Institute for Stuttering Treatment & Research, Faculty of Rehabilitation Medicine, University of Alberta, Canada.
J Fluency Disord. 2012 Dec;37(4):253-62. doi: 10.1016/j.jfludis.2012.05.002. Epub 2012 May 29.
Little is known about optimal treatment approaches and stuttering treatment outcomes for children with Down syndrome.
The purpose of this study was to investigate outcomes for a child with Down syndrome who received a combination of fluency shaping therapy and parent delivered contingencies for normally fluent speech, prolonged speech, and stuttered speech.
In-clinic speech measures obtained at post-treatment and at 4 months follow-up reflected improvements in fluency of 89.0% and 98.6%, respectively. The participant's beyond-clinic follow-up sample reflected an improvement of 95.5%. Following treatment, the participant demonstrated improved self-confidence, self-esteem, and improved participation and functioning at school.
Findings suggest that fluency shaping with parental contingencies may be a viable treatment approach to reduce stuttering in children with Down syndrome. Future research using an experimental research design is warranted.
Readers will be able to describe (a) prevalence estimates of stuttering in individuals with Down syndrome, (b) the main components of a fluency shaping program for a child with Down syndrome who stutters and has co-occurring speech and language delays, and (c) speech and parent-, teacher-, and self-report treatment outcomes.
对于患有唐氏综合征的儿童，最佳治疗方法和口吃治疗效果知之甚少。
本研究旨在调查接受口吃塑形疗法和父母为正常流畅言语、延长言语和口吃言语提供的连续强化相结合的唐氏综合征儿童的治疗结果。
在治疗后的门诊言语测量和 4 个月的随访中，言语流畅性分别提高了 89.0%和 98.6%。参与者的门诊随访样本反映了 95.5%的改善。治疗后，参与者表现出自信心、自尊心提高，以及在学校的参与度和功能改善。
研究结果表明，口吃塑形与父母强化可能是一种可行的治疗方法，可减少唐氏综合征儿童的口吃。需要使用实验研究设计进行进一步的研究。
读者将能够描述（a）唐氏综合征患者口吃的流行率估计，（b）口吃塑形计划的主要内容，适用于有口吃且伴有言语和语言延迟的唐氏综合征儿童，以及（c）言语以及父母、教师和自我报告的治疗结果。
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