Background/Aim. There are a small body of the literature on the influence of
perinatal hypoxia (PH) on language outcome at later age and there are no
studies on the influence of PH on the extent and severity of language
deficit in children with developmental language disorder (DLD). Therefore,
the aim of this study was to examine the differences in lexicalsemantic
abilities in DLD children with a presence of PH (DLDhpx) and DLD children
without any neurological risk factors (DLDwrf). Methods. The sample
consisted of 96 children aged 5 to 8, divided into 3 groups, 25 children in
DLDhpx, 30 children in DLDwrf and 41 typically developing (TD) peers. For
the purpose of comparing age differences, additional categorical variable
was formed with two age groups, preschool and school-age children (5-6 and
7-8 years). Lexical-semantic abilities were investigated by specific tests
for assessing the expressive vocabulary size, semantic processing, and
lexical productivity in continuous speech. Results. The significant
differences were observed between DLDhpx and DLDwrf children on the semantic
processing assessment test (p < 0.05), but not on the vocabulary size (p =
0.350) and lexical productivity (p = 0.118) assessment tests. However, a
detailed analysis of developmental tendencies between preschool and early
school-age children showed that DLDhpx children progress significantly only
in a domain of expressive vocabulary skills (p < 0.01), while DLDwrf
children progress significantly in a domain of expressive vocabulary and
semantic processing skills (p < 0.001). Regarding lexical diversity
developmental tendencies, significant progress was not observed in both DLD
groups. Conclusion. PH in DLD children can be related to a more severe
extent of lexical-semantic deficit in the area of semantic processing
abilities. Also, PH can contribute to slower progress in a wider spectrum of
lexical-semantic abilities. Some of the possible explanations for the
obtained results are the possible comorbidity with a specific cognitive
deficit, but also that PH can contribute to significantly slower maturation
of the brain and neural networks that underlie language abilities.