本文選題：腦癱兒童 + 運(yùn)動(dòng)性言語(yǔ)障礙��； 參考：《華東師范大學(xué)》2017年碩士論文

【摘要】：口部感覺(jué)-運(yùn)動(dòng)障礙是導(dǎo)致腦癱兒童運(yùn)動(dòng)性言語(yǔ)障礙構(gòu)音不清的主要因素之一,但目前國(guó)內(nèi)缺乏針對(duì)腦癱兒童的口部-感覺(jué)運(yùn)動(dòng)的評(píng)估材料。本研究旨在編制口部感覺(jué)-運(yùn)動(dòng)評(píng)估材料,并將此評(píng)估材料應(yīng)用于3-7歲的腦癱兒童,從年齡、性別、粗大運(yùn)動(dòng)功能水平以及癱型四個(gè)方面對(duì)腦癱兒童的口部感覺(jué)-運(yùn)動(dòng)特征與正常兒童進(jìn)行比較研究,探究腦癱兒童的口部感覺(jué)-運(yùn)動(dòng)特征。另外,本研究還驗(yàn)證了腦癱兒童口部感覺(jué)-運(yùn)動(dòng)與構(gòu)音清晰度的相關(guān)性。本研究的主要內(nèi)容和結(jié)果包括以下幾個(gè)方面:1.口部感覺(jué)-運(yùn)動(dòng)評(píng)估表的編制本研究在盧紅云口部運(yùn)動(dòng)功能評(píng)估表的基礎(chǔ)上,增加口部感覺(jué)評(píng)估的內(nèi)容,補(bǔ)充口部運(yùn)動(dòng)的項(xiàng)目,并根據(jù)腦癱兒童言語(yǔ)障礙矯治臨床實(shí)踐的反饋對(duì)原評(píng)估表中某些項(xiàng)目的施測(cè)方法、分級(jí)標(biāo)準(zhǔn)進(jìn)行調(diào)整。通過(guò)專(zhuān)家分析對(duì)該評(píng)估材料的項(xiàng)目進(jìn)行篩選,最終形成口部感覺(jué)-運(yùn)動(dòng)評(píng)估表。對(duì)評(píng)估表的信效度分析表明評(píng)估表具有良好的信度、效度。同時(shí)本研究還獲得了 3-7歲普通兒童口部感覺(jué)-運(yùn)動(dòng)的年齡發(fā)育順序。2.口部感覺(jué)-運(yùn)動(dòng)評(píng)估表的應(yīng)用(1)普通和腦癱兒童口部感覺(jué)-運(yùn)動(dòng)的比較研究本研究通過(guò)分析普通和腦癱兒童口部感覺(jué)-運(yùn)動(dòng)評(píng)估結(jié)果發(fā)現(xiàn),年齡和性別對(duì)普通兒童的口部感覺(jué)-運(yùn)動(dòng)有顯著影響,但是對(duì)腦癱兒童的影響則不顯著。痙攣型腦癱兒童的口部感覺(jué)-運(yùn)動(dòng)極顯著差于普通兒童,其中以四肢癱患兒的口部感覺(jué)-運(yùn)動(dòng)障礙最為嚴(yán)重;痙攣型四肢癱患兒的下頜運(yùn)動(dòng)、唇運(yùn)動(dòng)、舌運(yùn)動(dòng)障礙均較為嚴(yán)重。粗大運(yùn)動(dòng)功能障礙越重,口部感覺(jué)-運(yùn)動(dòng)越差;中度與重度粗大運(yùn)動(dòng)功能障礙腦癱兒童口部感覺(jué)-運(yùn)動(dòng)障礙程度均較重,二者在感覺(jué)、下頜運(yùn)動(dòng)、唇運(yùn)動(dòng)、舌運(yùn)動(dòng)上均不存在顯著差異。(2)腦癱兒童口部感覺(jué)-運(yùn)動(dòng)與構(gòu)音清晰度的相關(guān)性研究本研究分別對(duì)腦癱兒童的口部感覺(jué)-運(yùn)動(dòng)與字清晰度和句清晰度的相關(guān)性進(jìn)行分析,結(jié)果表明腦癱兒童的口部感覺(jué)-運(yùn)動(dòng)與字和句清晰度均存在中等程度相關(guān)。本研究編制了腦癱兒童口部感覺(jué)-運(yùn)動(dòng)評(píng)估表,得到了普通兒童口部感覺(jué)-運(yùn)動(dòng)的年齡發(fā)育順序,并探究了腦癱兒童的口部感覺(jué)-運(yùn)動(dòng)特征,還驗(yàn)證了腦癱兒童口部感覺(jué)-運(yùn)動(dòng)與構(gòu)音清晰度的相關(guān)性,對(duì)腦癱兒童口部感覺(jué)-運(yùn)動(dòng)訓(xùn)練具有重要指導(dǎo)意義。
[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.
【學(xué)位授予單位】：華東師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R742.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前9條

1 唐久來(lái);秦炯;鄒麗萍;李曉捷;馬丙祥;;中國(guó)腦性癱瘓康復(fù)指南(2015):第一部分[J];中國(guó)康復(fù)醫(yī)學(xué)雜志;2015年07期

2 李曉捷;唐久來(lái);馬丙祥;秦炯;鄒麗萍;王家勤;;腦性癱瘓的定義、診斷標(biāo)準(zhǔn)及臨床分型[J];中華實(shí)用兒科臨床雜志;2014年19期

3 李倩;王松青;侯梅;苑愛(ài)云;李淑秋;喬衛(wèi)衛(wèi);;腦癱患兒語(yǔ)言發(fā)育遲緩及其與粗大運(yùn)動(dòng)功能分級(jí)的關(guān)系[J];中國(guó)康復(fù);2014年02期

4 李?lèi)?ài)霞;賈革紅;左月仙;楊花芳;孫素真;;口腔感覺(jué)運(yùn)動(dòng)療法結(jié)合中醫(yī)手法按摩對(duì)腦性癱瘓患兒口運(yùn)動(dòng)障礙的療效研究[J];中國(guó)全科醫(yī)學(xué);2013年41期

5 鄭欽;沈敏;何龍文;;口部運(yùn)動(dòng)治療對(duì)腦癱患兒構(gòu)音障礙的療效觀察[J];中國(guó)康復(fù)理論與實(shí)踐;2012年04期

6 王輝;;特殊教育學(xué)校腦癱學(xué)生障礙特征的調(diào)查研究[J];中國(guó)特殊教育;2008年03期

7 侯梅,傅平,趙建慧,蘭坤,張紅;腦癱患兒口運(yùn)動(dòng)與進(jìn)食和營(yíng)養(yǎng)問(wèn)題[J];中華兒科雜志;2004年10期

8 侯梅,傅平,張紅,蘭坤;腦癱患兒口運(yùn)動(dòng)障礙的治療方法與療效評(píng)價(jià)[J];中國(guó)康復(fù)理論與實(shí)踐;2004年01期

9 汪潔;構(gòu)音障礙綜合性評(píng)價(jià)量表的編制[J];中國(guó)康復(fù)醫(yī)學(xué)雜志;1998年06期

相關(guān)碩士學(xué)位論文 前2條

1 梁峻波;學(xué)齡痙攣型腦癱兒童語(yǔ)音清晰度特征及其與言語(yǔ)子系統(tǒng)的相關(guān)性研究[D];華東師范大學(xué);2016年

2 孟曉;口腔輪替運(yùn)動(dòng)速率標(biāo)準(zhǔn)的修訂及其應(yīng)用研究[D];華東師范大學(xué);2006年

，

本文編號(hào)：1971509