摘要
目的探讨嘴部锻炼和感知锻炼对孤独症患儿语言交流的影响。方法选择该院收治的孤独症患儿92例,随机分为口肌训练组和感知锻炼组,每组46例,治疗6个月。使用听觉统合训练疗效评估表进行疗效评定;采用Gesell发育量表在训练开始和结束两次对患儿做发育智商检测,进行智力评定。采用孤独症-自闭症行为量表(ABC)对患儿情绪语言、行为、语言进行评定。采用简易口部运动量表评估患儿下颌口部运动功能、唇口部运动功能和舌口部运动功能。结果感知锻炼组患儿不理解指令和不爱主动与人交谈的临床症状改善总有效率显著高于口肌训练组(P<0.05或P<0.01),口肌训练组缺乏主动语言临床症状改善总有效率显著高于感知锻炼组(P<0.05),两组词汇量少及词语混用、语言障碍和自言自语及学舌临床症状改善总有效率比较差异无统计学意义(P>0.05)。与治疗前相比,治疗后两组患儿ABC量表评分显著降低,IQ评分显著升高(P<0.05),组间比较差异无统计学意义(P>0.05)。与治疗前相比,治疗后两组患儿下颌口部运动功能、唇口部运动功能和舌口部运动功能均显著提高(P<0.05),但口肌训练组患儿评分显著高于感知锻炼组(P<0.05或P<0.01)。结论口肌训练和感知锻炼均可改善孤独症患儿语言障碍,口肌训练对改善口部肌肉功能及表达功能方面效果较好,而感知训练对改善孤独症儿童理解和日常交流方面效果显著。
【Objective】 To investigate the influence of oral-motor and sensory training on language communication for children with antism.【Methods】Ninety-two children with antism in our hospital were randomly divided into oral-motor training group and sensory training group, 46 cases in each group. All patients received treatment for 6 months. Auditory integration training effect evaluation table was used to determine the curative effect. Gesell Developmental Scale was used to investigate the intelligence of children at the beginning of the training and the end of the training. Emotion language, behavior, language function were evaluated with Autism Behavior Checklist(ABC). Simple mouth movement scale was used for evaluating mandible movement function, oral area function, and tongue movement function.【Results】The clinical improving rate of do not understand instruction and not like actively talking of sensory training group were significantly higher than that of oral-motor training group(P<0.05),while the clinical improving rate of lacking language of oral-motor training group were significantly higher(P<0.05). No significant difference were found in less vocabulary, language barrier between the two groups(P>0.05). Compared with that before treatment,the ABC score significantly decreased and IQ significantly increased, without significant difference between groups(P>0.05).Compared with that before treatment, the mandible movement function, oral area function, and tongue movement function of two groups significantly improved(P<0.05) with significant difference between groups(P<0.05). 【Conclusion】 Oral-motor and sensory training could improve language communication for children with antism. Oral-motor training showed better effect on improving oral muscle and expression function, while sensory training was good at improving understanding and communication.
作者
鲁兴凤
LU Xingfeng(The Sixth Department of Child Development,the Third Hospital Affiliated to Zhengzhou University,Zhengzhou,Henan 450000,China)
出处
《中国医学工程》
2020年第1期43-46,共4页
China Medical Engineering
关键词
孤独症
嘴部锻炼
感知锻炼
语言障碍
antism
oral-motor training
sensory training
language barrier
