de Farias Samira Raquel, de Avila Clara Regina Brandão, Vieira Marilena Manno
Departamiento de Fonoaudiologia da Universidade Federal de São Paulo.
Pro Fono. 2006 Sep-Dec;18(3):267-76. doi: 10.1590/s0104-56872006000300006.
relationship between speech, tonus and non-verbal praxis.
to verify the relationship between speech, tonus and non-verbal praxis of the stomatognathic system in preschoolers.
120 children, with ages between 4:0 and 5:11 years, were assessed. This assessment consisted of an anamnesis and a speech-language evaluation. The anamnesis was carried out with each child and was completed with information obtained through a questionnaire filled out by parents or guardians. The speech-language assessment involved: assessment of tonus (resistance), of mobility (execution of isolated movements), praxis of lips and tongue (repetition of sequential movements) and of speech (picture naming).
statistically significant findings were: normal tongue tonus in the group of children with normal praxis (p = 0.003); tongue with altered tonus in the group of children with altered praxis (p = 0.003) and normal speech in the group of children with normal praxis (p < 0.001). Other observations were: normal lip tonus in the group of children with normal praxis (p = 0.058); altered speech (omission, substitution and distortion) in the group of children with altered lip tonus (p = 0.149), normal speech in the group of children with normal tongue tonus (p = 0.332): altered speech (omission, substitution and distortion) in the group of children with altered lip praxis (p = 0.241). Differences in speech related to gender or age were not observed in the present study. However, children with ages between 4:0 and 4:11 years presented speech alterations in a higher proportion when compared to children with ages between 5:0 and 5:11 years.
it was not possible to prove the existence of a relationship between tonus and lip praxis, and between lip praxis and speech. A relationship exists between tonus and non-verbal tongue praxis and also between non-verbal tongue praxis and speech.
言语、张力与非言语动作的关系。
验证学龄前儿童口颌系统的言语、张力与非言语动作之间的关系。
对120名年龄在4岁0个月至5岁11个月之间的儿童进行评估。该评估包括问诊和言语语言评估。对每个儿童进行问诊，并通过家长或监护人填写的问卷所获得的信息来完善。言语语言评估包括：张力（阻力）评估、运动能力（孤立动作的执行）评估、唇和舌的动作（连续动作的重复）评估以及言语（图片命名）评估。
具有统计学意义的发现为：动作正常的儿童组中舌张力正常（p = 0.003）；动作异常的儿童组中舌张力改变（p = 0.003），动作正常的儿童组中言语正常（p < 0.001）。其他观察结果为：动作正常的儿童组中唇张力正常（p = 0.058）；唇张力改变的儿童组中言语改变（遗漏、替代和歪曲）（p = 0.149），舌张力正常的儿童组中言语正常（p = 0.332）；唇动作异常的儿童组中言语改变（遗漏、替代和歪曲）（p = 0.241）。在本研究中未观察到与性别或年龄相关的言语差异。然而，与年龄在5岁0个月至5岁11个月之间的儿童相比，年龄在4岁0个月至4岁11个月之间的儿童出现言语改变的比例更高。
无法证明张力与唇动作之间以及唇动作与言语之间存在关系。张力与非言语舌动作之间以及非言语舌动作与言语之间存在关系。
