a School of Health and Rehabilitation Sciences , The University of Queensland , Brisbane , Australia.
Disabil Rehabil. 2019 Jun;41(12):1463-1474. doi: 10.1080/09638288.2018.1431694. Epub 2018 Jan 29.
To explore Australian speech-language pathologists' use of non-speech oral motor exercises, and rationales for using/not using non-speech oral motor exercises in clinical practice.
A total of 124 speech-language pathologists practising in Australia, working with paediatric and/or adult clients with speech sound difficulties, completed an online survey.
The majority of speech-language pathologists reported that they did not use non-speech oral motor exercises when working with paediatric or adult clients with speech sound difficulties. However, more than half of the speech-language pathologists working with adult clients who have dysarthria reported using non-speech oral motor exercises with this population. The most frequently reported rationale for using non-speech oral motor exercises in speech sound difficulty management was to improve awareness/placement of articulators. The majority of speech-language pathologists agreed there is no clear clinical or research evidence base to support non-speech oral motor exercise use with clients who have speech sound difficulties.
This study provides an overview of Australian speech-language pathologists' reported use and perceptions of non-speech oral motor exercises' applicability and efficacy in treating paediatric and adult clients who have speech sound difficulties. The research findings provide speech-language pathologists with insight into how and why non-speech oral motor exercises are currently used, and adds to the knowledge base regarding Australian speech-language pathology practice of non-speech oral motor exercises in the treatment of speech sound difficulties. Implications for Rehabilitation Non-speech oral motor exercises refer to oral motor activities which do not involve speech, but involve the manipulation or stimulation of oral structures including the lips, tongue, jaw, and soft palate. Non-speech oral motor exercises are intended to improve the function (e.g., movement, strength) of oral structures. The majority of speech-language pathologists agreed there is no clear clinical or research evidence base to support non-speech oral motor exercise use with clients who have speech sound disorders. Non-speech oral motor exercise use was most frequently reported in the treatment of dysarthria. Non-speech oral motor exercise use when targeting speech sound disorders is not widely endorsed in the literature.
探讨澳大利亚言语治疗师在临床实践中使用和不使用非言语口腔运动练习的情况，并探讨其使用非言语口腔运动练习的理由。
共有 124 名在澳大利亚从事言语治疗工作、治疗有言语语音障碍的儿童和/或成人患者的言语治疗师完成了在线调查。
大多数言语治疗师报告称，他们在治疗有言语语音障碍的儿童或成人患者时不使用非言语口腔运动练习。然而，超过一半治疗有构音障碍的成人患者的言语治疗师报告称，他们在治疗该人群时使用非言语口腔运动练习。报告中使用非言语口腔运动练习治疗言语语音障碍管理的最常见理由是提高构音器官的意识/定位。大多数言语治疗师认为，没有明确的临床或研究证据支持使用非言语口腔运动练习治疗有言语语音障碍的患者。
本研究概述了澳大利亚言语治疗师报告的非言语口腔运动练习在治疗有言语语音障碍的儿童和成人患者中的适用性和疗效的使用情况和看法。研究结果为言语治疗师提供了一个了解非言语口腔运动练习目前如何以及为何被使用的机会，并增加了关于澳大利亚言语病理学中非言语口腔运动练习治疗言语语音障碍的实践的知识基础。
非言语口腔运动练习是指不涉及言语但涉及口腔结构（包括唇、舌、颌和软腭）的操纵或刺激的口腔运动练习。非言语口腔运动练习旨在改善口腔结构的功能（例如运动、力量）。大多数言语治疗师认为，没有明确的临床或研究证据支持使用非言语口腔运动练习治疗有语音障碍的患者。在治疗构音障碍时，最常报告使用非言语口腔运动练习。在治疗语音障碍时，非言语口腔运动练习的使用在文献中并未得到广泛认可。
