Ferri Lluís
Conselleria de Educacion, Villena, Espana.
Rev Neurol. 2014 Feb 24;58 Suppl 1:S99-S105.
Disorders affecting the lower motor neurons in childhood, with a congenital or acquired aetiology, give rise to difficulties in neuromotor response and, therefore, motor disorders affecting speech in a period that is especially critical for the development of language. The low incidence of this pathology, its comorbidity with other brain conditions and its uncertain prognosis make it a particularly interesting area of study.
The purpose of this work is to review the motor disorders affecting speech in flaccid dysarthria, together with its functional evaluation and speech therapy interventions.
The study aims to carry out the clinical characterisation of the disorders affecting verbal production of a peripheral origin, and more specifically flaccid dysarthria and its respiratory, phonatory, resonance, articulatory and prosodic manifestations. The analysis then goes on to outline the functional evaluation and lines of intervention for its treatment are proposed.
The clinical manifestations of flaccid dysarthria are very heterogeneous and range from very slight difficulties in articulation to severe disorders that seriously limit the capacity for verbal expression. In most cases, a functional examination yields valuable findings for its identification and classification, for determining the need for complementary evaluations and for establishing the most suitable programme of speech therapy. The guided participation of the family and the interdisciplinary approach are factors that play a decisive role in improving these processes.
影响儿童下运动神经元的疾病，病因有先天性或后天性，会导致神经运动反应困难，进而在对语言发展尤为关键的时期引发影响言语的运动障碍。这种疾病发病率低，与其他脑部疾病合并存在，预后不明，使其成为一个特别有趣的研究领域。
本研究旨在综述弛缓性构音障碍中影响言语的运动障碍及其功能评估和言语治疗干预措施。
该研究旨在对影响外周源性言语产生的疾病进行临床特征描述，更具体地说是弛缓性构音障碍及其呼吸、发声、共鸣、发音和韵律表现。接着分析概述了其功能评估并提出了治疗的干预方向。
弛缓性构音障碍的临床表现非常多样，从非常轻微的发音困难到严重限制言语表达能力的严重障碍不等。在大多数情况下，功能检查对于其识别和分类、确定是否需要补充评估以及制定最合适的言语治疗方案都能得出有价值的结果。家庭的引导参与和跨学科方法是改善这些过程的决定性因素。
