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临床考虑学龄期言语障碍儿童的言语感知:对当前文献的综述。

Clinical Considerations for Speech Perception in School-Age Children With Speech Sound Disorders: A Review of the Current Literature.

机构信息

Department of Communication Disorders, Brigham Young University, Provo, UT.

Department of Communication Sciences and Disorders, Montclair State University, Bloomfield, NJ.

出版信息

Lang Speech Hear Serv Sch. 2022 Jul 6;53(3):768-785. doi: 10.1044/2022_LSHSS-21-00120. Epub 2022 Apr 22.

DOI:10.1044/2022_LSHSS-21-00120
PMID:35452250
Abstract

PURPOSE

The purpose of this study was to synthesize the methodological variability in the speech perception literature for school-age children with residual speech sound disorder (RSSD), with the primary intention of using the existing knowledge to inform clinical decisions and optimize treatment outcomes for children.

METHOD

Ten electronic databases were systematically searched to identify articles examining the speech perception skills of school-age children with RSSD. A total of 11 articles met inclusion criteria, reporting of methodological characteristics was rated and compared across studies, and findings were summarized.

RESULTS

The majority of studies reviewed here confirmed the presence of a perceptual deficit for a subset of children with RSSD. However, marked variability across study methodologies limits clinical interpretation and application of the findings.

CONCLUSIONS

Despite limited research in children with RSSD and wide variability across study procedures, stimulus type, perception type, and task type emerged as potential key factors that provide critical insight into a child's perceptual skill. The current evidence suggests that deficits in speech perception may significantly impact acquisition of accurate phoneme production for children with RSSD. Furthermore, these findings suggest that assessment and treatment of speech perception may be a critical component of an intervention program for school-age children, although further research is needed to determine effective clinical procedures.

摘要

目的

本研究旨在综合分析儿童言语感知障碍(RSSD)文献中的方法学变异性,主要目的是利用现有知识为临床决策提供信息,并优化儿童的治疗效果。

方法

系统检索了 10 个电子数据库,以确定评估儿童言语感知技能的研究。共有 11 篇文章符合纳入标准,对研究间的方法学特征进行了评估和比较,并对研究结果进行了总结。

结果

本研究综述的大部分研究都证实了 RSSD 儿童存在感知缺陷。然而,研究方法的显著差异限制了研究结果的临床解释和应用。

结论

尽管 RSSD 儿童的研究有限,且研究程序、刺激类型、感知类型和任务类型存在很大差异,但它们仍是潜在的关键因素,为儿童的感知技能提供了重要的见解。现有证据表明,言语感知缺陷可能会显著影响 RSSD 儿童准确发音的习得。此外,这些发现表明,言语感知评估和治疗可能是针对学龄儿童干预计划的一个重要组成部分,尽管需要进一步研究来确定有效的临床程序。

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PLoS One. 2024 Feb 7;19(2):e0297530. doi: 10.1371/journal.pone.0297530. eCollection 2024.