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一个口腔裂的成年人的语言治疗:临床案例研究
John H Munday1,2, Maia N Braden2, Daniel Y Cho1
1Department of Surgery, University of Wisconsin-Madison.
Perspectives of the ASHA special interest groups
|August 26, 2025
概括
运动声学语音疗法 (ST) 改善了成年人的口唇裂 (CLP). 这种方法有效地解决了语音障碍,治疗后的益处保持.
科学领域:
- 语音病理学
- 头面部异常
- 运动学习
背景情况:
- 运动音声语音治疗 (ST) 对已修复的唇裂 (CLP) 的成年人的有效性尚未得到充分证实.
- 患有CLP的成年人经常出现补偿性关节错误和喉功能不充分.
研究的目的:
- 描述长期发生的关节变化,在一个患有CLP的成年人中经历了运动声学ST.
- 评估运动声学ST在改善CLP成年人的语音产生方面的有效性.
主要方法:
- 一个33岁妇女的病例研究,
- 干预包括22次运动声学ST,治疗期间进行了口腔手术.
- 使用百分比辅音正确 (PCC) 追踪目标音符 /p,t,k,s/ 的发音进展.
主要成果:
- 所有目标语音的基线PCC为0% (以光环停止产生的).
- 手术后,PCC 改善为 /p/ 的 56%, /t/ 的 31%, /s/ 的 0%. 后来推出的/k/达到 45% 的PCC.
- 在治疗结束时,PCC达到100%的/ p/,46%的/ t/,100%的/ s/ 和70%的/ k/,随访时的增长保持.
结论:
- 运动声学ST在改善CLP成人的发音方面表现出有效性.
- 在PCC中观察到的改善表明这种方法可以解决该群体的语音障碍.
- 需要进行更大样本的进一步研究来验证这些发现并与其他干预措施进行比较.
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