向自语并发疾病的儿童提供Lidcombe计划:从探索性回顾性图表审查研究的见解
Sébastien Finlay1, Pascaline Kengne Talla2, Maïlie Fortin1
1School of Speech-Language Pathology and Audiology, Université de Montréal, Montreal, Quebec, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Quebec, Canada.
自语 (CWS) 和并发性疾病 (CDs) 的孩子在Lidcombe计划 (LP) 的治疗后表现出更高的自语严重程度. 虽然LP改善了所有CWS的流利性,但CD的结果不太好,这表明需要进一步研究.
科学领域:
- 语音语言病理学 语言病理学
- 儿科沟通障碍 儿科沟通障碍
- 流利性障碍 流利性障碍 流利性障碍
背景情况:
- 伴随性疾病 (CDs) 可以使儿童的口吃治疗复杂化.
- 关于CD如何影响收到Lidcombe计划 (LP) 的吃 (CWS) 儿童的结果的证据有限.
- 临床医生需要关于CDS的CWS最佳实践的指导.
研究的目的:
- 为了识别用LP治疗的CWS中记录的CD和可疑的CD.
- 探索CDS与CWS中的治疗特征/结果之间的关系.
- 为了告知临床实践的CWS与同时出现的条件.
主要方法:
- 以LP (2016-2018) 治疗的47名发育性口吃儿童的回顾性图表审查.
- 对已证实和疑似同时出现的疾病进行分析.
- 在CDS和没有CDS的CWS之间比较口吃的严重程度和治疗结果.
主要成果:
- 80.9%的CWS患者至少有一种确诊或疑似的CD,主要是与语言相关的 (61.7%) 和与注意力相关的 (27.6%).
- 带有CD的CWS在治疗后的严重程度得分 (SR) 比没有CD的CWS要高得多 (p=.001).
- 在所有组中都观察到高退学率;退学CD的CWS具有更高的SR分数.
结论:
- LP有效地提高了CWS的流利性,而不管CD.
- 与没有CD的CWS相比,诊断或怀疑CD的CWS在第一阶段结束时具有更高的SR得分.
- 需要进一步的研究来验证这些发现,并了解潜在的因素.
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