언어발달지연 의심 아동에서 선별검사로서 Capute 검사의 유용성
Clinical Usefulness of Capute Developmental Test as a Screening Test for Detecting the Language Delay
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초록
Objective: To investigate the usefulness of Capute developmental test (Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale, CAT/CLAMS) as a screening test for detecting the language delay by evaluating the correlation with sequenced language scale for infants (SELSI). Method: Subjects were comprised of 101 children (18∼48 months) who were referred for evaluation of language delay. Administering CAT/CLAMS, the developmental quotients (DQs) of CAT and CLAMS, including receptive language quotient (RLQ) and expressive language quotient (ELQ), were calculated. The results of RLQ, ELQ and DQs of CAT/CLAMS were compared with the receptive, expressive and total speech quotient (SQ) of SELSI. Results: The correlation between CLAMS DQ and total SQ (r=0.75, p＜0.01), between CLAMS RLQ and receptive SQ (r=0.76, p＜0.01), and between CLAMS ELQ and expressive SQ (r=0.79, p＜0.01) was statistically significant. CLAMS (DQ＜70) revealed a sensitivity of 87% and a specificity of 78% for detecting language delay defined by total SQ＜70. Conclusion: Correlation coefficient comparing CLAMS with SELSI test was significantly high in children with language delay. CLAMS DQ 70 is a reasonable screening cutoff score for detecting total SQ＜70. (J Korean Acad Rehab Med 2010; 34: 544-549)
Abstract
Objective: To investigate the usefulness of Capute developmental test (Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale, CAT/CLAMS) as a screening test for detecting the language delay by evaluating the correlation with sequenced language scale for infants (SELSI). Method: Subjects were comprised of 101 children (18∼48 months) who were referred for evaluation of language delay. Administering CAT/CLAMS, the developmental quotients (DQs) of CAT and CLAMS, including receptive language quotient (RLQ) and expressive language quotient (ELQ), were calculated. The results of RLQ, ELQ and DQs of CAT/CLAMS were compared with the receptive, expressive and total speech quotient (SQ) of SELSI. Results: The correlation between CLAMS DQ and total SQ (r=0.75, p＜0.01), between CLAMS RLQ and receptive SQ (r=0.76, p＜0.01), and between CLAMS ELQ and expressive SQ (r=0.79, p＜0.01) was statistically significant. CLAMS (DQ＜70) revealed a sensitivity of 87% and a specificity of 78% for detecting language delay defined by total SQ＜70. Conclusion: Correlation coefficient comparing CLAMS with SELSI test was significantly high in children with language delay. CLAMS DQ 70 is a reasonable screening cutoff score for detecting total SQ＜70. (J Korean Acad Rehab Med 2010; 34: 544-549)
참고문헌 (29)
- Randall D, "A study of language development in a sample of 3 year old children", Br J Disord Commun, 9, pp.3~16 (1974)
- Burden V, "The cambridge language and speech project (CLASP). I. Detection of language difficulties at 36 to 39 months", Dev Med Child Neurol, 38, pp.613~631 (1996)
- McGlynn EA, "Quality of care for children and adolescents: a review of selected clinical conditions and quality indicators", pp.157~168 (2000), Rand
- Catts HW, "A longitudinal investigation of reading outcomes in children with language impairments", J Speech Lang Hear Res, 45, pp.1142~1157 (2002)
- Stern LM, "The Adelaide preschool language unit: results of follow-up", J Paediatr Child Health, 31, pp.207~212 (1995)
- Hohm E, "Language development at ten months. Predictive of language outcome and school achievement ten years later?", Eur Child Adolesc Psychiatry, 16, pp.149~156 (2007)
- Robertson SB, "Effects of treatment on linguistic and social skills in toddlers with delayed language development", J Speech Lang Hear Res, 42, pp.1234~1248 (1999)
- Kim YT, "Sequenced language scale for infants (SELSI)" (2003), Special Education Publication Co
- Kim YT, "Preschool receptive-expressive language scale (PRES)" (2003), Seoul Welfare Center for People with Disabilities
- Vincer MJ, "A population-based study to determine the performance of the cognitive adaptive test", Clinical linguistic and auditory milestone scale to predict the mental developmental index at 18 months on the bayley scales of infant development-II in very preterm infants, 2005, pp.116, 864~867
- Kube DA, "CAT", CLAMS: its use in detecting early childhood cognitive impairment, 2000, pp.23, 208~215
- Hoon AH Jr, "Clinical adaptive test", clinical linguistic auditory milestone scale in early cognitive assessment, 1993, pp.123, S1~8
- Macias MM, "Infant screening: the usefulness of the bayley infant neurodevelopmental screener and the clinical adaptive test", clinical linguistic auditory milestone scale, 1998, pp.19, 155~161
- clinical linguistic & auditory milestone scale (CAT, "The capute scales: cognitive adaptive test", pp.Paul H Brookes Pub Co, CLAMS)
- 권범선, "뇌실주위 백질연화증의 뇌자기공명영상 소견과 Denver II 및 Capute 발달검사", Annals of Rehabilitation Medicine, 26(3), pp.6~278 (2002), 대한재활의학회
- Clark JG, "Investigating the validity of the clinical linguistic auditory milestone scale", Int J Pediatr Otorhinolaryngol, 31, pp.63~75 (1995)
- 조성래, "말ㆍ언어 장애 아동에서 언어지수와 지능 및 사회지수의 관계", Annals of Rehabilitation Medicine, 32(2), pp.129~134 (2008), 대한재활의학회
- Loddenkemper T, "Developmental outcome after epilepsy surgery in infancy", Pediatrics, 119, pp.930~935 (2007)
- Harel S, "Clinical characteristics of children referred to a child development center for evaluation of speech, language, and communication disorders", Pediatr Neurol, 15, pp.305~311 (1996)
- McRae KM, "Simple developmental speech delay: a follow-up study", Dev Med Child Neurol, 33, pp.868~874 (1991)
- Law J, "Treating children with speech and language impairments", BMJ, 321, pp.908~909 (2000)
- Law J, "Speech and language therapy interventions for children with primary speech and language delay or disorder", Cochrane Database Syst Rev, ~ (2003)
- Robertson SB, "The influence of peer models on the play scripts of children with specific language impairment", J Speech Lang Hear Res, 40, pp.49~61 (1997)
- Pittock ST, "Ease of administration of the cognitive adaptive test", clinical linguistic and auditory milestone scale (CAT, Clin Pediatr, pp.2002, 41[DOI]
- Voigt RG, "Concurrent and predictive validity of the cognitive adaptive test", clinical linguistic and auditory milestone scale (CAT, Clin Pediatr, pp.2003, 42[DOI]
- Rossman MJ, "The CAT", CLAMS assessment for early intervention services. Clinical adaptive test, Clin Pediatr (Phila), pp.1994, 33[DOI]
- Wachtel RC, "Neurodevelopment in pediatric HIV infection. The use of CAT", CLAMS. Clinical adaptive test, Clin Pediatr (Phila), pp.1994, 33[DOI]
- Wachtel RC, "CAT", CLAMS. A tool for the pediatric evaluation of infants and young children with developmental delay. Clinical adaptive test, Clin Pediatr (Phila), pp.1994, 33[DOI]
- 김성우, "언어발달이 지연된 환아들의 진단과 이에 따른 임상양상", Annals of Rehabilitation Medicine, 29(6), pp.584~590 (2005), 대한재활의학회