目的 观察远程康复方案对学龄前功能性构音障碍(FAD)儿童构音清晰度的影响,为远程康复在学龄前FAD儿童中的应用提供临床实践参考。方法 选取2022年3月—2023年3月在唐山市妇幼保健院儿童康复科门诊就诊并诊断为FAD的学龄前儿童66例,采用随机数字表法分为远程康复组(n=32)和对照组(n=34),对照组给予常规家庭康复指导,远程康复组应用远程康复方案,治疗时间为3个月。所有儿童分别在治疗前和治疗3个月后采用汉语构音能力评定词表进行评定。结果 治疗3个月后,远程康复组和对照组儿童构音清晰度均较治疗前显著改善(t=12.165、12.986,P＜0.05),且远程康复组构音清晰度显著高于对照组(t=2.138,P＜0.05)。其中远程康复组按照不同构音障碍程度分为轻度组、中度组和重度组3个亚组,治疗3个月后,轻度组和中度组构音清晰度均较治疗前显著提高(Z=2.226、31.900,P＜0.05),重度组构音清晰度与治疗前比较,差异无统计学意义(Z=1.857,P＞0.05)。结论 远程康复方案可以改善学龄前FAD儿童的构音清晰度,尤其适用于轻中度学龄前FAD儿童。
Abstract
Objective To observe the effect of tele-rehabilitation program on the articulation resolution of preschool children with functional articulation disorders (FAD), so as to provide reference for the clinical application of tele-rehabilitation in this context. Methods A total of 66 preschool children diagnosed with FAD in the outpatient department of Child Rehabilitation, Tangshan Maternal and Child Health Hospital from March 2022 to March 2023 were selected into this study, and were divided into tele-rehabilitation group (n=32) and control group (n=34) by random number table method. The control group received daily family rehabilitation guidance, while the tele-rehabilitation group underwent a tele-rehabilitation program lasting for 3 months. All children were assessed using the Chinese phonological ability evaluation lexicon before and 3 months after the treatment. Results After 3 months of treatment, both the tele-rehabilitation group and the control group showed significant improvements in articulation resolution compared to before treatment (t=12.165、12.986, P<0.05). Notably, the tele-rehabilitation group exhibited significantly greater improvement than the control group (t=2.138, P<0.05). Within the tele-rehabilitation group, children were further divided into three subgroups based on the severity of their dysphonia:mild, moderate, and severe. After 3 months of treatment, the articulation resolution of the mild and moderate groups improved significantly compared to before treatment (Z=2.226, 31.900, P<0.05), whereas no statistically significant improvement was observed in the severe group compared to before treatment (Z=1.857, P>0.05). Conclusion Tele-rehabilitation program effectively improves articulation resolution in preschool children with FAD, especially for mild to moderate preschool children with FAD.
关键词
功能性构音障碍 /
学龄前儿童 /
远程康复 /
言语治疗
Key words
functional articulation disorders /
preschool children /
tele-rehabilitation /
speech therapy
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