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两名多重残疾人士使用口干反应来减轻流口水的影响。

Two persons with multiple disabilities use a mouth-drying response to reduce the effects of their drooling.

机构信息

University of Bari, Bari, Italy.

出版信息

Res Dev Disabil. 2009 Nov-Dec;30(6):1229-36. doi: 10.1016/j.ridd.2009.04.007. Epub 2009 May 28.

Abstract

These two studies involved a boy and a man with multiple disabilities, who were taught to use a mouth-drying response to reduce the effects of their drooling. Both studies relied on microswitch technology to monitor the drying response and follow it with positive stimulation (i.e., during intervention). In Study I, the boy performed the drying response via a special napkin. The microswitch technology consisted of touch/pressure sensors and a radio transmitter hidden inside the napkin. Drying responses led the boy to 8s of preferred stimulation. In Study II, the man performed the drying response via a handkerchief. The microswitch technology consisted of an optic sensor and a radio transmitter at the man's chest. Drying responses led the man to 8-10s of preferred stimulation. The stimulation time/conditions were subsequently modified to promote a reduction in the man's response frequency. The experimental design involved an ABAB sequence (Study I) or an ABABB(1)B(2) sequence (Study II), with the second B or the B(1)B(2) combination spreading over periods of about 3 months. The results indicated vast increases in drying responses and decreases in chin wetness during the intervention phases. The frequencies of the drying response remained consistent for the boy and stabilized at a lower level (i.e., in line with the manipulation of the stimulation conditions) for the man. Implications of the findings and limitations of the studies are discussed.

摘要

这两项研究涉及一名男孩和一名男子,他们都有多发性残疾,通过学习使用口干燥反应来减轻流口水的影响。这两项研究都依赖于微开关技术来监测干燥反应,并在反应后给予积极刺激(即在干预期间)。在研究 I 中,男孩通过特制的餐巾执行干燥反应。微开关技术由隐藏在餐巾内的触摸/压力传感器和无线电发射器组成。干燥反应会使男孩获得 8 秒的优先刺激。在研究 II 中,男子通过手帕执行干燥反应。微开关技术由男子胸部的光电传感器和无线电发射器组成。干燥反应会使男子获得 8-10 秒的优先刺激。随后,刺激时间/条件进行了修改,以促进男子反应频率的降低。实验设计涉及 ABAB 序列(研究 I)或 ABABB(1)B(2)序列(研究 II),第二个 B 或 B(1)B(2)组合持续约 3 个月。结果表明,在干预阶段,干燥反应大大增加,下巴湿润度降低。男孩的干燥反应频率保持一致,并稳定在较低水平(即符合刺激条件的操作),而男子的频率则稳定下来。讨论了研究结果的意义和研究的局限性。

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