Communication and language
For parents, caregivers, health care providers, and teachers, concerns and questions often arise regarding the care and well-being of individuals with Cornelia de Lange Syndrome.
Communication abilities vary widely in CdLS. Typically, individuals with CdLS experience major difficulties in communication and many individuals do not develop verbal communication. Speech difficulties in CdLS often occur due to abnormal muscle tone. However, visual impairment, hearing loss and mouth structure or jawbone abnormalities can also lead to speech and communication difficulties.
Difficulties in communication and understanding communication can also arise from cognitive impairment (problems with memory, thinking and communication).
Currently there is little research on the relationship between intellectual functioning, behaviour and communication skills in CdLS.
Recommendation(s)
Communication and language
R63
When assessing communication, vision and hearing problems, speech impairments, intellectual disability, difficulties in social interaction and social anxiety should be considered. Video observations can be very useful.
R64
Developmentally appropriate communication strategies (such as speech therapy, augmented communication input) should be implemented within the first 18 months of life.
R70
All children with CdLS should receive a communication assessment as early as possible
R71
Early and frequent tests are necessary, particularly with the child who has a suspected hearing loss.
R72
Gestures and sign language are encouraged as means to facilitate and motivate oral communication
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