言语表象疗法改善脑瘫患儿构音障碍的效果

doi:10.3969/j.issn.1006-9771.2023.05.017

Abstract

Abstract:

Objective To investigate the effect of speech imagery therapy combined with traditional dysarthria training on dysarthria in children with cerebral palsy.

Methods From August to December, 2022, 21 children with cerebral palsy combined with dysarthria in Wuhu Fifth People's Hospital were randomly divided into three groups A, B and C. Group A was given traditional dysarthria training for 30 minutes everytime, group B was given implantable speech imagery combined with traditional dysarthria training for 40 minutes everytime, and group C was given additional speech imagery combined with traditional dysarthria training for 40 minutes everytime, five days a week, for three weeks. Articulation and Phonology Assessment Scale, Mouth Sensory-Motor Assessment Scale, and mandibular distance, tongue distance and vowel space area (VSA) were evaluated before and after treatment.

Results There was no significant difference in all the indexes among three groups before treatment (F< 1.247, P> 0.05). After treatment, the scores of phonological function and sensory-motor assessment scale increased (|t|> 2.575, P< 0.05), and the mandibular distance and VSA increased in groups A and B (|t| > 2.632, P< 0.05). The d-value of phonological function before and after treatment was more in groups B and C than in group A (P< 0.05), and no difference was found in the d-value of other indexes before and after treatment among three groups (P> 0.05).

Conclusion Both speech imagery therapies are effective in improving diction clarity, oral range of motion, and motion control ability in children with cerebral palsy, and are more effective in improving articulatory clarity than traditional speech-language training.

Key words: cerebral palsy, dysarthria, speech imagery

CLC Number:

R742.3

WANG Yongli, YU Xinchun, JIN Xinyue, BI Siyu, WANG Xi, NI Tianhao, WAN Qin, HUANG Zhaoming. Effect of speech imagery therapy on dysarthria in children with cerebral palsy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 601-607.

Figures/Tables 6

References 33

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组别	n	性别(男/女)/n	年龄/岁	GMFCS/(Ⅰ/Ⅱ/Ⅲ级)/n
A组	7	4/3	7.10±2.18	4/3/3
B组	7	5/2	9.91±2.90	1/3/2
C组	7	5/2	9.61±2.45	2/1/2
F/χ²值		0.431	2.614	1.603
P值		0.814	0.100	0.812

组别	n	治疗前	治疗后	差值	t值	P值
A组	7	0.44±0.25	0.52±0.27	0.08±0.01	-5.195	0.002
B组	7	0.42±0.27	0.62±0.23	0.20±0.08^a	-6.377	0.001
C组	7	0.36±0.18	0.55±0.22	0.19±0.06^b,c	-8.420	< 0.001
F值		0.214	0.358	8.010
P值		0.809	0.704	0.003

组别	n	治疗前	治疗后	差值	t值	P值
A组	7	0.82±0.11	0.86±0.01	0.04±0.01	-6.087	0.001
B组	7	0.81±0.13	0.88±0.07	0.08±0.08	-2.575	0.042
C组	7	0.82±0.07	0.85±0.07	0.04±0.03	-3.577	0.012
F值		0.047	0.358	1.676
P值		0.955	0.716	0.215

组别	n	治疗前	治疗后	治疗前后差值	t值	P值
A组	7	113.08±28.65	351.50±239.88	213.43±258.65	-2.632	0.046
B组	7	111.33±58.09	515.65±325.33	390.33±275.83	-3.261	0.022
C组	7	165.58±162.53	339.89±330.20	168.52±258.62	-1.594	0.172
F值		0.481	0.663	1.179
P值		0.627	0.530	0.334

组别	n	治疗前	治疗后	治疗前后差值	t值	P值
A组	7	1579.00±325.02	2093.43±395.81	370.00±837.19	-2.233	0.076
B组	7	1796.33±519.17	1885.17±397.71	107.81±656.04	-0.784	0.469
C组	7	1573.85±477.26	1652.75±569.68	78.90±979.10	-0.197	0.851
F值		0.314	2.268	0.438
P值		0.735	0.138	0.653

Effect of speech imagery therapy on dysarthria in children with cerebral palsy

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组别	n	治疗前	治疗后	治疗前后差值	t值	P值
A组	7	-34748.46±116529.19	-284513.40±251182.15	-249764.93±190954.69	3.204	0.024
B组	7	-110392.13±84832.76	-486901.35±353523.65	-364786.13±270933.70	3.103	0.027
C组	7	-121594.57±105112.16	-246086.21±244502.26	-195089.25±331716.13	1.497	0.195
F值		1.247	1.216	1.920
P值		0.315	0.324	0.175

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