PEDIATRICS Vol. 48 No. 1 July 1971, pp. 116-122
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RESTRAINT AND SPEECH

Maarten S. Sibinga M.D.1 and C. Jack Friedman Ph.D.1

1 St. Christopher's Hospital for Children, 2600 North Lawrence Street, Philadelphia, Pennsylvania and Department of Pediatrics, Temple University School of Medicine, Philadelphia, Pennsylvania

The incidence of delay in language development and difficulties in speech articulation was determined in 71 children selected because of a history of prior physical immobilization. Ten children were referred for psychological evaluation after contact with a speech department, 44 presented with a variety of learning and behavioral difficulties, and 17 children were known through social contacts. Nine children were clearly brain damaged while 13 showed questionable evidence of brain damage. Language delay and speech articulation problems occurred in at least 55% of the children in the various groups. Young age (4.7 months) at the time of the initial restraint experience, but not the duration of the initial restraint experience, was positively related to the presence of language delay and articulation problems. Interference with sensorimotor function not directly involved in receptive or expressive speech functions might well he implicated in language and speech disturbances.