Phonological characteristics and rehabilitation training efficacy of abnormal lingua-palatal phoneme in children with functional articulation disorders

MIN Zhi-yun; LI Feng; XU Li-na; HU Ming-fang

doi:10.11852/zgetbjzz2018-26-06-06

PDF(1161 KB)

Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (6) : 597-601. DOI: 10.11852/zgetbjzz2018-26-06-06

Phonological characteristics and rehabilitation training efficacy of abnormal lingua-palatal phoneme in children with functional articulation disorders

MIN Zhi-yun, LI Feng, XU Li-na, HU Ming-fang

Author information +

History +

Abstract

Objective To explore the phonological characteristics and rehabilitation training efficacy of abnormal lingua-palatal phoneme in patients with functional articulation disorders (FAD). Methods Totally 120 children with FAD were enrolled from February 2016 to February 2017 and received rehabilitation training. The training efficacy and the correlation between abnormal lingua-palatal phoneme articulation and age were analyzed. Results The articulation disorder of /j/ mainly showed being replaced by /x/,/d/, lateral misarticulation or omission;/q/ mainly showed replacement by/j/,/x/,/t/ or lateral misarticulation; /x/ mainly showed replacement by/j/ or lateral misarticulation. The common erroneous articulation forms of /j/,/q/, /x/ were replacement and lateral misarticulation.Finally, 104 cases were cured and 13 cases improved after 3~6 weeks of rehabilitation, and the overall cure rate was 86.67% (104/120). The cure rates of mild, moderate and severe disorder were 100% (7/7), 82.61% (19/23) and 86.67 % (78/90) respectively. The number of erroneous wordssignificantly decreased from 23.11±9.41 to 1.85±6.17 after training(Z＝-13.012,P＜0.001). The number of erroneous words was not correlated with age (r＝-0.045,P=0.626). Conclusions The articulation disorder of lingua-palatal phoneme is mainly replacement and lateral misarticulation. And specific speech rehabilitation training is effective for FAD.

Key words

functional articulation disorders / lingua-palatal phoneme / phonological characteristics / rehabilitation training

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

MIN Zhi-yun, LI Feng, XU Li-na, HU Ming-fang. Phonological characteristics and rehabilitation training efficacy of abnormal lingua-palatal phoneme in children with functional articulation disorders[J]. Chinese Journal of Child Health Care. 2018, 26(6): 597-601 https://doi.org/10.11852/zgetbjzz2018-26-06-06

References

[1] 杨文竹,赵文静,张慧成.功能性构音障碍患儿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):1027-1033.
[2] Eadie P, Morgan A, Ukoumunne OC,et al. Speech sound disorder at 4years:prevalence,comborbidities, andpredictions in acommunity cohort of children[J].Dev Med Child Neurol,2015,57(6):578-584.
[3] Lewis BA, Freebairn LA, Hansen AJ, et al. Dimensions of early speech sound disorders:a factor analytic study[J].J Commun Disord,2006,39(2):139-157.
[4] Preston JL,Hull M,Edwards ML. Preschool speech error patterns predict articulation and phonological awareness outcomes in children with histories of speech sound disorders[J].Am J Speech Lang Pathol,2013,22(2):173-184.
[5] 金野,万勤,周红省,等.听障患者舌面音构音障碍的原因及矫治对策[J].中国听力语言康复科学杂志,2008,6(2):37-39.
[6] Madlon-Kay DJ,Ricke LA,Baker NJ,et al.Case series of 148 tongue-tied newborn babies evaluated with the assessment tool for lingual frenulum function[J]. Midwifery,2007,24(3):353-357.
[7] 赵云静,孙洪伟,麻宏伟等.功能性构音障碍的临床共患病调查及行为问题研究[J].中国当代儿科杂志,2009,11(3):225-228.
[8] 林焘,王理嘉.语音学教程[M].2版.北京:北京大学出版社,2013:202-203.
[9] 赵云静,孙洪伟,赵亚茹.功能性构音障碍儿童构音特点分析及言语矫治[J]. 中国康复, 2006,21(2): 93-95.
[10] 江茹,赵生全,张铁松,等.功能性构音障碍儿童言语异常及矫治效果研究[J].听力学及言语疾病杂志,2011,19(3):260-262.
[11] 邱芬芳,施星辉.腭裂术后患者的听力对不同频率辅音辨别的影响[J].实用口腔医学杂志,2014,30(6):819-822.
[12] 翟瑛,靳利敏,李峰,等.大龄腭裂患者语音训练的临床疗效及近期随访观察[J].实用医学杂志, 2012,28(21): 3573-3575.
[13] Wallace IF, Berkman ND, Watson LR, et al.Screening for speech and language delay in children 5 years old and younger :a systematic review [J].Pediatrics,2015,136(2):448-462.
[14] 徐丽娜,李峰,高楠,等.功能性构音障碍擦音异常患者的临床特征及语音治疗[J].听力学及言语疾病杂志,2016,24(6):570-575.
[15] 高楠,李峰,吕志愿,等.视觉反馈联合触觉反馈在腭裂术后患者语音训练中的应用[J].郑州大学学报:医学版,2016,51(1):103-105.
[16] 徐亚琴,梁沂,胡小沙,等.儿童功能性构音障碍21个词首辅音的临床特征分析[J].中国儿童保健杂志,2015,23(5):472-474.
[17] 吴萍,李丽华. 65 例功能性构音障碍儿童训练效果分析[J].中国康复理论与实践, 2011,17(7): 688-690.
[18] 吕志愿,李峰,张艳云,等.侧化构音的临床特点分析[J].中国康复理论与实践,2015,21(2):134-137.
[19] Rvachw S,Ohberg A,Grawburg M, et al. Phonological awareness and phonemic perception in 4-year-old children with delayed expressive phonology skills[J].Am J Speech Lang Pathol,2003,12(4):463-471.
[20] 杜志宏,毛丽珈,彭柄蔚,等.不同年龄段功能性构音障碍儿童错误辅音分析[J].中国康复,2014,29(5):328-330.
[21] 周小渝,陈亦阳,陈珂,等.功能性构音障碍患儿自愈情况分析[J].广东牙病防治,2015,23(7):380-381.
[22] 马秋艳.言语治疗联合家庭训练治疗功能性构音障碍28例疗效观察[J].中国中西医儿科学,2014,6(6):522-523.