按摩与康复医学
按摩與康複醫學
안마여강복의학
Chinese Manipulation & Rehabilitation Medicine
2015年
4期
14-16
,共3页
功能性构音障碍%语音矫治%口肌训练%构音错误%疗效
功能性構音障礙%語音矯治%口肌訓練%構音錯誤%療效
공능성구음장애%어음교치%구기훈련%구음착오%료효
functional articulation disorder%speech therapy%mouth muscle training%articulation errors%efficacy
目的：探讨功能性构音障碍儿童的语音特征，以及语音矫治结合口肌训练的作用。方法：选择42例功能性构音障碍儿童为研究对象，采用耳鼻喉科专科检查和口部运动功能检查（包括下颌、唇、舌等）评估其构音器官情况，采用语音清晰度量表以了解其语音状况，然后一对一进行语音矫正治疗及口肌训练，并指导家长进行家庭训练，治疗后评估其疗效。结果：功能性构音障碍儿童的口部构音器官以功能不协调为主，均无器质性异常；语音错误频率由高到低依次为舌尖前音、舌根音、舌尖后音、舌面音、唇齿音、舌尖音，双唇音较少错误，错误形式以替代和省略为主；治疗前整体口部运动功能评分为127.98±3.09分，治疗后提高至130.57±1.56分（P<0.01）；语音清晰度由63.02%±18.24%提高至91.29%±12.25%（P<0.01）。结论：语音矫治结合口肌训练对功能性构音障碍具有显著疗效。
目的：探討功能性構音障礙兒童的語音特徵，以及語音矯治結閤口肌訓練的作用。方法：選擇42例功能性構音障礙兒童為研究對象，採用耳鼻喉科專科檢查和口部運動功能檢查（包括下頜、脣、舌等）評估其構音器官情況，採用語音清晰度量錶以瞭解其語音狀況，然後一對一進行語音矯正治療及口肌訓練，併指導傢長進行傢庭訓練，治療後評估其療效。結果：功能性構音障礙兒童的口部構音器官以功能不協調為主，均無器質性異常；語音錯誤頻率由高到低依次為舌尖前音、舌根音、舌尖後音、舌麵音、脣齒音、舌尖音，雙脣音較少錯誤，錯誤形式以替代和省略為主；治療前整體口部運動功能評分為127.98±3.09分，治療後提高至130.57±1.56分（P<0.01）；語音清晰度由63.02%±18.24%提高至91.29%±12.25%（P<0.01）。結論：語音矯治結閤口肌訓練對功能性構音障礙具有顯著療效。
목적：탐토공능성구음장애인동적어음특정，이급어음교치결합구기훈련적작용。방법：선택42례공능성구음장애인동위연구대상，채용이비후과전과검사화구부운동공능검사（포괄하합、진、설등）평고기구음기관정황，채용어음청석도량표이료해기어음상황，연후일대일진행어음교정치료급구기훈련，병지도가장진행가정훈련，치료후평고기료효。결과：공능성구음장애인동적구부구음기관이공능불협조위주，균무기질성이상；어음착오빈솔유고도저의차위설첨전음、설근음、설첨후음、설면음、진치음、설첨음，쌍진음교소착오，착오형식이체대화성략위주；치료전정체구부운동공능평분위127.98±3.09분，치료후제고지130.57±1.56분（P<0.01）；어음청석도유63.02%±18.24%제고지91.29%±12.25%（P<0.01）。결론：어음교치결합구기훈련대공능성구음장애구유현저료효。
Objective:To investigate the phonetic features of functional articulation disorder (FAD) children, and the effect of speech therapy com-bined with mouth muscle training. Methods:42 cases of FAD children were chosen, used E.N.T. specialized examination and oral motor function test (including lower jaw, lip, tongue, etc) to evaluate their articulation organs situation, used speech intelligibility scale to test their speech situation, then treated with speech therapy and mouth muscle training by one-to-one, and guided their patients the methods of family training, and evaluated the effi-cacy after treatment. Results:The articulation organs of FAD children were mainly with function coordination, all of them had no organic disorders;the speech error frequency from high to low were dental, velar sound, blade-palatal, palatal, labiodental, apical consonant, bilabial error was few, the error forms were substitution and ellipsis mainly;before treatment, the score of total oral motor function was 127.98 ± 3.09, which was increased to 130.57±1.56 after treatment (P<0.01);the speech intelligibility was increased from 63.02%±18.24%to 91.29%±12.25%(P<0.01). Conclusion:The treatment of speech therapy combined with mouth muscle training has significant curative effect on FAD.
