儿童中风对语言的长期负面影响
Magdalena Heimgärtner1, Alisa Gschaidmeier2,3, Lukas Schnaufer1,4
1Department of Pediatric Neurology and Developmental Medicine, University Children's Hospital, Tübingen, Germany.
Frontiers in pediatrics
|May 22, 2024
概括
患有童年中风的儿童可能会长期出现语言缺陷,尽管最初从失言症恢复过来. 康复应该专注于语言能力,即使在明显的症状解决之后.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 语音和语言病理学 语言病理学
背景情况:
- 儿童中风是儿童获得性脑损伤的重要原因之一.
- 早期发作的神经系统疾病会严重影响语言的发展.
- 了解长期的语言结果对于有效的干预至关重要.
研究的目的:
- 为了比较患有单边儿童中风的儿童和围产中风的儿童的长期语言结果,以及典型的发育个体.
- 调查病变特异性因素在儿童中风后对语言功能的影响.
主要方法:
- 研究了三个组:儿童中风 (CHILD),围产中风 (PERI) 和典型的发展对照 (CONTROL).
- 使用波茨坦伊利诺伊州心理语言能力测试 (P-ITPA) 和皮博迪图片词汇测试 (PPVT) 进行语言评估.
- 使用非语言智能测试 (TONI-4),功能性MRI用于语言侧面化,MRI体积用于病变分析.
主要成果:
- 患有童年中风的儿童从最初的失言症中恢复过来,但语言成绩明显低于对照组.
- 儿童中风组的语言分数与调整为一般智力后,与产前中风组的语言分数相似.
- 在儿童中风患者中,病变侧面和语言结果之间没有发现显著的相关性.
结论:
- 儿童中风可能导致慢性语言缺陷,无论半球受影响,即使在明显完全康复后.
- 儿童中风幸存者的康复策略必须包括对语言能力的持续关注.
- 早期干预和长期的语言支持对这一群体至关重要.
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