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Clinical Pediatrics
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Fine Motor Function and Oral-Motor Imitation Skills in Preschool-Age Children With Speech-Sound Disorders

Amy J. Newmeyer, MD

Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hosputal Medical Center, Cincinnati, Ohio, amy.newmeyer{at}cchmc.org

Sandra Grether, PhD

Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hosputal Medical Center, Cincinnati, Ohio

Carol Grasha, MA

Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hosputal Medical Center, Cincinnati, Ohio

Jaye White

Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hosputal Medical Center, Cincinnati, Ohio

Rachel Akers, MPH

Center for Epidemiology and Biostatistics, Cincinnati Children's Hosutal Medical Center, Cincinnati, Ohio

Christa Aylward, OTR/L

Division of Occupational Therapy and Physical Therapy (CA), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Keiko Ishikawa, MM

College of Allied Health Sciences, University of Cincinnati, Cincinnati, Ohio

Ton deGrauw, MD, PhD

Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Preschool-aged children with speech-sound disorders may be at risk for associated deficits in fine motor function. The objectives of this study were 2-fold: (1) to determine whether abnormalities in fine motor function could be detected in 2- to 5-year-old children with speech-sound disorders and (2) to determine whether there was a correlation between abnormal oral-motor imitation skills and abnormal fine motor function. Thirty-two children with speech-sound disorders (6 female, 26 male) were prospectively evaluated from July 2003 to July 2005, and the Peabody Developmental Motor Scales and the Kaufman Speech Praxis Test for Children were administered. The presence of abnormal oral-motor imitation skills as measured by the Kaufman Speech Praxis Test was associated with below-average fine motor performance. This finding has important implications for evaluation and treatment of preschool children with severe speech-sound disorders.

Key Words: speech-sound disorder • speech development

This version was published on September 1, 2007

Clinical Pediatrics, Vol. 46, No. 7, 604-611 (2007)
DOI: 10.1177/0009922807299545
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