改良六字诀训练对痉挛型脑性瘫痪言语障碍的疗效研究

Effects of modified liuzijue training on speech impairments for spastic cerebral palsy

目的:观察改良六字诀训练对痉挛型脑瘫言语障碍的疗效。方法:选取2022年7月至2023年1月在上海市第一康复医院儿童康复中心治疗的痉挛型脑瘫患者,随机分为试验组(n=26)和对照组(n=26)。试验组进行改良六字诀训练和言语训练。对照组进行常规呼吸训练和言语训练。两组均每周治疗3次,共治疗4周。比较两组治疗前后最长声时、最大数数能力和构音清晰度得分。结果:治疗前,两组患者最长声时、最大数数能力和构音清晰度得分无显著性差异(P>0.05)。治疗后,两组患者最长声时、最大数数能力和构音清晰度得分均较治疗前增加(P<0.01)。治疗后,试验组患者最长声时、最大数数能力较对照组增加(P<0.05,P<0.01),两组构音清晰度得分无显著性差异(P>0.05)。结论:改良六字诀训练结合言语治疗可改善痉挛型脑瘫患者的呼吸支持、呼吸发声协调和构音清晰度,且相比常规疗法在呼吸支持和呼吸发声协调上疗效更佳。

Objective:To study the efficacy of modified Liuzijue training on speech impairments for patients with spastic cerebral palsy.Method:Spastic cerebral palsy patients treated in the Children Rehabilitation Center of Shanghai First Rehabilitation Hospital from July 2022 to January 2023 were recruited and randomly divided into experimental group(n=26)and control group(n=26).In addition to speech training,the experimental group received modified Liuzijue training while the control group received routine breathing training.Both groups were treated 3 times a week for 4 weeks.Maximum phonation time,maximum counting ability and articulation assessment score were compared between the two groups before and after treatment.Result:Before treatment,there was no difference between the two groups in maximum phonation time,maximum counting ability and articulation assessment score(P>0.05).After treatment,significant improvements were observed in maximum phonation time,maximum counting ability and articulation assessment score in both groups(P<0.01).Compared with the control group,maximum phonation time and maximum counting ability in the experimental group were significantly improved(P<0.05,P<0.01).There was no difference between the two groups in articulation assessment score(P>0.05).Conclusion:The modified Liuzijue training combined with speech training can effectively improve respiratory support、coordination in respiration with vocalization and articulation for patients with spastic cerebral palsy,and is more effective in respiratory support and coordination in respiration with vocalization than conventional therapy.