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Thirteen out of the 15 acquired verbal skills, although with scores below normal ranges. Thirty\u2010seven completed the SCQ (age range 4\u2009years 0\u2009months\u20139\u2009years 0\u2009months). Four out of the 37 scored 11 or more, suggesting the need for further assessment for autism spectrum disorder. Three out of four had completed the MB\u2010CDIs and were among the children able to say the lowest number of words. Other areas of concern included routines\/ritualized patterns of behaviour (14 out of 37) and hyperreactivity to sensory input (5 out of 37).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Treated children with SMA1 can acquire verbal skills, although this can be delayed. A percentage of them also present with social communication difficulties, especially when expressive language is more severely affected. Further assessments for language and social communication are, therefore, recommended and large prospective studies warranted to better characterize the spectrum of these abilities in treated children with or at risk of SMA1.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.16461","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T14:19:49Z","timestamp":1757081989000},"page":"696-705","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Expressive language and social communication abilities in children with spinal muscular atrophy type 1"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3464-2848","authenticated-orcid":false,"given":"Chiara","family":"Brusa","sequence":"first","affiliation":[{"name":"UCL Great Ormond Street Institute of Child Health  London UK"},{"name":"Dubowitz Neuromuscular Centre Great Ormond Street Hospital for Children  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0954-5384","authenticated-orcid":false,"given":"Bianca","family":"Buchignani","sequence":"additional","affiliation":[{"name":"Department of Developmental Neuroscience IRCCS Fondazione Stella Maris  Pisa Italy"},{"name":"Department of Translational Research and of New Surgical and Medical Technologies University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Cutri","sequence":"additional","affiliation":[{"name":"Pediatric Neurology Universit\u00e0 Cattolica del Sacro Cuore  Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgia","family":"Coratti","sequence":"additional","affiliation":[{"name":"Pediatric Neurology Universit\u00e0 Cattolica del Sacro Cuore  Roma Italy"},{"name":"Centro Clinico Nemo Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Roma 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Ormond Street Hospital for Children  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marika","family":"Pane","sequence":"additional","affiliation":[{"name":"Pediatric Neurology Universit\u00e0 Cattolica del Sacro Cuore  Roma Italy"},{"name":"Centro Clinico Nemo Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9851-5365","authenticated-orcid":false,"given":"Eugenio Maria","family":"Mercuri","sequence":"additional","affiliation":[{"name":"Pediatric Neurology Universit\u00e0 Cattolica del Sacro Cuore  Roma Italy"},{"name":"Centro Clinico Nemo Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Muntoni","sequence":"additional","affiliation":[{"name":"Dubowitz Neuromuscular Centre Great Ormond Street Hospital for Children  London 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