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脑瘫患者的言语表现、吞咽困难及口腔反射

Speech performance, dysphagia and oral reflexes in cerebral palsy.

作者信息

Love R J, Hagerman E L, Taimi E G

出版信息

J Speech Hear Disord. 1980 Feb;45(1):59-75. doi: 10.1044/jshd.4501.59.

DOI:10.1044/jshd.4501.59
PMID:7354631
Abstract

The adequacy of biting, sucking, swallowing, and chewing as well as the presence or absence of nine infantile oral reflexes were assessed in 60 cerebral-palsied individuals. The effect of the asymmetric tonic neck reflex and the Moro reflex on the infantile oral reflexes was also studied. There was a trend for subjects with more adequate feeding skills to achieve higher levels of overall speech proficiency and articulatory competency, but this trend was not completely systematic. Fifteen subjects displayed abnormal oral reflexes, but these reflexes could not be elicited consistently. The effect of the ATNR and Moro reflex on the oral reflexes seemed limited. Results generally supported the value of the widespread prescription of improving feeding in cerebral palsy, but the need to modify abnormal oral reflexes received less support. The question of using prespeech oromotor training to reduce possible future dysarthria is discussed in terms of the findings.

摘要

对60名脑瘫患者的咬、吸吮、吞咽和咀嚼能力以及九种婴儿期口腔反射的有无进行了评估。还研究了非对称性紧张性颈反射和莫罗反射对婴儿期口腔反射的影响。喂养技能更熟练的受试者有在整体言语熟练度和发音能力上达到更高水平的趋势,但这种趋势并不完全具有系统性。15名受试者表现出异常的口腔反射,但这些反射并不能持续引出。非对称性紧张性颈反射和莫罗反射对口腔反射的影响似乎有限。结果总体上支持了在脑瘫中广泛采用改善喂养方法的价值,但改善异常口腔反射的必要性得到的支持较少。根据研究结果讨论了使用言语前口运动训练来减少未来可能出现的构音障碍的问题。

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