强化口部肌肉训练对功能性构音障碍患儿语音清晰度的影响
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摘要
目的探讨强化口部肌肉训练对功能性构音障碍(functional articulation disorders,FAD)患儿语音清晰度(phonetic intelligibility,PI)的影响。方法将80例4~7岁FAD患儿随机分为常规训练组和综合训练组各40例,两组患儿均接受相同的常规语音训练,综合训练组在此基础上增加对口部肌肉的强化训练;在训练前和训练3个月后利用语音清晰度测试字表对患儿进行语音评估,比较两组训练前后PI。结果训练前常规训练组和综合训练组的PI分别为34.54%±7.28%、33.52%±7.46%,差异无统计学意义(P>0.05);训练3个月后常规训练组PI为77.02%±4.21%,综合训练组PI为87.54%±4.31%,训练后两组患儿PI均较训前有显著提高,差异有统计学意义(P<0.05),且综合训练组患儿PI明显高于常规训练组(t=-8.862,P<0.001)。结论强化口部肌肉训练有利于提高FAD患儿语音清晰度。
Objective To explore the effects of the mouth-muscle strengthening training on the phonetic intelligibility(PI)of children with functional articulation disorders(FAD).Methods A total of 80 children of 4 to 7 years old with FAD were randomly divided into the common group(n=40)and comprehensive group(n=40).Both groups accepted routine speech training,and the comprehensive group was given mouth muscles training additionally.All the children received the assessment of speech before the speech training and 3 months after the training.Results Before the speech training,the PIs of the common and comprehensive groups were 34.54% and 33.52%,respectively.The differences between the 2 groups were not statistically significant(P>0.05).After 3 months of speech training,the PI in the common group increased to 77.02±4.21%from 34.54±7.28% of the baseline,while in the comprehensive group,the PI increased to 87.54±4.31%from 33.52±7.46%.In both groups,the PIs after training were significantly higher than those of before the training respectively.The differences were statistically significant(P<0.05).The PIs in the comprehensive group were significantly higher than those of in the common group.The differences were statistically significant(t=-8.862,P<0.001).Conclusion Strengthening the mouth muscles is beneficial to improve the PI of children with FAD.
Objective To explore the effects of the mouth-muscle strengthening training on the phonetic intelligibility(PI)of children with functional articulation disorders(FAD).Methods A total of 80 children of 4 to 7 years old with FAD were randomly divided into the common group(n=40)and comprehensive group(n=40).Both groups accepted routine speech training,and the comprehensive group was given mouth muscles training additionally.All the children received the assessment of speech before the speech training and 3 months after the training.Results Before the speech training,the PIs of the common and comprehensive groups were 34.54% and 33.52%,respectively.The differences between the 2 groups were not statistically significant(P>0.05).After 3 months of speech training,the PI in the common group increased to 77.02±4.21%from 34.54±7.28% of the baseline,while in the comprehensive group,the PI increased to 87.54±4.31%from 33.52±7.46%.In both groups,the PIs after training were significantly higher than those of before the training respectively.The differences were statistically significant(P<0.05).The PIs in the comprehensive group were significantly higher than those of in the common group.The differences were statistically significant(t=-8.862,P<0.001).Conclusion Strengthening the mouth muscles is beneficial to improve the PI of children with FAD.
引文
1李胜利.言语治疗学[M].北京:人民卫生出版社,2013.138~139.
2 吴萍,李丽华.65例功能性构音障碍儿童训练效果分析[J].中国康复理论与实践,2011,17:688.
3 Eadie P,Morgan A,Ukoumunne OC,et al.Speech sound disorder at 4years:prevalence,comorbidities,and predictors in a community cohort of children[J].Dev Med Child Neurol,2014,18:1.
4 陈少荣,洪金串.口腔训练在构音障碍矫治中的应用[J].吉林医学,2010,31:4792.
5 高延,洪琦.儿童功能性构音障碍的研究进展[J].中国儿童保健杂志,2010,18:580.
6 赵云静,孙洪伟,麻宏伟,等.功能性构音障碍的临床共患病调查及行为问题研究[J].中国当代儿科杂志,2009,11:225.
7 王国民,杨育生.唇腭裂序列治疗学[M].杭州:浙江科学技术出版社,2014.235~236.
8 Madlon-Kay Diane J,Ricke Lori A,Baker Nancy J,et al.Case series of 148tongue-tied newborn babies evaluated with the assessment tool for lingual frenulum function[J].Midwifery,2007,24:353.
9 王国民,朱川,袁文化,等.汉语语音清晰度测试字表的建立和临床应用研究[J].上海口腔医学,1995,4:125.
10 徐丽娜,李峰,高楠,等.功能性构音障碍擦音异常患者的临床特征及语音治疗[J].听力学及言语疾病杂志,2016,24:570.
11 曾柳苑,常春燕.强化舌的控制性训练对小儿腭裂术后语音清晰度的影响[J].世界临床医学,2016,10:161.
12 莎拉罗森菲德-庄臣,王春燕.口部肌肉家居训练册[M].美国:创新治疗师国际中心出版,2008.86~87.
13 江茹,赵生全,张铁松,等.功能性构音障碍儿童言语异常及矫治效果研究[J].听力学及言语疾病杂志,2011,19:260.
14 赵云静,华天懿,赵亚茹,等.学龄前功能性构音障碍儿童行为问题的探讨[J].中国儿童保健杂志,2006,14:125.
15 Pamplona MC,Ysunza A,Chavelas K,et al.A study of strategies for treating compensatory articulation in patients with cleft palate[J].Maxillofac Oral Surg,2012,11:144.
16 金平亮,李小林,巫国辉.影响腭裂术后语音功能的多因素研究进展[J].中国美容医学,2013,22:507.
17 陈仁吉,孙勇刚.90例功能性语音障碍患者发音特点分析[J].中华物理医学与康复杂志,2004,26:42.
18 徐丽娜,李峰,张艳云,等.功能性构音障碍患儿舌根音异常的语音特点和康复训练[J].华西口腔医学杂志,2016,12:594.
19 田思维,李琴,范满红,等.行为疗法在功能性舌根音矫治中的应用[J].临床口腔杂志,2015,31:110.
20 周海燕,徐旭光,姒壮,等.行为疗法在功能性构音障碍中的研究与应用[J].临床口腔医学杂志,2004,20:686.
21 钱慧霞,陈卫红.儿童功能性构音障碍危险因素分析[J].中国妇幼保健,2017,32:53.
22 翟燕,宋晓萍,翟佳,等.口部肌肉治疗在功能性构音障碍儿童语言训练中的应用[J].中国康复,2014,29:166.
23 马秋艳.言语治疗联合家庭训练治疗功能性构音障碍28例疗效观察[J].中国中西医结合儿科学,2014,6:522.
2 吴萍,李丽华.65例功能性构音障碍儿童训练效果分析[J].中国康复理论与实践,2011,17:688.
3 Eadie P,Morgan A,Ukoumunne OC,et al.Speech sound disorder at 4years:prevalence,comorbidities,and predictors in a community cohort of children[J].Dev Med Child Neurol,2014,18:1.
4 陈少荣,洪金串.口腔训练在构音障碍矫治中的应用[J].吉林医学,2010,31:4792.
5 高延,洪琦.儿童功能性构音障碍的研究进展[J].中国儿童保健杂志,2010,18:580.
6 赵云静,孙洪伟,麻宏伟,等.功能性构音障碍的临床共患病调查及行为问题研究[J].中国当代儿科杂志,2009,11:225.
7 王国民,杨育生.唇腭裂序列治疗学[M].杭州:浙江科学技术出版社,2014.235~236.
8 Madlon-Kay Diane J,Ricke Lori A,Baker Nancy J,et al.Case series of 148tongue-tied newborn babies evaluated with the assessment tool for lingual frenulum function[J].Midwifery,2007,24:353.
9 王国民,朱川,袁文化,等.汉语语音清晰度测试字表的建立和临床应用研究[J].上海口腔医学,1995,4:125.
10 徐丽娜,李峰,高楠,等.功能性构音障碍擦音异常患者的临床特征及语音治疗[J].听力学及言语疾病杂志,2016,24:570.
11 曾柳苑,常春燕.强化舌的控制性训练对小儿腭裂术后语音清晰度的影响[J].世界临床医学,2016,10:161.
12 莎拉罗森菲德-庄臣,王春燕.口部肌肉家居训练册[M].美国:创新治疗师国际中心出版,2008.86~87.
13 江茹,赵生全,张铁松,等.功能性构音障碍儿童言语异常及矫治效果研究[J].听力学及言语疾病杂志,2011,19:260.
14 赵云静,华天懿,赵亚茹,等.学龄前功能性构音障碍儿童行为问题的探讨[J].中国儿童保健杂志,2006,14:125.
15 Pamplona MC,Ysunza A,Chavelas K,et al.A study of strategies for treating compensatory articulation in patients with cleft palate[J].Maxillofac Oral Surg,2012,11:144.
16 金平亮,李小林,巫国辉.影响腭裂术后语音功能的多因素研究进展[J].中国美容医学,2013,22:507.
17 陈仁吉,孙勇刚.90例功能性语音障碍患者发音特点分析[J].中华物理医学与康复杂志,2004,26:42.
18 徐丽娜,李峰,张艳云,等.功能性构音障碍患儿舌根音异常的语音特点和康复训练[J].华西口腔医学杂志,2016,12:594.
19 田思维,李琴,范满红,等.行为疗法在功能性舌根音矫治中的应用[J].临床口腔杂志,2015,31:110.
20 周海燕,徐旭光,姒壮,等.行为疗法在功能性构音障碍中的研究与应用[J].临床口腔医学杂志,2004,20:686.
21 钱慧霞,陈卫红.儿童功能性构音障碍危险因素分析[J].中国妇幼保健,2017,32:53.
22 翟燕,宋晓萍,翟佳,等.口部肌肉治疗在功能性构音障碍儿童语言训练中的应用[J].中国康复,2014,29:166.
23 马秋艳.言语治疗联合家庭训练治疗功能性构音障碍28例疗效观察[J].中国中西医结合儿科学,2014,6:522.