Some guiding principles in emerging models of voice therapy for children.
Some guiding principles in emerging models of voice therapy for children.
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儿童声音治疗新兴模型的一些指导原则。
DOI：
10.1055/s-0033-1342979
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发表时间：
2013
影响因子：
1
通讯作者：
VerdoliniAbbott,Katherine
中科院分区：
文献类型：
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作者：
VerdoliniAbbott,Katherine
语音障碍是一生中最常见的沟通障碍，仅在美国每年就影响超过500万学龄儿童。虽然这些疾病通常与良性病理有关，但如果没有耳鼻喉科医生进行适当的医学检查，就不能排除医学上的恶性疾病。许多患有声音障碍的儿童在其他方面都很健康。然而，有些人不是。此外，任何来源的声音问题的儿童往往会因为他们的生活质量和学术参与而受到明显的负面影响。令人遗憾的是，这一人群严重缺乏言语语言病理学的服务。在这篇文章中，可能的原因提出，其中相对缺乏吸引力的传统疗法，强调声音保护使用斯金纳范式。替代方案提出的生物力学，生物学和学习的基本原则和影响儿童的遵守卫生保健指令，这可能有助于塑造下一代的儿科语音治疗的因素。文章最后讨论了学校环境中声音治疗的挑战和可能的解决方案。
Voice disorders are the most common communication disorder across the life span, affecting more than five million school-aged children annually in the United States alone. Although such disorders are commonly associated with benign pathology, medically malicious conditions cannot be ruled out without proper medical examination by an otolaryngologist. Many children with voice disorders are otherwise healthy. However, some are not. Moreover, children with voice problems of any origin often experience distinctly negative consequences in quality of life and academic participation as a result of them. Regrettably, this population is badly underserved by speech-language pathology. In this article, possible reasons are suggested, among them the relative unattractiveness of traditional therapy that emphasizes voice conservation using a Skinnerian paradigm. Alternatives are presented in terms of foundational principles of biomechanics, biology, and learning and factors affecting children's compliance with health care directives, which may help to shape the next generation of pediatric voice therapies. The article concludes with discussion of challenges surrounding voice therapy in the school setting and possible solutions.