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本文引用的文献

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Expressive language skills in Chinese Singaporean preschoolers with nonsyndromic cleft lip and/or palate.患有非综合征性唇腭裂的新加坡华裔学龄前儿童的表达性语言技能。
Int J Pediatr Otorhinolaryngol. 2010 May;74(5):456-64. doi: 10.1016/j.ijporl.2010.01.014. Epub 2010 Mar 3.
2
Speech summer camp for treating articulation disorders in cleft palate patients.用于治疗腭裂患者构音障碍的语音夏令营。
Int J Pediatr Otorhinolaryngol. 2005 Mar;69(3):351-9. doi: 10.1016/j.ijporl.2004.10.012. Epub 2004 Dec 15.
3
A new classification for cleft lip and cleft palate.唇腭裂的一种新分类。
Plast Reconstr Surg Transplant Bull. 1958 Nov;22(5):435-41. doi: 10.1097/00006534-195811000-00001.
4
Linguistic development in cleft palate patients with and without compensatory articulation disorder.有和没有代偿性构音障碍的腭裂患者的语言发展
Int J Pediatr Otorhinolaryngol. 2000 Aug 31;54(2-3):81-91. doi: 10.1016/s0165-5876(00)00332-3.
5
A comparative trial of two modalities of speech intervention for compensatory articulation in cleft palate children, phonologic approach versus articulatory approach.腭裂儿童代偿性发音两种言语干预方式的比较试验：音系学方法与发音方法。
Int J Pediatr Otorhinolaryngol. 1999 Jun 15;49(1):21-6. doi: 10.1016/s0165-5876(99)00040-3.
6
Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age.单侧完全性唇腭裂患者在6个月与12个月时接受手术，其语音效果及上颌骨生长情况。
Plast Reconstr Surg. 1998 Sep;102(3):675-9. doi: 10.1097/00006534-199809030-00009.
7
Surgical correction of velopharyngeal insufficiency with and without compensatory articulation.腭裂咽闭合不全伴或不伴有代偿性构音的手术矫正。
Int J Pediatr Otorhinolaryngol. 1996 Jan;34(1-2):53-9. doi: 10.1016/0165-5876(95)01245-1.
8
Phonologic processes in children with cleft palate.腭裂患儿的语音过程
Cleft Palate Craniofac J. 1993 Jan;30(1):64-72. doi: 10.1597/1545-1569_1993_030_0064_ppicwc_2.3.co_2.
9
Diagnosis of speech problems in patients with cleft palate.腭裂患者言语问题的诊断
Br J Disord Commun. 1971 Apr;6(1):26-32. doi: 10.3109/13682827109011522.
10
Maximal opposition approach to phonological treatment.语音治疗的最大对立方法。
J Speech Hear Disord. 1989 Feb;54(1):9-19. doi: 10.1044/jshd.5401.09.

腭裂患者代偿性构音治疗策略的研究

A study of strategies for treating compensatory articulation in patients with cleft palate.

作者信息

Pamplona Ma Carmen, Ysunza Antonio, Chavelas Katia, Arámburu Esperanza, Patiño Carmeluza, Martí Fernanda, Morales Santiago

机构信息

Cleft Palate Clinic, Hospital Gea González, Mexico City, Mexico.

出版信息

J Maxillofac Oral Surg. 2012 Jun;11(2):144-51. doi: 10.1007/s12663-011-0314-x. Epub 2011 Dec 23.

DOI:10.1007/s12663-011-0314-x
PMID:23730060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3386410/
Abstract

INTRODUCTION

Patients with cleft palate (PCP) frequently show compensatory articulation disorder (CAD). Compensatory errors require a prolonged period of speech intervention. Scaffolding strategies are used for correcting placement and manner of articulation.

OBJECTIVE

To study whether some strategies commonly used in speech therapy for correcting compensatory articulation errors, can be more effective depending on severity of CAD in PCP.

MATERIALS AND METHODS

Fifty PCP were studied. All patients showed velopharyngeal insufficiency (VPI) and CAD. Transcriptions of speech therapy sessions were revised in order to quantify positive changes in articulation. Correlation between effectiveness of each strategy and degree of severity of CAD was assessed. Also, different strategies were compared in order to determine whether some strategies were more appropriate for specific levels of severity of CAD.

RESULTS

There was a significant relationship between the success of some strategies, as measured by the number of positive changes in articulation, and the degree of severity of CAD in PCP.

CONCLUSION

There seems to be a relationship between effectiveness of some speech therapy strategies for correcting compensatory articulation errors and severity of CAD. Assessment of severity of CAD appears to be useful for planning speech intervention in PCP. Selected speech therapy strategies could be used according to severity of CAD.

摘要

引言

腭裂患者（PCP）经常表现出代偿性构音障碍（CAD）。代偿性错误需要长时间的言语干预。支架策略用于纠正发音的位置和方式。

目的

研究言语治疗中一些常用的纠正代偿性构音错误的策略，是否根据PCP中CAD的严重程度会更有效。

材料与方法

对50名PCP患者进行了研究。所有患者均表现为腭咽功能不全（VPI）和CAD。对言语治疗课程的记录进行了修订，以量化发音的积极变化。评估了每种策略的有效性与CAD严重程度之间的相关性。此外，还比较了不同的策略，以确定某些策略是否更适合CAD的特定严重程度水平。

结果

以发音的积极变化数量衡量，一些策略的成功与PCP中CAD的严重程度之间存在显著关系。

结论

一些言语治疗策略纠正代偿性构音错误的有效性与CAD的严重程度之间似乎存在关联。CAD严重程度的评估似乎有助于规划PCP的言语干预。可以根据CAD的严重程度使用选定的言语治疗策略。