Childhood apraxia of speech in cases with comorbidities
DOI:
https://doi.org/10.23925/2176-2724.2022v34i1e53536Keywords:
Comorbidity, Apraxias, Speech Disorders, Child Speech ApraxiaAbstract
Introduction: Childhood apraxia of speech (CAS) can result from neurological impairments associated with complex neurobehavioral disorders or have an unknown nosological entity. Objective: To relate the comorbidities combined with CAS and its clinical manifestations. Data sources: This systematic review was conducted according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search for scientific articles was carried out in the Medline database (via Pubmed), LILACS, Scopus and SciELO. The search terms used in English were: Comorbidity, Apraxias, Childhood apraxia of speech, Dyspraxia, Speech, and the terms in between. All studies whose subjects had some diagnosed syndrome and / or disorder and apraxia of speech were included. Initially, titles and abstracts of the articles were analyzed. Three independent reviewers evaluated the full articles and made their selections according to the eligibility criteria. At all stages, disagreements were sorted out by consensus. The main data collected was in relation with the occurrence of comorbidities in subjects with CAS. Summary of the findings: The most common comorbidities connected with CAS were Autism Spectrum Disorder, Rolandic Epilepsy and Down Syndrome. Genetic causes come as a predictor of the association between CAS and these comorbidities. Conclusions: Since CAS is a disorder of heterogeneous manifestation, it can come along with several comorbidities, which generates a late diagnosis, for CAS and the secondary disorder, hindering the process of assessment and early intervention, compromising the development of important speech skills.
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Copyright (c) 2022 Aline Mara de Oliveira, Amanda Del Nero Alves Pires, Greicyhelen Santos da Cruz, Léia Gonçalves Gurgel, Luciane Mari Deschamps
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