Int. Adv. Otol. 2009; 5(3); 327-333

The abilities of pragmatic language usage of the children with language delay after the completion of normal language development training
Semra Sahin,  Fulya Yalcinkaya,  Nuray Bayar Muluk,  Selda Fatma Bülbül, Ismail Cakir

Hacettepe University, Faculty of Health Sciences, Department of Child Development, nurayb@hotmail.com

Objectives: A child may pronounce words clearly, have a large vocabulary, use long, complex sentences and correct grammar,
and still have a communication problem if he or she has not mastered the rules for appropriate social language. It is known that
functional or pragmatic language usage is not problematic for children who have completed normal language development
process. We investigated whether children who have previously had receptive, expressive, or mixed language development
delays will likely have problems in the use of pragmatic language after formal training.

Materials and Methods: Two different subject groups composed of 67 children between the ages of 3-6 and classified as the
ones with and without language delay. Children with language delay received educational treatment, auditory processing and
speech and language training. Training was consisted of acoustic signal perception, auditory discrimination, auditory comprehension,
conception training, phonological processing training, speech sound processing; and speech and language education. The
average of training period was between 1 to 2 years. Their receptive and expressive language was tested at 6 month-interval. In
children whose language development was compatible with chronological age, pragmatic language performance was evaluated.
Children’s pragmatic language usage skills were evaluated in both groups with Descriptive Pragmatics Profile (DPP) by using the
rating technique (never, sometimes, often, always), in terms of the abilities “Conversational Routines and Skills” (CRS); Asking
for, Giving and Responding to Information”(AGRI). The Chi Square Test was used for statistical analysis.

Results: Only four of nineteen items were similar (1. Waves or says hello/goodbye (in CRS part), 2. Demonstrates turn-taking
rules during play and/or in classroom (in CRS part), 3. Gives and accepts hugs (in AGRI part) and 4. Asks for help from others (in
AGRI part) (p>0.05), whereas the fifteen items were significantly different between groups (p<0.05).

Conclusion: In our study, it was concluded that in DPP items which were not required the use of language (waves, demonstrates
turn-taking rules during play, gives and accepts hugs, asks for help from others), there was no delay. We suggest that during the
critical early language development period, children who have receptive and expressive language delays will also demonstrate
delay in pragmatic language usage.