Zivković Zorica, Golubović Slavica
Special Hospital for the Cerebral Palsy and Developmental Neurology, Belgrade, Serbia.
Vojnosanit Pregl. 2012 Jun;69(6):488-91.
BACKGROUND/AIM: In children with cerebral palsy speech is a big problem. Speech of these children is more or less understandable, depending on the degree of reduced mobility of articulatory organs. Reduced mobility is affected by inability to control facial grimacing and poor muscle strength when performing targeted movements. The aim of this study was to determine the mobility of tongue in patients with cerebral palsy.
The study included a sample of 34 children--patients with cerebral palsy who had been treated in the Special Hospital for the Cerebral Palsy and Developmental Neurology in Belgrade. The patients were divided according to the determined diagnosis into two groups: Quadriparesis spastica (n = 11) and Morbus Little (n = 16). The children, aged 8-12 years, had preserved intelectual abilities, and all of them had preserved hearing. The study was conducted during the period from January to September 2009. The functional state of articulatory organs in both groups was tested by the C-test that examines the anatomic structure and mobility of the articulatory organs.
Our research showed that both groups of the patients had impaired functional state of the tongue - the most mobile articulatory organ. Also, the research showed that the functional state of the tongue was worse in children diagnosed with Quadriparesis spastica. A statistically significant correlation between the diagnosis and the functional state of the tongue, the tongue test performance and the retention of the tongue in a given position was found (r = 0.594, p < 0.005; r = 0.816, p < 0.01 and r = 0.738, p < 0.001, respectively).
A large percentage of children with cerebral palsy were not able to establish control over the position of articulatory organs, especially the tongue, and its retention in a given position, all of which affect the quality of speech.
背景/目的：对于脑瘫患儿而言，言语是个大问题。这些患儿的言语或多或少是可以理解的，这取决于发音器官活动度降低的程度。活动度降低受无法控制面部表情以及进行目标动作时肌肉力量不足的影响。本研究的目的是确定脑瘫患者的舌头活动度。
该研究纳入了34名儿童样本——在贝尔格莱德脑瘫与发育神经专科医院接受治疗的脑瘫患者。根据确定的诊断将患者分为两组：痉挛性四肢瘫（n = 11）和小儿麻痹后遗症（n = 16）。这些年龄在8至12岁的儿童智力正常，且听力均正常。研究于2009年1月至9月期间进行。通过C测试对两组患者发音器官的功能状态进行检测，该测试可检查发音器官的解剖结构和活动度。
我们的研究表明，两组患者舌头（最灵活的发音器官）的功能状态均受损。此外，研究表明，被诊断为痉挛性四肢瘫的儿童舌头功能状态更差。研究发现诊断与舌头功能状态、舌头测试表现以及舌头在特定位置的保持之间存在统计学显著相关性（分别为r = 0.594，p < 0.005；r = 0.816，p < 0.01；r = 0.738，p < 0.001）。
很大比例的脑瘫患儿无法控制发音器官的位置，尤其是舌头，以及将其保持在特定位置，所有这些都会影响言语质量。
