AIM: We examined three communication ability classification paradigms for @entity1 with @entity306 ( @entity306 ): the @entity497 ( @entity497 ), the Viking Speech Scale (VSS), and the @entity1742 ( @entity1742 ). Questions addressed interjudge reliability, whether the VSS and the @entity497 captured impairments in speech and language, and whether there were differences in speech intelligibility among levels within each classification paradigm. METHOD: Eighty @entity1 (42 males, 38 females) with a range of types and severity levels of @entity306 participated (mean age 60mo, range 50-72mo [SD 5mo]). Two speech-language pathologists classified each @entity1 via parent- @entity1 interaction samples and previous experience with the @entity1 for the @entity497 and VSS, and using quantitative speech and language assessment data for the @entity1742 . Intelligibility scores were obtained using standard clinical intelligibility measurement. RESULTS: Kappa values were 0.67 (95% confidence interval [CI] 0.55-0.79) for the @entity497 , 0.82 (95% CI 0.72-0.92) for the VSS, and 0.95 (95% CI 0.72-0.92) for the @entity1742 . Descriptively, reliability within levels of each paradigm varied, with the lowest agreement occurring within the @entity497 at levels II (42%), III (40%), and IV (61%). Neither the @entity497 nor the VSS were sensitive to @entity73 captured by the @entity1742 . Significant differences in speech intelligibility were found among levels for all classification paradigms. INTERPRETATION: Multiple tools are necessary to understand speech, language, and communication profiles in @entity1 with @entity306 . Characterization of abilities at all levels of the International Classification of Functioning, Disability and Health will advance our understanding of the ways that speech, language, and communication abilities present in @entity1 with @entity306 .

Alignment of classification paradigms for communication abilities in XXXX with @entity306 .

@entity1 :: ('9606', 'Species') :: ['children', 'child'] @entity73 :: ('MESH:D003072', 'Disease') :: ['language impairments'] @entity497 :: ('MESH:D003147', 'Disease') :: ['CFCS', 'Communication Function Classification System'] @entity1742 :: ('MESH:D001072', 'Disease') :: ['Speech Language Profile Groups', 'SLPG'] @entity306 :: ('MESH:D002547', 'Disease') :: ['cerebral palsy', 'CP']
@entity1 :: (9606,Species) :: ['children']
