A comparison of oral structure and oral-motor function in young males with fragile X syndrome and Down syndrome

This study compared the oral structure and oral-motor skills of 59 boys with fragile X syndrome (FXS), 34 boys with Down syndrome (DS), and 36 developmentally similar typically developing (TD) boys. An adaptation of the J. Robbins and T. Klee (1987) Oral Speech Motor Protocol was administered to participants and their scores on measures of oral structure and accuracy on speech motor and oral-motor tasks were analyzed. Boys with FX5 scored lower than TD boys on oral structure, most oral function tasks and all speech function tasks. Boys with DS scored lower than boys with FXS D boys on oral structure, and lower than TD boys on 1 oral function task and all and T speech function tasks. Boys with FXS and TD boys scored higher on speech function than oral function tasks, while boys with DS scored higher on oral function than speech function tasks. Boys with FXS and boys with DS repeated single syllable words with greater accuracy than multiple syllable words, while the TD boys produced both types of words with equal accuracy. These results suggest that boys with FXS and boys with IDS exhibit atypical oral structure and motor function, yet differ in specific oral-motor patterns.