Kim Jiyong, Kim Seong Woo, Jeon Ha Ra, Woo Mee Ryung, Kim Hyo In
Department of Physical Medicine and Rehabilitation, Inje University Ilsanpaik Hospital, Goyang, Korea.
Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Ann Rehabil Med. 2017 Oct;41(5):836-842. doi: 10.5535/arm.2017.41.5.836. Epub 2017 Oct 31.
To analyze speech and linguistic features in children with articulation disorder characterized by consonant and vowel phonological errors.
Between February 2007 and June 2015, 117 children who showed articulation disorder were selected for the study. Based on comprehensive speech and language assessments, the subjects were classified into articulation dysfunction (AD), or AD overlapping with language delay. Detailed information of articulation, including percentage of consonants correct (PCC) and normal percentage of variable consonants derived from the Assessment of Phonology and Articulation for Children test, were compared between the two groups.
Totally, 55 children were diagnosed as AD and 62 as AD with language delay. Mean PCC was not significantly different between the two groups. In both groups, the acquisition order of consonants followed the universal developmental sequence. However, differences were observed in the nasal & plosive consonants abnormality between the two groups. When adjusted to their delayed language level in AD with language delay group, 53% of children had appropriate articulation function for their expressive language level.
Speech and linguistic characteristics in children with articulation disorder were variable. Therefore, comprehensive assessment is required in children with inaccurate pronunciation, and a proper treatment plan based on the results of assessment should be followed.
分析以辅音和元音语音错误为特征的构音障碍儿童的言语和语言特征。
2007年2月至2015年6月,选取117名表现出构音障碍的儿童进行研究。基于全面的言语和语言评估,将受试者分为构音功能障碍(AD)组或AD合并语言发育迟缓组。比较两组儿童的构音详细信息,包括辅音正确率(PCC)和源自儿童语音和构音评估测试的可变辅音正常百分比。
共有55名儿童被诊断为AD,62名被诊断为AD合并语言发育迟缓。两组的平均PCC无显著差异。两组中,辅音的习得顺序均遵循普遍的发育顺序。然而,两组在鼻音和爆破音异常方面存在差异。在AD合并语言发育迟缓组中,根据其延迟的语言水平进行调整后,53%的儿童具有与其表达性语言水平相适应的构音功能。
构音障碍儿童的言语和语言特征存在差异。因此,对于发音不准确的儿童需要进行全面评估,并应根据评估结果制定合适的治疗方案。