偏瘫儿童在接受强制性运动疗法后的言语产生能力提升。
Speech production gains following constraint-induced movement therapy in children with hemiparesis.
作者信息
Allison Kristen M, Reidy Teressa Garcia, Boyle Mary, Naber Erin, Carney Joan, Pidcock Frank S
机构信息
Kennedy Krieger Institute, Baltimore, MD, USA.
Johns Hopkins University, Baltimore, MD, USA.
出版信息
J Pediatr Rehabil Med. 2017;10(1):3-9. doi: 10.3233/PRM-170405.
PURPOSE
The purpose of this study was to investigate changes in speech skills of children who have hemiparesis and speech impairment after participation in a constraint-induced movement therapy (CIMT) program. While case studies have reported collateral speech gains following CIMT, the effect of CIMT on speech production has not previously been directly investigated to the knowledge of these investigators.
METHODS
Eighteen children with hemiparesis and co-occurring speech impairment participated in a 21-day clinical CIMT program. The Goldman-Fristoe Test of Articulation-2 (GFTA-2) was used to assess children's articulation of speech sounds before and after the intervention. Changes in percent of consonants correct (PCC) on the GFTA-2 were used as a measure of change in speech production.
RESULTS
Children made significant gains in PCC following CIMT. Gains were similar in children with left and right-sided hemiparesis, and across age groups.
CONCLUSION
This study reports significant collateral gains in speech production following CIMT and suggests benefits of CIMT may also spread to speech motor domains.
目的
本研究旨在调查患有偏瘫和言语障碍的儿童在参与强制性运动疗法（CIMT）项目后言语技能的变化。虽然案例研究报告了CIMT后言语附带改善的情况，但据这些研究者所知，CIMT对言语产生的影响此前尚未得到直接研究。
方法
18名患有偏瘫且伴有言语障碍的儿童参与了为期21天的临床CIMT项目。干预前后使用《戈德曼-弗里斯托语音清晰度测试第二版》（GFTA-2）评估儿童的语音清晰度。GFTA-2上正确辅音百分比（PCC）的变化用作言语产生变化的指标。
结果
CIMT后儿童的PCC有显著提高。左侧和右侧偏瘫儿童以及各年龄组的提高情况相似。
结论
本研究报告了CIMT后言语产生方面显著的附带改善，并表明CIMT的益处可能也会扩展到言语运动领域。
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