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对发音缺陷儿童的发育性言语失用症的进一步分析。

A further analysis for developmental apraxia of speech in children with defective articulation.

作者信息

Williams R, Ingham R J, Rosenthal J

出版信息

J Speech Hear Res. 1981 Dec;24(4):496-505. doi: 10.1044/jshr.2404.496.

Abstract

This paper reports a further analysis of behaviors that might distinguish developmental apraxia of speech from "functional" defective articulation. Closely following a study of Yoss and Darley, 30 children with moderately-to-severely defective articulation but with normal hearing, intelligence, and language development and with no apparent organic etiology for their disability were matched with a normal-speaking control group. Both groups were given Yoss and Darley's battery of speech and nonspeech tasks. Yoss and Darley's analysis procedure was applied to the data. Their finding of significant differences between the control group and the defective articulation group across five nonspeech tasks proved to be true for ony two of the speech and nonspeech tasks in this study. Following division of the defective articulation group on the basis of isolated volitional oral and movement scores, Yoss and Darley had conducted discriminant function analyses of the data, resulting in combinations of speech and nonspeech variables that significantly differentiated the two subgroups. Neurologic ratings figured prominently as a distinguishing variable. A similar comparison in this study did not find a combination of variables which differentiated the two subgroups with any confidence. The implication of these findings and some possible reasons for the differences between the findings of the studies are discussed.

摘要

本文报告了一项进一步的分析,该分析旨在探究可能区分发育性言语失用症与“功能性”发音缺陷的行为。在紧密追随约斯和达利的一项研究后,30名发音存在中度至重度缺陷但听力、智力和语言发育正常且无明显器质性病因导致其残疾的儿童,与一个正常言语对照组进行了匹配。两组儿童均接受了约斯和达利的一系列言语和非言语任务测试。约斯和达利的分析程序被应用于这些数据。他们发现对照组与发音缺陷组在五项非言语任务上存在显著差异,而在本研究中,这一差异仅在两项言语和非言语任务中得到证实。在根据孤立的随意口腔和动作得分对发音缺陷组进行划分后,约斯和达利对数据进行了判别函数分析,得出了能显著区分这两个亚组的言语和非言语变量组合。神经学评级作为一个区分变量显得尤为突出。本研究中的类似比较并未找到能有把握地区分这两个亚组的变量组合。本文讨论了这些发现的意义以及研究结果之间存在差异的一些可能原因。

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