Affolter F
Bull Schweiz Akad Med Wiss. 1976 Jul;32(1-3):129-40.
Cross-sectional findings in form of performance profiles of 71 severely language disturbed children three to ten years old corroborate the hypothesis that beside disturbances of complex performances, such as language, disturbances of earlier developmental performances mainly of the sensory-motor level can be observed. The prerequisites of these complex and of sensory-motor performances include different levels of perceptual integration. In each of the prefil constellation a different type of perceptual dysfunction can be observed: auditory dysfunction, or tactile-kinesthetic, or intermodal, or serial dysfunction. 15 children with intermodal and 8 with serial problems were exposed to therapy for several years. The therapy attempted to stimulate the disturbed perceptual processes. Longitudinal observations demonstrated that progress became first apparent in more primitive performances, and secondly, with a time lag, in more complex performances. These findings not only confirm the original hypothesis that in these children language disturbances are secondary to perceptual disturbances, but demonstrate also the possibility of early diagnosis and treatment of children with language difficulties.
对71名3至10岁严重语言障碍儿童的表现概况进行横断面研究的结果证实了这一假设：除了语言等复杂表现的障碍外，还可以观察到主要在感觉运动水平的早期发育表现的障碍。这些复杂表现和感觉运动表现的先决条件包括不同层次的感知整合。在每个预配置中，可以观察到不同类型的感知功能障碍：听觉功能障碍、触觉动觉功能障碍、多模式功能障碍或序列功能障碍。15名有多模式问题的儿童和8名有序列问题的儿童接受了数年的治疗。该治疗试图刺激受干扰的感知过程。纵向观察表明，进步首先在更原始的表现中显现，其次，在更复杂的表现中出现延迟。这些发现不仅证实了最初的假设，即在这些儿童中语言障碍是感知障碍的继发结果，而且还证明了对有语言困难的儿童进行早期诊断和治疗的可能性。
