检查影响语音可接受性和可理解性的因素,在4至7岁的口腔裂裂儿童中进行检查
Jessica L Chee-Williams1,2, Julie Liss1, Kelly Nett Cordero1,2
1Program of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA.
概括
修复了口腔裂的儿童的言语可接受性与辅音准确性和超鼻性有关. 通过语音治疗来改善辅音的产生,可以提高可接受性和可理解性.
科学领域:
- 语音语言病理学 语言病理学
- 儿科听力学 儿科听力学
- 头骨脸部异常情况
背景情况:
- 经过裂修复的儿童往往会出现言语声音障碍.
- 评估语音可接受性和可理解性对于治疗规划至关重要.
- 语境理解度 (ICS) 是一种评估家长报告的语音理解度的工具.
研究的目的:
- 检查影响语音可接受度评级的因素.
- 使用ICS调查父母报告的语音可理解性的预测因素.
- 了解超鼻音,辅音准确度和修复口腔裂的儿童的语音结果之间的关系.
主要方法:
- 一项前性,横截面研究,涉及30名儿童 (4-7岁) 进行了 palatal裂口修复.
- 语音样本被分析为感知评分,语境可理解度 (ICS) 评分和百分比辅音正确 (PCC).
- 统计分析包括斯皮尔曼的rho,chi-square测试和线性回归来识别相关因素.
主要成果:
- 超鼻和PCC与语音可接受性评级有显著的关联.
- 较高的超鼻度与较低的语音可接受性相关 (ρ = .51,P < .01).
- 较高的PCC与更高的语音可接受性相关 (ρ = -.67,P < .01) 和预测的ICS得分 (P = .010). 超鼻性预测了PCC (P = .023).
结论:
- 辅音准确性是修复了口腔裂的儿童语音接受性和可理解性的关键因素.
- 针对辅音生成的语音治疗可能会改善整体语音结果.
- 对于中度至重度的超鼻性,可能需要进行手术,以提高和音符的产生和语音质量.
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