Motor Speech Skills in Children with Cerebral Palsy: A Case Study of Karatina Special School
Mwangi, Robert Gatoho
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This is a case study on motor speech skills in children with Cerebral Palsy (CP). The objectives of this study were to identify the types of speech impairments in children with CP, to describe the impact of impaired motor skills on speech development in the children and to analyze the effects of speech impairment on their psychosocial development. Motor Speech Theory as proposed by Lieberman and Mattingly (1985) was used to guide and explain the findings of this study. The study was done in Karatina Special School. Purposive sampling was used to select five subjects coded as CP1, CP2, CP3, CP4 and CP5. Recording, interviews and participant observation methods were used to collect data. Analysis was done qualitatively. Findings of this study were; that CP causes articulation disorders in the form of substitution, omission and insertion and that speech of CP children is characterized by notable slowness, devoicing and vowel lengthening. Further, the study showed that children whose speech is impaired by CP exhibit withdrawal, are highly irritable, dull, selfish and tend to shy off. Key implications of the study findings are the addition to the existing knowledge of Motor Speech Disorders, help in CP Care Programs and use by Speech and Language Pathologists when dealing with speech disordered children. The findings are applicable as well in identifying ways of interacting with CP children.