Cry Melody in 2-Month-Old Infants with and without Clefts

Objective To investigate cry melody properties in infants with clefts using objective methods and to identify early differences in cry development in relation to infants without clefts that may indicate special developmental risks. Design Melody analysis was carried out on cries from the second month of life. The cry properties of infants with a cleft lip and palate (CLP) and infants with a cleft palate only (CP) were quantitatively compared. Both groups were compared to infants without clefts. Participants Twenty-one infants with nonsyndromic clefts, including 11 infants with CLP and 10 infants with CP, were compared to 50 healthy controls. Main Outcome Measures Frequency spectrograms and melody diagrams of about 7000 cries were analyzed. For each infant's crying, melodic and rhythmic properties were investigated and expressed by appropriate quantitative indices. Based on previous studies, the degree of melody complexity in an infants’ crying was used as an indicator of their present prespeech developmental status. Results The cleft groups did not significantly differ from each other with respect to their cry melody development. However, both groups were significantly different from the control group, exhibiting a lower proportion of complex cry melodies and a deviation in rhythmicity. No significant correlation to hearing performances was found that could explain the differences. Conclusions Infants with clefts differ in their cry development from infants without clefts at 2 months of life. This early difference occurs before the infants undergo any surgical intervention or other treatment.

[1]  D. Oller,et al.  Precursors to speech in infancy: the prediction of speech and language disorders. , 1999, Journal of communication disorders.

[2]  E. Abberton.  Review of Marilyn May Vihman (1996) "Phonological Development: the Origins of Language in the Child", Blackwell, Oxford and Cambridge MA. , 1998 .

[3]  K. Michelsson,et al.  Spectrographic analysis of pain cry in neonates with cleft palate. , 1975, Biology of the neonate.

[4]  A. Lohmander,et al.  Speech in Children with an Isolated Cleft Palate: A Longitudinal Perspective , 2006, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[5]  C. Möller,et al.  The high prevalence of otitis media with effusion in children with cleft lip and palate as compared to children without clefts. , 2009, International journal of pediatric otorhinolaryngology.

[6]  Ulrike Willinger.  SETK-2. Sprachentwicklungstest für zweijährige Kinder. Diagnose rezeptiver und produktiver Sprachverarbeitungsfähigkeiten. , 2001 .

[7]  R. Näätänen,et al.  Mismatch negativity (MMN) as an index of auditory sensory memory deficit in cleft‐palate and CATCH syndrome children , 1998, Neuroreport.

[8]  Angelika Stellzig-Eisenhauer,et al.  Relation of melody complexity in infants' cries to language outcome in the second year of life: A longitudinal study , 2007, Clinical linguistics & phonetics.

[9]  R. Näätänen,et al.  Brain dysfunction in neonates with cleft palate revealed by the mismatch negativity , 1999, Clinical Neurophysiology.

[10]  K. Moller,et al.  Acquisition of linguistic and cognitive skills by children with cleft palate. , 1998, Journal of speech, language, and hearing research : JSLHR.

[11]  A. Bau,et al.  A longitudinal group study of speech development in Danish children born with and without cleft lip and palate. , 2001, International journal of language & communication disorders.

[12]  E. Söderpalm,et al.  A Comparison of Babbling and Speech at Pre-Speech Level, 3, and 5 Years of Age in Children with Cleft Lip and Palate Treated with Delayed Hard Palate Closure , 1998, Folia Phoniatrica et Logopaedica.

[13]  J. Newman.  Neural circuits underlying crying and cry responding in mammals , 2007, Behavioural Brain Research.

[14]  I. Hočevar-Boltežar,et al.  Ear, nose and voice problems in children with orofacial clefts , 2006, The Journal of Laryngology & Otology.

[15]  M Ptok,et al.  A retrospective study of hearing, speech and language function in children with clefts following palatoplasty and veloplasty procedures at 18-24 months of age. , 1999, International journal of pediatric otorhinolaryngology.

[16]  N. Viswanathan,et al.  Hearing Thresholds in Newborns with a Cleft Palate Assessed by Auditory Brain Stem Response , 2008, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[17]  K. Wermke,et al.  Developmental aspects of infant's cry melody and formants. , 2002, Medical engineering & physics.

[18]  K. Chapman,et al.  Early Intervention in Children with Cleft Palate , 2006 .

[19]  A. Lohmander,et al.  A Longitudinal Study of Speech Production in Swedish Children with Unilateral Cleft Lip and Palate and Two-stage Palatal Repair , 2008, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[20]  E. Söderpalm,et al.  Speech development in children with delayed closure of the hard palate: An overview of research projects on children with cleft lip and palate in Göteborg, Sweden , 1992 .

[21]  K. Michelsson,et al.  CRY ANALYSES OF SYMPTOMLESS LOW BIRTH WEIGHT NEONATES AND OF ASPHYXIATED NEWBORN INFANTS , 1971, Acta paediatrica Scandinavica. Supplement.

[22]  D. Oller.  The emergence of the speech capacity , 2000 .

[23]  Werner Mende,et al.  Variability of the cry melody and the melody spectrum as indicators for certain CNS disorders , 1990 .

[24]  R. Näätänen,et al.  Dysfunction of the auditory cortex persists in infants with certain cleft types , 2000, Developmental medicine and child neurology.

[25]  K. Chapman.  Is presurgery and early postsurgery performance related to speech and language outcomes at 3 years of age for children with cleft palate? , 2004, Clinical linguistics & phonetics.

[26]  M. Sigman,et al.  Functional organization of perisylvian activation during presentation of sentences in preverbal infants , 2006, Proceedings of the National Academy of Sciences.

[27]  R. Massengill.  Cry characteristics in cleft-palate neonates. , 1969, The Journal of the Acoustical Society of America.

[28]  E. Söderpalm,et al.  Pre-Speech in Children with Cleft Lip and Palate or Cleft Palate Only: Phonetic Analysis Related to Morphologic and Functional Factors , 1994 .

[29]  Brian Hopkins,et al.  Crying as a sign, a symptom, and a signal:clinical, emotional and developmental aspects of infant and toddler crying , 2000 .

[30]  K. Chapman,et al.  Vocal development of 9-month-old babies with cleft palate. , 2001, Journal of speech, language, and hearing research : JSLHR.

[31]  K. Wermke,et al.  Spectral Analysis of Prespeech Sounds (Spontaneous Cries) in Infants with Unilateral Cleft Lip and Palate (UCLP): A Pilot Study , 2002 .

[32]  L. Jocelyn,et al.  Cognition, communication, and hearing in young children with cleft lip and palate and in control children: a longitudinal study. , 1996, Pediatrics.

[33]  A. Ysunza,et al.  Linguistic development in cleft palate patients with and without compensatory articulation disorder. , 2000, International journal of pediatric otorhinolaryngology.

[34]  Marilyn M. Vihman,et al.  Phonological Development , 2014 .

[35]  H. Morris.  Communication skills of children with cleft lips and palates. , 1962, Journal of speech and hearing research.

[36]  L. Richman,et al.  Do the Reading Disabilities of Children with Cleft Fit into Current Models of Developmental Dyslexia? , 2003, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[37]  S. Lindgren,et al.  Reading disability in children with clefts. , 1988, The Cleft palate journal.

[38]  K. Chapman,et al.  The relationship between early speech and later speech and language performance for children with cleft lip and palate , 2003, Clinical linguistics & phonetics.

[39]  J. Lind,et al.  The Infant Cry. A Spectrographic and Auditory Analysis , 1969 .

[40]  L. Lagasse,et al.  Assessment of infant cry: acoustic cry analysis and parental perception. , 2005, Mental retardation and developmental disabilities research reviews.

[41]  K. Chapman.  Phonologic processes in children with cleft palate. , 1993, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[42]  Werner Mende,et al.  Musical elements in human infants’ cries: In the beginning is the melody , 2009 .

[43]  A. Williams,et al.  Early and later vocalization skills in children with and without cleft palate. , 2008, International journal of pediatric otorhinolaryngology.

[44]  A. Ozanne,et al.  Phonetic, Phonological, and Language Skills of Children with a Cleft Palate , 2003 .

[45]  H. Morris,et al.  Cleft Palate Speech , 1989 .

[46]  V. Dubowitz,et al.  The infant cry. A spectrographic and auditory analysis , 1970 .

[47]  D. P. Kuehn,et al.  The state of the art : Speech and language issues in the cleft palate population , 2000 .

[48]  B. D. Boysson-Bardies,et al.  How Language Comes to Children: From Birth to Two Years , 1999 .

[49]  Jan Raes,et al.  Sound spectrographic cry analysis in neonatal diagnostics. An evaluative study , 1982 .

[50]  A. Christophe,et al.  Newborns' Cry Melody Is Shaped by Their Native Language , 2009, Current Biology.

[51]  K. Wermke.  Untersuchung der Melodieentwicklung im Säuglingsschrei von monozygoten Zwillingen in den ersten 5 Lebensmonaten , 2002 .