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Speech and oromotor function were systematically evaluated to provide a differential diagnosis of articulation, phonological, and motor speech disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 82% (69\/84) of participants had delayed or disordered speech production, including minimally verbal presentations (\n                      <jats:italic>n<\/jats:italic>\n                      =20). Verbal participants (\n                      <jats:italic>n<\/jats:italic>\n                      =64) presented with dysarthria (78%), articulation delay or disorder (54%), phonological delay or disorder (43%), features of childhood apraxia of speech (CAS) (17%), or mixed presentations across these conditions. Speech intelligibility was poorest in those with dysarthria and features of CAS. Speech delay or disorder in verbal participants was associated with language impairment (\n                      <jats:italic>p<\/jats:italic>\n                      =0.002) and reduced health\u2010related quality of life (\n                      <jats:italic>p<\/jats:italic>\n                      =0.04) (Fisher\u2019s exact test). Poorer speech accuracy (i.e. lower percentage consonants correct) correlated with greater impairments in both language (\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.001) and oromotor function (\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.001) (Spearman\u2019s test).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>The speech profile of children with CP is characterized by impairment at multiple levels of speech production (phonetic, cognitive\u2010linguistic, neuromuscular execution, and high\u2010level planning\/programming), highlighting the importance of a personalized differential diagnosis informing targeted treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.14592","type":"journal-article","created":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T04:24:09Z","timestamp":1593231849000},"page":"1374-1382","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Speech in children with cerebral palsy"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6765-8064","authenticated-orcid":false,"given":"Cristina","family":"Mei","sequence":"first","affiliation":[{"name":"Murdoch Children\u2019s Research Institute Melbourne Victoria Australia"},{"name":"The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheena","family":"Reilly","sequence":"additional","affiliation":[{"name":"Menzies Health Institute Queensland Griffith University Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Bickerton","sequence":"additional","affiliation":[{"name":"The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Mensah","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute Melbourne Victoria Australia"},{"name":"The University of Melbourne Melbourne Victoria Australia"},{"name":"Royal Children\u2019s Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Turner","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhanooshini","family":"Kumaranayagam","sequence":"additional","affiliation":[{"name":"The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4540-2586","authenticated-orcid":false,"given":"Lindsay","family":"Pennington","sequence":"additional","affiliation":[{"name":"Institute of Health &amp; Society Newcastle University Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinah","family":"Reddihough","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute Melbourne Victoria Australia"},{"name":"The University of Melbourne Melbourne Victoria Australia"},{"name":"Royal Children\u2019s Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela T.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute Melbourne Victoria Australia"},{"name":"The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1044\/jslhr.4301.239"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1044\/aac19.1.12"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12066"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12076"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2010.03765.x"},{"key":"e_1_2_8_7_1","volume-title":"Intervention case studies of child speech impairment","author":"Dodd B","year":"2017"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2008.05.013"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12957"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2014.917439"},{"key":"e_1_2_8_11_1","volume-title":"Diagnostic evaluation of articulation and phonology","author":"Dodd B","year":"2002"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/0269920031000111348"},{"key":"e_1_2_8_13_1","volume-title":"Communication and symbolic behaviour scales developmental profile","author":"Wetherby A","year":"2002"},{"key":"e_1_2_8_14_1","volume-title":"Motor speech disorders. 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