Reading in subjects with an oral cleft: speech, hearing and neuropsychological skills

Neuropsychology. 2014 May;28(3):415-22. doi: 10.1037/neu0000024. Epub 2013 Nov 4.

Abstract

Objective: To evaluate speech, hearing, and neuropsychological correlates to reading among children, adolescents, and young adults with nonsyndromic cleft of the lip and/or palate (NSCL/P).

Method: All testing was completed in a single visit at a Midwestern university hospital. Subjects in both the NSCL/P (n = 80) and the control groups (n = 62) ranged in age from 7-26 years (average age = 17.60 and 17.66, respectively). Subjects completed a battery of standardized tests evaluating intelligence, neuropsychological skills, and word reading. Subjects with NSCL/P also underwent speech assessment, and past audiology records were evaluated.

Results: After controlling for age and socioeconomic status, subjects with cleft performed significantly worse on a test of word reading. For subjects with cleft, word reading deficits were not associated with measures of speech or hearing, but were correlated with impairments in auditory memory.

Conclusion: These findings show poorer reading among subjects with NSCL/P compared with those without. Further work needs to focus on correlates of reading among subjects with cleft to allow early identification and appropriate intervention/accommodation for those at risk.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acoustic Stimulation
  • Adolescent
  • Adult
  • Attention / physiology
  • Child
  • Cleft Lip / complications*
  • Cleft Lip / psychology*
  • Cognition / physiology*
  • Dyslexia / diagnosis
  • Dyslexia / etiology*
  • Female
  • Hearing / physiology*
  • Humans
  • Intelligence
  • Linear Models
  • Male
  • Memory Disorders / diagnosis
  • Memory Disorders / etiology
  • Multivariate Analysis
  • Neuropsychological Tests
  • Speech / physiology*
  • Verbal Learning / physiology
  • Young Adult