Brosch S, Haege A, Kalehne P, Johannsen H S
Section of Phoniatrics and Pediatric Audiology, University Otorhinolaryngology Clinic, Ulm, Germany.
Int J Pediatr Otorhinolaryngol. 1999 Jan 25;47(1):71-6. doi: 10.1016/s0165-5876(98)00178-5.
The identification of critical characteristics which might predict whether childhood stuttering will become chronic. Part of the study investigates the relationship between hearing and central processing of acoustic stimuli, cerebral dominance and the clinical course of the stuttering.
A prospective study of 79 stuttering children aged 3-9 years. The subjects were examined with regard to their cerebral dominance in various tests of laterality, their peripheral hearing and their ability to discriminate sound using the dichotic discrimination test according to Uttenweiler (V. Uttenweiler, Dichotischer Diskriminationstest für Kinder, Sprache Stimme Gehör 4 (1980) 107-111). Results were correlated with the probability of remission of stuttering. Comparisons were made with a control group of 18 children of kindergarten age with normal speech. The period of investigation was 18 months.
Seventy-two children underwent follow-up examinations. Of these, 36 achieved fluency of speech. The results of the dichotic discrimination test showed no relation to the rate of remission. When the relationship between handedness and stuttering was investigated, it was found that left-handed children had a significantly poorer chance of attaining speech fluency.
The Uttenweiler test allowed no prognostic evaluation of the future course of stuttering in the age group studied, though auditory dominance was not completely developed in a majority of the 3-6 year-old children. Handedness, however, appears to be related to the probability that stuttering will become chronic.
确定可能预测儿童口吃是否会发展为慢性口吃的关键特征。该研究的一部分调查了听觉与听觉刺激的中枢处理、大脑优势与口吃临床病程之间的关系。
对79名3至9岁的口吃儿童进行前瞻性研究。根据乌滕魏勒（V.乌滕魏勒，《儿童双耳辨别测试》，《语言、语音与听力》4（1980年）107 - 111页）的双耳辨别测试，对受试者在各种偏侧性测试中的大脑优势、外周听力以及辨别声音的能力进行了检查。将结果与口吃缓解的可能性进行关联。与18名语言正常的幼儿园年龄儿童组成的对照组进行比较。调查期为18个月。
72名儿童接受了随访检查。其中，36名儿童实现了言语流畅。双耳辨别测试结果与缓解率无关。在调查用手习惯与口吃之间的关系时，发现左利手儿童获得言语流畅的机会明显较差。
在所研究的年龄组中，乌滕魏勒测试无法对口吃的未来病程进行预后评估，尽管大多数3至6岁儿童的听觉优势尚未完全形成。然而，用手习惯似乎与口吃发展为慢性的可能性有关。
