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Specific Language Impairment
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Speech Language Interruption
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Slow Language Involvement
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Specific language impairment is characterized by difficulty with language that is not caused by neurological, sensory, intellectual, or emotional deficit.
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Children with SLI often only show deficits in one domain of language.
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What is true about specific language impairment?
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Approzimately 7.4% of 5-year-olds are affected.
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There is a 25% chance that another family member also has SLI if a child is diagnosed
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The majority of children diagnosed will continue with low language performance into adulthood
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There may be long-term impact on social, emotional, vocational, and academic outcomes.
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SLI is purely a language disorder.
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SLI is universally recognized as a neurobiologically based disorder.
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Structural findings: One neuropathological study showed [blank_start]atypical symmetry[blank_end] of the planum temporale, and a dysplastic gyrus on the inferior surface of the [blank_start]left frontal cortex[blank_end] along the ingerior surgace of the sylvian fissure.
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atypical symmetry
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atypical asymmetry
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asymmetry
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left frontal cortex
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right frontal cotex
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prefrontal cortex
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Structural MRI scan study: Children with SLI showed [blank_start]atypical[blank_end] patterns of [blank_start]asymmetry[blank_end] in the perisylvian area.
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atypical
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expected
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asymmetry
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symmetry
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Study results: children with SLI were more likely to have rightward asymmetry of posterior language structures.
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fMRI results: children with SLI displayed a lack of [blank_start]left[blank_end] lateralization in all core language regions, but not for the rest of the brain
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fMRI results: Children with SLI showed [blank_start]hypo[blank_end]activation of [blank_start]Wernicke's[blank_end] area
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fMRI: the SLI group performed [blank_start]more poorly[blank_end] than the normal language group fro both encoding and recognition
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fMRI: subjects with SLI had slower reaction times than the control group.
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fMRI: the SLI group showed [blank_start]reduced[blank_end] activation during word recognition in regions associated with [blank_start]language[blank_end] processing.
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reduced
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increased
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language
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higher order
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Adolescents with SLI exhibited [blank_start]atypical[blank_end] coordination among brain regions, suggesting that adolescents with SLI may rely on a less [blank_start]functional[blank_end] network for [blank_start]language[blank_end] processing.
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atypical
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functional
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language
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When tested after [blank_start]6 months[blank_end] of treatment, children with SLI showed [blank_start]markedly improved[blank_end] speech processing times when compared with pre-treatment processing times.
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6 months
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3 months
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12 months
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18 months
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markedly improved
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markedly decreased
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unremarkable
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What are functional differences in SLI?
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reduced activation in Broca's area, auditory areas, and sensory motor areas
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Atypical/reduced functional connectivity
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Slower/immature speech processing
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Structural difference in SLI: Consistent see less left hemisphere dominance, specifically in the planum temporale and pars triangularis