Kinematic changes in jaw and lip control of children with cerebral palsy following participation in a motor-speech (PROMPT) intervention

Kinematic changes in jaw and lip control of children with cerebral palsy following participation in a motor-speech (PROMPT) intervention
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脑瘫儿童参与运动言语(PROMPT)干预后下颌和嘴唇控制的运动变化

DOI:
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发表时间:
2013
影响因子:
1.8
通讯作者:
S. Leitão
S. Leitão
中科院分区:
医学3区
文献类型:
--
作者:
R. Ward;G. Strauss;S. Leitão

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摘要本研究评估了6名(3-11岁)伴有脑性瘫痪的中重度言语障碍儿童在参与运动-言语(PROMPT)干预计划之前、期间和之后的下颌和嘴唇的运动运动。实施了ABCA单主题研究设计。在基线阶段(A)之后,阶段B针对每个参与者在提示运动-言语层次结构上的第一干预优先级。然后,C阶段的目标是更高一级。招募了一个由12名典型发育的同龄人组成的参照组,与每个患有CP的参与者年龄和性别匹配,用于比较运动学数据的解释。在每个研究阶段结束时,使用3D运动分析(Vicon Motus 9.1)获得在产生11个未经训练的刺激词的过程中,对距离、速度和持续时间的颌部和嘴部测量。所有参与者的下巴和嘴唇的特定运动特征都发生了显著变化。在六名参与者中,有五名的运动学变化与语言清晰度的显著积极变化有关。本研究有助于提供证据,支持使用符合动态系统理论的治疗方法来改善脑瘫儿童的运动-言语运动模式和语言可理解性。
Abstract This study evaluates kinematic movements of the jaw and lips in six children (3–11 years) with moderate-to-severe speech impairment associated with cerebral palsy before, during, and after participation in a motor-speech (PROMPT) intervention program. An ABCA single subject research design was implemented. Subsequent to the baseline phase (A), phase B targeted each participant's first intervention priority on the PROMPT motor-speech hierarchy. Phase C then targeted one level higher. A reference group of 12 typically-developing peers, age- and sex-matched to each participant with CP, was recruited for comparison in the interpretation of the kinematic data. Jaw and lip measurements of distance, velocity, and duration, during the production of 11 untrained stimulus words, were obtained at the end of each study phase using 3D motion analysis (Vicon Motus 9.1). All participants showed significant changes in specific movement characteristics of the jaw and lips. Kinematic changes were associated with significant positive changes to speech intelligibility in five of the six participants. This study makes a contribution to providing evidence that supports the use of a treatment approach aligned with dynamic systems theory to improve the motor-speech movement patterns and speech intelligibility in children with cerebral palsy.
2 岁儿童在言语和非言语任务中唇部肌肉活动的协调。
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