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Parents were asked to (1) specify their child's primary mode of communication, (2) judge the significance of the effects of physical disorders, sensory deficits, and behavior on development and communication, (3) provide lists of their child's conditions and disorders, and (4) provide information about intervention related to communication and education. Thirty\u2010nine percent of the participants (11\/28) did not use symbolic language to communicate. The results suggest that factors affecting the majority of participants\u2014physical disorders, vision loss, and hearing loss\u2014may adversely affect communication ability. However, these factors did not preclude the development of symbolic language. Factors that were related to the development of symbolic language were success in the treatment of hearing loss with amplification, the ability to walk independently, and communication training initiated by 3 years of age. Other factors that may be related to the development of symbolic language are also discussed. \u00a9 2005 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ajmg.a.30550","type":"journal-article","created":{"date-parts":[[2005,1,24]],"date-time":"2005-01-24T22:52:38Z","timestamp":1106607158000},"page":"282-290","source":"Crossref","is-referenced-by-count":36,"title":["Factors related to the development of communication in CHARGE syndrome"],"prefix":"10.1002","volume":"133A","author":[{"given":"James W.","family":"Thelin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill C.","family":"Fussner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,1,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1177\/0145482X8507900904","article-title":"Blindism: Likely causes and preventive measures","volume":"79","author":"Abang TB","year":"1985","journal-title":"J Visual Impair Blindness"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2466\/pms.1980.50.3.933"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992289803700302"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200203000-00022"},{"key":"e_1_2_6_6_1","volume-title":"CHARGE syndrome: A management manual for parents, Version 2.1, Section IV\u20102C","author":"Davenport SLH","year":"2002"},{"key":"e_1_2_6_7_1","volume-title":"CHARGE syndrome: A management manual for parents, Version 2.1, Section IV\u20102A","author":"Davenport SLH","year":"2002"},{"key":"e_1_2_6_8_1","volume-title":"CHARGE syndrome: A management manual for parents, Version 2.1, Section IV\u20102B","author":"Davenport SLH","year":"2002"},{"key":"e_1_2_6_9_1","volume-title":"CHARGE syndrome: A management manual for parents, Version 2.1, Section III\u20106","author":"Davenport SLH","year":"2002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810701106"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1353\/aad.1985.a506496","article-title":"A functional classification system for the deaf\u2010blind","volume":"130","author":"Dunlap WR","year":"1985","journal-title":"Am Ann Deaf"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(95)01188-H"},{"key":"e_1_2_6_13_1","first-page":"42","article-title":"World Health Organization model of disability and functioning applied to audition","volume":"7","author":"Fisher DL","year":"1999","journal-title":"J Educ Audiol"},{"key":"e_1_2_6_14_1","unstructured":"HartshorneNS.1999.The \u201cR\u201d in CHARGE: The prevalence of mental retardation and its relationship to other disabilities in the CHARGE association. 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