Top

Child's Nervous System

Published in:

01-03-2018 | Original Paper

Does shape affect function? Articulatory skills in babbling of infants with deformational plagiocephaly

Authors: Christian Linz, Tilmann Schweitzer, Lisa C. Brenner, Felix Kunz, Philipp Meyer-Marcotty, Kathleen Wermke

Published in: Child's Nervous System | Issue 3/2018

Abstract

Purpose

The purpose of this study was to quantitatively analyse pre-speech/early language skills in healthy full-term infants with moderate or severe deformational plagiocephaly (DP) and in infants without any skull asymmetry.

Methods

At 6 and 12 months, 51 children with DP (41 moderate, 10 severe cases) were studied, along with 15 infants serving as control. Deformational plagiocephaly (DP) was objectively determined based on cranial vault asymmetry (CVA) using 3D stereophotogrammetry (3dMDhead System® and Analytics 4.0, Cranioform®). Articulatory skills in babbling were assessed using the articulatory skill (ART-index) and mean syllable number (MSN). At 12 months, standardized parental questionnaires were used to evaluate early language outcomes.

Results

Overall, 3546 vocalizations were studied. Statistical tests did not reveal any significant differences of the ART-index between the three groups (ANOVA, F[2,63] = 0.24, p = 0.24). MSN likewise did not differ between the three shape groups (Kruskal-Wallis, p = 0.84). Among the children assigned to the at-risk group for language outcomes at 12 months were seven members of the symmetrical shape group (vs. seven assigned to the normally developing group), nine of the moderate DP group (vs. 27), and one of the severe DP group (vs. six). Fisher’s exact test was used to analyse whether helmet therapy in the moderate DP group affected the results by influencing language outcomes, but did not reveal any significant influence (p = 0.712).

Conclusions

The results of this study do not support arguments suggesting that DP is a cognitive risk condition. The suggestion that a direct neurophysiological relationship exists between a DP condition and a cognitive developmental delay remains controversial.

Dehaene-Lambertz G (2017) The human infant brain: a neural architecture able to learn language. Psychon Bull Rev. https://doi.org/10.3758/s13423-016-1156-9 CrossRef

Aboud FE, Yousafzai AK (2016) Very early childhood development. In: Black RE, Laxminarayan R, Temmerman M, Walker N (ed). Reproductive, maternal, newborn, and child health: disease control priorities, Third Edition (Volume 2). Washington (DC), The International Bank for Reconstruction and Development/The World Bank

Leroy F, Glasel H, Dubois J, Hertz-Pannier L, Thirion B, Mangin J-F, Dehaene-Lambertz G (2011) Early maturation of the linguistic dorsal pathway in human infants. J Neurosci 31:1500–1506. https://doi.org/10.1523/JNEUROSCI.4141-10.2011 CrossRefPubMed

Glasel H, Leroy F, Dubois J, Hertz-Pannier L, Mangin JF, Dehaene-Lambertz G (2011) A robust cerebral asymmetry in the infant brain: the rightward superior temporal sulcus. NeuroImage 58:716–723. https://doi.org/10.1016/j.neuroimage.2011.06.016 CrossRefPubMed

Trauner D, Wulfeck B, Tallal P, Hesselink J (2000) Neurological and MRI profiles of children with developmental language impairment. Dev Med Child Neurol 42:470–475CrossRef

Bishop DVM (2013) Cerebral asymmetry and language development: cause, correlate, or consequence? Science 340:1230531. https://doi.org/10.1126/science.1230531 CrossRefPubMedPubMedCentral

Hutchison BL, Hutchison LAD, Thompson JMD, Mitchell EA (2004) Plagiocephaly and brachycephaly in the first two years of life: a prospective cohort study. Pediatrics 114:970–980. https://doi.org/10.1542/peds.2003-0668-F CrossRefPubMed

Kane AA, Mitchell LE, Craven KP, Marsh JL (1996) Observations on a recent increase in plagiocephaly without synostosis. Pediatrics 97:877–885PubMed

Mawji A, Vollman AR, Fung T, Hatfield J, McNeil DA, Sauvé R (2014) Risk factors for positional plagiocephaly and appropriate time frames for prevention messaging. Paediatr Child Health 19:423–427CrossRef

10.

Collett BR, Aylward EH, Berg J, Davidoff C, Norden J, Cunningham ML, Speltz ML (2012) Brain volume and shape in infants with deformational plagiocephaly. Childs Nerv Syst 28:1083–1090. https://doi.org/10.1007/s00381-012-1731-y CrossRefPubMedPubMedCentral

11.

Collett BR, Gray KE, Starr JR, Heike CL, Cunningham ML, Speltz ML (2013) Development at age 36 months in children with deformational plagiocephaly. Pediatrics 131:15. https://doi.org/10.1542/peds.2012-1779 CrossRef

12.

Knight SJ, Anderson VA, Meara JG, Da Costa AC (2013) Early neurodevelopment in infants with deformational plagiocephaly. J Craniofac Surg 24:1225–1228. https://doi.org/10.1097/SCS.0b013e318299777e CrossRefPubMed

13.

Hashim PW, Travieso R, Persing JA, Coffman M, Mukerji C, Naples A et al (2014) Brain electrophysiology reveals intact processing of speech sounds in deformational plagiocephaly. Plast Reconstr Surg 133:835–841. https://doi.org/10.1097/PRS.0000000000000219 CrossRef

14.

Jenny B, Smoll NR, Rilliet B, Gautschi OP (2014) Management of positional plagiocephaly—helmet or no helmet? Childs Nerv Syst 30:1153–1154. https://doi.org/10.1007/s00381-014-2444-1 CrossRefPubMed

15.

van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CGM, Van der Ploeg CPB, Ijzerman MJ, Boere-Boonekamp MM (2014) Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ 348:g2741. https://doi.org/10.1136/bmj.g2741 CrossRefPubMedPubMedCentral

16.

Kordestani RK, Patel S, Bard DE, Gurwitch R, Panchal J (2006) Neurodevelopmental delays in children with deformational plagiocephaly. Plast Reconstr Surg 117:207–218 discussion 219-20CrossRef

17.

Fowler EA, Becker DB, Pilgram TK, Noetzel M, Epstein J, Kane AA (2008) Neurologic findings in infants with deformational plagiocephaly. J Child Neurol 23:742–747. https://doi.org/10.1177/0883073808314362 CrossRefPubMed

18.

Speltz ML, Collett BR, Stott-Miller M, Starr JR, Heike C, Wolfram-Aduan AM et al (2010) Case-control study of neurodevelopment in deformational plagiocephaly. Pediatrics 125:42. https://doi.org/10.1542/peds.2009-0052 CrossRef

19.

Hutchison L (2012) Deformational plagiocephaly is associated with developmental delay in toddlers. J Pediatr 160:527–528. https://doi.org/10.1016/j.jpeds.2012.01.005 CrossRefPubMed

20.

Buder E, Warlaumont A, Oller DK (2013) An acoustic phonetic catalog of prespeech vocalisations from a developmental perspective. In: Peter B, MacLeod AAN (eds) Comprehensive perspectives on speech sound development and disorders: Pathways from linguistic theory to clinical practice. Nova Publishers, New York, pp 103–134

21.

DePaolis RA, Vihman MM, Nakai S (2013) The influence of babbling patterns on the processing of speech. Infant Behav Dev 36:642–649. https://doi.org/10.1016/j.infbeh.2013.06.007 CrossRefPubMed

22.

Warlaumont AS, Finnegan MK (2016) Learning to produce syllabic speech sounds via reward-modulated neural plasticity. PLoS One 11:e0145096. https://doi.org/10.1371/journal.pone.0145096 CrossRefPubMedPubMedCentral

23.

Grimm H, Doil H (2000) ELFRA: Elternfragebögen für die Früherkennung von Risikokindern; Handanweisung. Hogrefe Verl. für Psychologie, Göttingen

24.

Meyer-Marcotty P, Bohm H, Linz C, Kochel J, Stellzig-Eisenhauer A, Schweitzer T (2014) Three-dimensional analysis of cranial growth from 6 to 12 months of age. Eur J Orthod 36:489–496. https://doi.org/10.1093/ejo/cjt010 CrossRefPubMed

25.

Boersma P, Weenink D (2011) Phonetic Sciences. University of Amsterdam, The Netherlands

26.

Quast A, Hesse V, Hain J, Wermke P, Wermke K (2016) Baby babbling at five months linked to sex hormone levels in early infancy. Infant Behav Dev. 44:1–10. https://doi.org/10.1016/j.infbeh.2016.04.002 CrossRefPubMed

27.

Mortenson PA, Steinbok P (2006) Quantifying positional plagiocephaly: reliability and validity of anthropometric measurements. J Craniofac Surg 17:413–419CrossRef

28.

McGillion M, Herbert JS, Pine J, Vihman M, dePaolis R, Keren-Portnoy T, Matthews D (2017) What paves the way to conventional language? The predictive value of babble, pointing, and socioeconomic status. Child Dev 88:156–166. https://doi.org/10.1111/cdev.12671 CrossRefPubMed

29.

Holowka S, Petitto LA (2002) Left hemisphere cerebral specialization for babies while babbling. Science 297:1515. https://doi.org/10.1126/science.1074941 CrossRefPubMed

30.

Wermke K, Mende W, Manfredi C, Bruscaglioni P (2002) Developmental aspects of infant’s cry melody and formants. Med Eng Phys 24:501–514. https://doi.org/10.1016/S1350-4533(02)00061-9 CrossRefPubMed

31.

Forest MG, Sizonenko PC, Cathiard AM, Bertrand J (1974) Hypophyso-gonadal function in humans during the first year of life. 1. Evidence for testicular activity in early infancy. J Clin Invest 53:819–828. https://doi.org/10.1172/JCI107621 CrossRefPubMedPubMedCentral

Title: Does shape affect function? Articulatory skills in babbling of infants with deformational plagiocephaly
Authors: Christian Linz
Tilmann Schweitzer
Lisa C. Brenner
Felix Kunz
Philipp Meyer-Marcotty
Kathleen Wermke
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 3/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-017-3576-x

At a glance: The STEP trials

Springer Medicine

Does shape affect function? Articulatory skills in babbling of infants with deformational plagiocephaly

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2018

Dolichoectasia of the anterior cerebral arteries: a rare cause of headache in a young child

Ultrasound-guided placement of ventricular catheters in first-time pediatric VP shunt surgery

Surgical management of craniosynostosis in the setting of a ventricular shunt: a case series and treatment algorithm

miR-498 promotes cell proliferation and inhibits cell apoptosis in retinoblastoma by directly targeting CCPG1

Retained medullary cord extending to a sacral subcutaneous meningocele

Multiple hereditary osteochondromatosis with spinal cord compression: case report