assessment sessions 11 pairs of target children with SLI and control TD children in the Key Stage (KS) 2 age span (ages 7–11 years) undertook a series of scientific reasoning tasks appropriate to their age involving receptive and expressive language skills. The children with SLI had for the most part significantly more difficulty with expressive language tasks (ELTs) than the TD children, in spite of the provision of scaffolding, and there was some evidence that they also had greater difficulty with the production of causal connectives, e.g. because, so. However, there was no difference between the two groups on receptive language tasks (RLTs) when scaffolding was used. Some possible implications for pedagogy are considered in light of these findings, and problems in matching children with SLI and TD controls are discussed.

Is There a Common Neuroanatomical Substrate of Language Deficit between Autism Spectrum Disorder and Specific Language Impairment?

Discussion of an overlap between specific language impairment (SLI) and autism spectrum disorder (ASD) is on going. The most intriguing overlap between both phenotypes is the similarity in the observed language deficits described in SLI and a subgroup of ASD with co-occurring linguistic impairment, ASD-LI. Examining whether a similar neuroanatomical substrate underlies this phenotypical linguistic overlap, we studied the white matter microstructural properties of the superior longitudinal fascicle (SLF) of 19 ASD-LI adolescents (mean age 13.8 ± 1.6 years) and 21 age-matched controls and compared them with 13 SLI children (mean age 10.1 ± 0.4 years) and 12 age-matched controls. A linguistic profile assessment and a diffusion tensor imaging analysis of the SLF were performed. Linguistic testing revealed a mixed receptive-expressive disorder profile in both groups, confirming their overlap at phenotypical level. At neuroanatomical level, no significant differences in mean SLF fractional anisotropy (FA) and mean SLF apparent diffusion coefficient values between ASD-LI participants and controls were seen. By contrast, the mean SLF FA was significantly reduced in the SLI children as compared with their controls. The observation of structural SLF disturbances in SLI but not in ASD-LI suggests the existence of a different neuroanatomical substrate for the language deficits in both disorders.

Automatic Intonation Recognition for the Prosodic Assessment of Language-Impaired Children

This study presents a preliminary investigation into the automatic assessment of language-impaired children's (LIC) prosodic skills in one grammatical aspect: sentence modalities. Three types of language impairments were studied: autism disorder (AD), pervasive developmental disorder-not otherwise specified (PDD-NOS), and specific language impairment (SLI). A control group of typically developing (TD) children that was both age and gender matched with LIC was used for the analysis. All of the children were asked to imitate sentences that provided different types of intonation (e.g., descending and rising contours). An automatic system was then used to assess LIC's prosodic skills by comparing the intonation recognition scores with those obtained by the control group. The results showed that all LIC have difficulties in reproducing intonation contours because they achieved significantly lower recognition scores than TD children on almost all studied intonations (p <; 0.05). Regarding the “Rising” intonation, only SLI children had high recognition scores similar to TD children, which suggests a more pronounced pragmatic impairment in AD and PDD-NOS children. The automatic approach used in this study to assess LIC's prosodic skills confirms the clinical descriptions of the subjects' communication impairments.

Relation between language, audio–vocal psycholinguistic abilities and P300 in children having specific language impairment

Specific language impairment is a relatively common developmental condition in which a child fails to develop language at the typical rate despite normal general intellectual abilities, adequate exposure to language, and in the absence of hearing impairments, or neurological or psychiatric disorders. There is much controversy about the extent to which the auditory processing deficits are important in the genesis specific language impairment. The objective of this paper is to assess the higher cortical functions in children with specific language impairment, through assessing neurophysiological changes in order to correlate the results with the clinical picture of the patients to choose the proper rehabilitation training program. Subjects and method This study was carried out on 40 children diagnosed to have specific language impairment and 20 normal children as a control group. All children were subjected to the assessment protocol applied in Kasr El-Aini hospital. They were also subjected to a language test (receptive, expressive and total language items), the audio–vocal items of Illinois test of psycholinguistic (auditory reception, auditory association, verbal expression, grammatical closure, auditory sequential memory and sound blending) as well as audiological assessment that included peripheral audiological and P300amplitude and latency assessment. The results revealed a highly significant difference in P300 amplitude and latency between specific language impairment group and control group. There is also strong correlations between P300 latency and the grammatical closure, auditory sequential memory and sound blending, while significant correlation between the P300 amplitude and auditory association and verbal expression. Conclusion Children with specific language impairment, in spite of the normal peripheral hearing, have evidence of cognitive and central auditory processing defects as evidenced by P300 auditory event related potential in the form of prolonged latency which indicate a slow rate of processing and defective memory as evidenced by small amplitude. These findings affect cognitive and language development in specific language impairment children and should be considered during planning the intervention program.