@article{
author = "Otašević, Jadranka and Vukašinović Radojičić, Zorica and Otašević, Božidar",
year = "2022",
abstract = "Background/Aim. Psychophysiological disorders and
speech pathology is one of the priority public health
problems in the Republic of Serbia. A child’s growth and
development proceed in a particular sequence and course,
depending on individual physiological capacities, quality of
neuromuscular structures, and stimuli, which can be
significantly affected by the environment. The development
of speech from birth to the adult age is a result of the
interaction of neurocognitive factors that contribute to the
gradual attainment of phonological presentation and motor
control abilities. The aim of the study was to examine the
connection between manipulative manual dexterity, oral
praxis, and lateralization with the development and speech
in children and their potential for the development of
prevention programs. Methods. The sample included 60
children from Belgrade of both sexes, aged between 5.5 and
7 years. Of these, 30 made up the experimental group –
children with deviations in speech development (articulation
disorders), and 30 made up the control group – typically
developing children from the general population. The
instruments used were the Manipulative Manual Dexterity
Test (Lafayette), Oral Praxis Test, and part of the Test for
assessing lateralization (auditory, visual, and functional).
Results. The hand grip development level was statistically
significantly different between the experimental and the
control group (χ2 = 21.40, df = 3, p < 0.01). The presence
of associated involuntary movements statistically
significantly differed between the experimental and the
control group examinees (χ2 = 10.58, df = 1, p < 0.01). Oral
praxis statistically significantly differed between the
experimental and the control group (t = 2.01, p < 0.05).
Visual laterality statistically significantly differed (χ2 = 7.56,
p < 0.05) between the observed groups. When all predictors
were taken into account, significant contribution to the
explanation of the existence of speech pathology
(articulation disorders) was given by the variables: Visual
lateralization [odd ratio (OR) = 0.38; 95% confidence
interval (CI) = 0.179–0.832; p = 0.015] and the level of hand
grip development (OR = 0.23; 95% CI = 0.082–0.699; p =
0.009). Conclusion. The hand grip development level and
visual laterality are worse in children with speech
(articulation) impairment and developmental deviations.
These indicators of child development should be used as a
guide in designing the national programs for developmental
assessment and prevention in the child healthcare system., Uvod/Cilj. Psihofiziološki poremećaji i patologija govora
su jedan od prioritetnih problema javnog zdravlja u
Republici Srbiji. Rast i razvoj deteta odvijaju se određenim
tokom i redosledom, zavisno od individualnih fizioloških
kapaciteta, kvaliteta nervno-mišićnih struktura i podsticaja,
na koje sredina može značajno da utiče. Razvoj govora od
rođenja do odraslog doba rezultat je interakcije
neurokognitivnih faktora pomoću kojih se postepeno stiču
sposobnosti fonološke prezentacije i motorne kontrole. Cilj
istraživanja bio je da se ispita povezanost manipulativne
manuelne spretnosti, oralne praksije i lateralizovanosti sa
razvojem i govorom kod dece i njihov potencijal za izradu
preventivnih programa. Metode. Uzorkom je obuhvaćeno
60 dece iz Beograda, oba pola, uzrasta od 5,5 do 7 godina.
Njih 30 činilo je eksperimentalnu grupu – deca sa
odstupanjima u razvoju govora (artikulacioni poremećaji) i 30 kontrolnu grupu – deca urednog razvoja, iz opšte
populacije. Od „instrumenata“ ispitivanja koriščeni su: test
manipulativne manuelne spretnost (Lafayette), test oralne
praksije i deo testa za procenu lateralizovanosti (auditivna,
vizuelna i upotrebna). Rezultati. Nivo razvijenosti hvata je
bio statistički značajno različit kod eksperimentalne i
kontrolne grupe (χ2 = 21,40, df = 3, p < 0,01). Prisustvo
nevoljnih kretnji bilo je statistički značajno različito kod
ispitanika eksperimentalne i kontrolne grupe (χ2 = 10,58, df =
1, p < 0,01). Oralna praksija je bila statistički značajno različita
kod eksperimentalne i kontrolne grupe (t = 2,01, p < 0,05).
Vizuelna lateralizovanost je bila statistički značajno različita
(χ2 = 7,56, p < 0,05) među posmatranim grupama. Kada se
uzmu u obzir svi prediktori, u višestrukom regresionom
modelu statistički značajan doprinos u objašnjenju postojanja
patologije govora (poremećaji artikulacije) dali su vizuelna
lateralizovanost [odd ratio (OR) = 0,38; 95% confidence interval
(CI) = 0,179–0,832; p = 0,015) i nivo razvijenosti hvata (OR
= 0,23; 95% CI = 0,082–0,699; p = 0,009). Zaključak. Nivo
razvijenosti hvata i vizuelna lateralizovanost je lošija kod dece
sa oštećenjem govora (artikulacije) i odstupanjima u razvoju.
Ove indikatore razvoja deteta trebalo bi iskoristiti u kreiranju
nacionalnih programa procene i prevencije razvoja u sistemu
zdravstvene zaštite dece.",
publisher = "Belgrade : Ministry of Defence of the Republic of Serbia, University of Defence",
title = "Correlation of neuropsychological indicators of child development with speech: empirical research underpinning the National Children’s Health Prevention Program, Povezanost neuropsiholoških indikatora razvoja dece i govora: empirijsko istraživanje kao osnova pripreme nacionalnog preventivnog programa dečije zaštite",
volume = "79",
number = "7",
pages = "673-680",
doi = "10.2298/VSP210205032O"
}
