口部感觉-运动评估表的编制及其在脑瘫儿童中的应用

发布时间：2018-06-03 04:42

本文选题：脑瘫儿童 + 运动性言语障碍　；参考：《华东师范大学》2017年硕士论文

【摘要】：口部感觉-运动障碍是导致脑瘫儿童运动性言语障碍构音不清的主要因素之一,但目前国内缺乏针对脑瘫儿童的口部-感觉运动的评估材料。本研究旨在编制口部感觉-运动评估材料,并将此评估材料应用于3-7岁的脑瘫儿童,从年龄、性别、粗大运动功能水平以及瘫型四个方面对脑瘫儿童的口部感觉-运动特征与正常儿童进行比较研究,探究脑瘫儿童的口部感觉-运动特征。另外,本研究还验证了脑瘫儿童口部感觉-运动与构音清晰度的相关性。本研究的主要内容和结果包括以下几个方面:1.口部感觉-运动评估表的编制本研究在卢红云口部运动功能评估表的基础上,增加口部感觉评估的内容,补充口部运动的项目,并根据脑瘫儿童言语障碍矫治临床实践的反馈对原评估表中某些项目的施测方法、分级标准进行调整。通过专家分析对该评估材料的项目进行筛选,最终形成口部感觉-运动评估表。对评估表的信效度分析表明评估表具有良好的信度、效度。同时本研究还获得了 3-7岁普通儿童口部感觉-运动的年龄发育顺序。2.口部感觉-运动评估表的应用(1)普通和脑瘫儿童口部感觉-运动的比较研究本研究通过分析普通和脑瘫儿童口部感觉-运动评估结果发现,年龄和性别对普通儿童的口部感觉-运动有显著影响,但是对脑瘫儿童的影响则不显著。痉挛型脑瘫儿童的口部感觉-运动极显著差于普通儿童,其中以四肢瘫患儿的口部感觉-运动障碍最为严重;痉挛型四肢瘫患儿的下颌运动、唇运动、舌运动障碍均较为严重。粗大运动功能障碍越重,口部感觉-运动越差;中度与重度粗大运动功能障碍脑瘫儿童口部感觉-运动障碍程度均较重,二者在感觉、下颌运动、唇运动、舌运动上均不存在显著差异。(2)脑瘫儿童口部感觉-运动与构音清晰度的相关性研究本研究分别对脑瘫儿童的口部感觉-运动与字清晰度和句清晰度的相关性进行分析,结果表明脑瘫儿童的口部感觉-运动与字和句清晰度均存在中等程度相关。本研究编制了脑瘫儿童口部感觉-运动评估表,得到了普通儿童口部感觉-运动的年龄发育顺序,并探究了脑瘫儿童的口部感觉-运动特征,还验证了脑瘫儿童口部感觉-运动与构音清晰度的相关性,对脑瘫儿童口部感觉-运动训练具有重要指导意义。
[Abstract]:Oral sensorimotor disorder is one of the main factors leading to poor articulation of motor speech disorder in children with cerebral palsy. The purpose of this study was to develop an oral sensory and motor assessment material and apply it to children with cerebral palsy aged 3-7 years, from age to sex. In order to explore the characteristics of oral sensorimotor motility in children with cerebral palsy, the level of coarse motor function and the four aspects of paralytic type were compared between children with cerebral palsy and normal children. In addition, this study also verified the correlation between sensory-motor and articulation in the mouth of children with cerebral palsy. The main contents and results of this study include the following aspects: 1. Preparation of the sensory and Motion Assessment Table for the mouth this study added the content of the sensory assessment of the mouth to supplement the items of the movement of the mouth on the basis of the evaluation table of the motor function of the mouth of Lu Hongyun. According to the feedback from the clinical practice of speech disorder correction in children with cerebral palsy, the test methods and grading criteria of some items in the original evaluation table were adjusted. The items of the evaluation material were screened by expert analysis, and the sensory-motion assessment table was formed. The reliability and validity analysis of the evaluation table shows that the evaluation table has good reliability and validity. At the same time, the age developmental sequence of sensory-motor in the mouth of 3-7 years old children was obtained. A comparative study of the oral sensorimotor between common children and children with cerebral palsy by analyzing the results of oral sensorimotor assessment in common children and children with cerebral palsy. Age and gender had significant effects on oral sensorimotor in normal children, but not on children with cerebral palsy. The oral sensorimotor dysfunction of spastic cerebral palsy children was worse than that of the common children, especially in the quadriplegic children, and the mandibular movement, lip movement and tongue motility of the spastic quadriplegia children were more serious. The more severe the gross motor dysfunction, the worse the sensation and movement of the mouth, the more severe the sensory and motor disturbance in the mouth of children with moderate and severe motor dysfunction, the more severe the sensation, the movement of the mandible, the movement of the lips, the more severe the degree of the sensory and motor disorders in the mouth. There was no significant difference in tongue movement. (2) the correlation between oral sensorimotor and articulation in children with cerebral palsy was studied. This study analyzed the correlation between mouth-sensorimotor and word clarity and sentence articulation in children with cerebral palsy. The results showed that there was a moderate correlation between oral sensorimotor and articulation of words and sentences in children with cerebral palsy. In this study, a sensory motor evaluation table was compiled for children with cerebral palsy, and the age developmental sequence of oral sensorimotor in common children was obtained, and the characteristics of oral sensorimotor in children with cerebral palsy were investigated. In addition, the correlation between oral sensorimotor and articulation in children with cerebral palsy was verified, which is of great significance to the training of sensory motor in mouth of children with cerebral palsy.
【学位授予单位】：华东师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R742.3

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