Efficacy of tele-rehabilitation program for preschool children with functional articulation disorders

JIA Yufeng; LI Yang; ZHANG Shuang; GAO Shuzhi; GAO Jingyun; LI Shuang

doi:10.11852/zgetbjzz2023-0587

PDF(635 KB)

Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (2) : 223-227. DOI: 10.11852/zgetbjzz2023-0587

Appropriate Technology

Efficacy of tele-rehabilitation program for preschool children with functional articulation disorders

JIA Yufeng, LI Yang, ZHANG Shuang, GAO Shuzhi, GAO Jingyun, LI Shuang

Author information +

History +

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.

Key words

functional articulation disorders / preschool children / tele-rehabilitation / speech therapy

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

JIA Yufeng, LI Yang, ZHANG Shuang, GAO Shuzhi, GAO Jingyun, LI Shuang. Efficacy of tele-rehabilitation program for preschool children with functional articulation disorders[J]. Chinese Journal of Child Health Care. 2024, 32(2): 223-227 https://doi.org/10.11852/zgetbjzz2023-0587

References

[1] 马良,王艳霞,冉霓,等.功能性构音障碍儿童口部运动功能及其与辅音错误发音相关性[J].中国儿童保健杂志,2023,31(2):156-161.
Ma L, Wang YX, Ran N, et al. Oral motor function and its correlation with consonant mispronunciation errors in children with functional articulation disorders[J]. Chin J Child Health Care, 2023,31(2):156-161. (in Chinese)
[2] 刘开宇,熊才运,刘烨,等.功能性构音障碍儿童口部运动评估[J].听力学及言语疾病杂志,2022,30(6):623-626.
Liu KY, Xiong CY, Liu Y, et al. Analysis of the oral motor assessment in children with functional articulation disorders[J]. J Audiol Speech Pathol, 2022,30(6):623-626. (in Chinese)
[3] McCormack J, McLeod S, Crowe K. What do children with speech sound disorders think about their talking[J] Semin Speech Lang,2019,40(2):94-104.
[4] Bellon-Harn ML, Morris LR, Manchaiah V, et al. Use of videos and digital media in parent-implemented interventions for parents of children with primary speech sound and/or language disorders:A scoping review[J]. J Child Fam Stud, 2020,29(12):3596-3608.
[5] 王冉,张英,郝赤子,等.远程康复系统对脑卒中出院患者上肢功能的影响[J].中国康复,2020,35(10):522-525.
Wang R, Zhang Y, Hao CZ, et al. Effect of telerehabilitation system on upper extremity function of discharged stroke patients[J]. Chin J Rehabil, 2020,35(10):522-525.(in Chinese)
[6] Yi A, Chen Z, Ling W, et al. Effectiveness of cloud-based rehabilitation in children with developmental language disorder during the COVID-19 pandemic:A prospective cohort study[J]. Medicine (Baltimore),2022,101(33):e30056.
[7] 唐琳,邬钰玮,李源莉,等.基于现代信息技术的脑瘫儿童远程家庭康复模式的探讨[J].中国康复,2021,36(12):756-759.
Tang L, Wu YW, Li YL, et al. Discussion on remote family rehabilitation model of cerebral palsy children based on modern information technology[J]. Chin J Rehabil, 2021,36(12):756-759.(in Chinese)
[8] Vallefuoco E, Purpura G, Gison G, et al.A multidisciplinary telerehabilitation approach for supporting social interaction in autism spectrum disorder families:An Italian Digital Platform in Response to COVID-19[J]. Brain Sci,2021,11(11):1404.
[9] Wennberg B, Janesltt G, Gustafsson PA, et al. Occupational performance goals and outcomes of time-related interventions for children with ADHD[J]. Scand J Occup Ther, 2021, 28(2):158-170.
[10] 杨文竹,赵云静,张成惠.功能性构音障碍儿童与正常儿童的音位对比式言语识别能力的研究[J].中国儿童保健杂志,2015,23(10):1027-1029,1033.
Yang WZ, Zhao YJ, Zhang CH. Research of minimal phoneme contrast test in children with functional articulation disorder and typical children[J]. Chin J Child Health Care,2015,23(10):1027-1029,1033. (in Chinese)
[11] 何怡,庞子建.听觉辨别训练对儿童构音障碍的疗效[J].中国康复理论与实践,2020,26(11):1344-1348.
He Y, Pang ZJ. Effect of auditory discrimination training on dysarthria of children[J].Chin J Rehabil Theory Pract,2020,26(11):1344-1348.(in Chinese)
[12] 闵志云,李峰,徐丽娜,等.强化口部肌肉训练对功能性构音障碍患儿语音清晰度的影响[J].听力学及言语疾病杂志,2018,26(01):8-11.
Min ZY, Li F, Xu LN,et al. Effect of strengthening the mouth muscles training on phonetic intelligibility of children with functional articulation disorders[J]. J Audiol Speech Pathol, 2018,26(01):8-11. (in Chinese)
[13] 蒋黎艳.口部运动功能训练结合语音治疗对功能性构音障碍的疗效分析[J].中国儿童保健杂志,2017,25(5):534-535,538.
Jiang LY. Effect of oral motor function training combined with speech therapy on functional articulation disorders[J]. Chin J Child Health Care, 2017,25(5):534-535,538.(in Chinese)
[14] 韩知娟.普通话言语的发展:言语清晰度音位对比及声学特征[D].上海:华东师范大学,2005.
Han ZJ. The development of Mandarin speech:Phonemic contrast and acoustic features of speech articulation[D].Shanghai:East China Normal University,2005. (in Chinese)
[15] 万国斌, 苏林雁, 罗学荣,等.湖南省4～16岁儿童发育性发音障碍的流行病学调查[J].中国心理卫生杂志,1996,10(5):197-198.
Wan GB, Su LY, Luo XR, et al. An epidemiological survey of developmental dysphonia in children aged 4 - 16 years in Hunan Province[J]. Chin Ment Health, 1996,10(5):197-198.(in Chinese)
[16] 刘媛媛,马良,衣明纪,等.功能性构音障碍儿童口部感觉-运动功能特征分析[J].中国康复理论与实践,2022,28(8):903-908.
Liu YY, Ma L, Yi MJ,et al. Characteristics of oral sensory-motor function in children with functional articulation disorders[J].Chin J Rehabil Theory Pract, 2022,28(8):903-908.(in Chinese)
[17] 孙彩虹.儿童功能性构音障碍的相关危险因素及发音错误分析[D].青岛:青岛大学,2020.
Sun CH. Analysis of related risk factors and pronunciation errors in children with functional articulation disorders[D].Qingdao:Qingdao University,2020. (in Chinese)
[18] 黄丽萍,曾佩佩,陈玲,等.不同年龄段儿童功能性构音障碍临床特征分析[J].中国儿童保健杂志,2020,28(9):1024-1027.
Huang LP, Zeng PP, Chen L,et al. Analysis of clinical characteristics of functional articulation disorders in children at different age stages[J]. Chin J Child Health Care, 2020,28(9):1024-1027.(in Chinese)
[19] Allen MM. Intervention efficacy and intensity for children with speech sound disorder[J]. J Speech Lang Hear Res,2013,56(3):865-877.
[20] Molinaro A, Micheletti S, Pagani F, et al.Action observation Treatment in a tele-rehabilitation setting:A pilot study in children with cerebral palsy[J]. Disabil Rehabil, 2022,44(7):1107-1112.
[21] Karrim SB, Flack PS, Naidoo U, et al. The experiences of speech-language therapists providing telerehabilitation services to children with autism spectrum disorder[J]. S Afr J Commun Disord,2022,69(2):e1-e12.
[22] Khoza-Shangase K, Moroe N, Neille J. Speech-language pathology and audiology in South Africa:Clinical training and service in the era of COVID-19[J]. Int J Telerehabil,2021,13(1):e6376.
[23] 袁光辉,陈欢,袁缘,等.结合家长参与的康复训练对功能性构音障碍的疗效分析[J].中国儿童保健杂志,2021,29(12):1384-1386,1389.
Yuan GH, Chen H,Yuan Y,et al. Analysis of the efficacy of rehabilitation training combined with parental participation on functional dysarthria[J]. Chin J Child Health Care, 2021,29(12):1384-1386,1389.(in Chinese)
[24] 陈丽,戴燕琼,唐亮,等.家庭康复微信小程序对功能性构音障碍患儿的影响[J].中国儿童保健杂志,2020,28(8):947-949.
Chen L, Dai YQ, Tang L,et al. Effect of family rehabilitation Wechat program on children with functional dysarthria[J]. Chin J Child Health Care, 2020,28(8):947-949.(in Chinese)