脑瘫儿童构音障碍检查量表的制定和评估

The establishment andevaluation of examination tables of dysarthria among children with cerebral palsy

目的根据脑瘫患儿构音器官运动特点,建立脑瘫患儿构音障碍检查标准。方法①采用中国康复研究中心听力语言科田鸿制定的脑瘫患儿构音器官运动功能检查量表,并增加适合儿童发育阶段的检查项目以及能够量化的指标进行检查。②对20例正常儿童的呼吸次数、发a音和s音的持续时间进行检测,以评价我们制定的脑瘫患儿构音器官运动功能检查量表的信度;对100例正常儿童与107例治疗前脑瘫儿童的的呼吸次数、发a音和s音的持续时间进行检测,以评价该表的平行效度;对107例脑瘫患儿训练前后的呼吸稳定性、有无反向呼吸、有无口鼻呼吸分离分别进行评定,以评价该表的结构效度;对107例脑瘫患儿分训练前和训练后的呼吸次数、发"a"音和"s"音的持续时间分别进行评定,评价该表的反应效度。结果我们制定的脑瘫患儿构音器官运动功能检查量表具有良好的重测信度、平行效度、反应效度和结构效度。结论该检查表可以作为脑瘫患儿构音障碍的诊断分类、疗效观察的有效工具并可评定脑瘫儿童语言障碍康复治疗的疗效。

Objective To establish the examination standard of dysarthria according to the movement characteristics of articulation organs among the children with cerebral palsy.Methods ①By adopting the function table of the articulation organs formulated by Tian hong,the expert working in the hearing and speech section of CRRC,we added the examing items suitable for the children with developmental stage and the quantitative indexes.② For evaluating the reliability of the function table of articulation organs,we examinated the respiratory frequency,the duration time of pronuncing ＂a＂ and ＂s＂ among the 20 normal children;For evaluating the structure validity of the function tables,we evaluaed the respiratory stability,the existence or disappearence of reverse breathing and the separation of the nose and mouth breathing before and after training among the 107 children with cerebral palsy;For evaluating the reacting validity of the function tables,we evaluaed the respiratory frequency,the duration time of pronuncing ＂a＂ and ＂s＂ among the 107 children with cerebral palsy.Results The function tables of articulation organs among children with cerebral palsy is good reliability,parallel validity,reaction validity and structure validity.Conclusion Therefore,the function tables can serve as the efficient tool for the diagnostic classification,the observation of curative effect and the evaluation of language disorder rehabilitation of the children with cerebral palsy.