Cerebral palsy is a neuromotor disorder that occurs due to “brain damage before, during, or shortly after birth” (Brooks, 2007, p. 373). This damage does not usually increase in severity over time, but it is possible for functional movement to decrease. Abnormal muscle tone, reflexes, or motor development and coordination (CP World) often characterize cerebral palsy. The most commonly thought of symptoms are spasms or other involuntary movements, or a lack of muscle mass. In addition, there is a great variety in severity within the cerebral palsy population. One person may have only mild symptoms and function almost completely normally, while others may have severe symptoms making it ...view middle of the document...
These are all influences that may have had, continue to have, or have knowledge of, outside effects that would affect the proper development of speech. In addition, this can help the testing therapists to decide on the proper approach to the assessment.
During the assessment, the steps taken depend on the age and communicative abilities of the child. For children who have not yet reached the age where speech is expected, the clinician can use prespeech assessments that look at things such as the influence of abnormal muscles tone, spasms, and other neuromuscular irregularities on the mechanisms of speech, as well as prespeech behaviors such as the behaviors expected during the “coo & goo” stage. This can provide information about areas where the child may have difficulties in the future, and can encourage early intervention practices.
For children who have gained some verbal communication, the clinician will most often take various speech samples to gain an idea of the intelligibility of the child. These speech samples can be from conversation with the clinician as well as conversation between the parent and child. These samples can then be analyzed to determine if there are any patterns in the errors that are found. An articulation or phonological test can be used to determine patterns of misarticulations, but it is important to take into consideration...