基于感知觉发展的音乐治疗策略对语前聋人工耳蜗植入儿童音调感知能力的康复研究

A Rehabilitation Study on Tone Perception Ability of Pre-lingual Deaf Children with Cochlear Implantation Using Music Therapy Strategy Based on Sensory Perceptual Development

目的探究儿童感知觉共同发展原理指导下的音乐治疗策略对语前聋人工耳蜗植入(CI)儿童音调感知能力的康复效果。方法选取68名3~9岁单侧人工耳蜗植入、首次开机调试距本研究间隔时间不少于6个月的儿童,分为干预组和对照组,干预组基于视觉、听觉、触觉、本体觉和前庭觉等感知觉共同发展原理进行音乐治疗策略,共干预24次。对照组采用传统康复训练方法。结果在单双音节测试、音调感知能力、儿童社交焦虑量表(social anxiety scale for children,SASC)和听力植入体儿童生活质量问卷(children using hearing implants quality of life,CuHIQol)的家长期待这4项测试中,干预组儿童训练后得分较对照组得分明显提高(P为0.009、0.018、0.010和0.006),训练效果优于对照组。结论基于感知觉共同发展原理的音乐治疗训练能够显著提高CI儿童语音音调、语言感知、听觉等方面能力,有效改善生活质量。此方法不仅有助于CI儿童的心理建设、自信心树立和社交状态改善,还能缓解家长在儿童成长过程中的心理压力和焦虑。

Objective To explore the rehabilitation effect of music therapy strategies guided by the principle of co-development of sensory perceptual abilities in children with pre-lingual hearing loss and cochlear implantation(CI)on tone perception ability.Method A total of 68 children aged 3 to 9 years old who underwent unilateral cochlear implantation were selected.They were divided into an intervention group and a control group,with an interval of no less than 6 months between the first start-up and debugging of the cochlear implant.Based on the principle of co development of sensory perception,such as visual,auditory,tactile,proprioceptive and vestibular senses,a music therapy strategy was constructed for control group for 24 training sessions.The control group received traditional rehabilitation training methods.Result In the four tests of monosyllabic and disyllabic tests,speech perception ability,social anxiety scale for children(SASC),and children using hearing implants quality of life questionnaire(CuHIQol),parents'expectations were significantly improved in the training group after training compared to the control group(p-values of 0.009,0.018,0.010,and 0.006,respectively),and the training effect was better than that of the control group.Conclusion Music therapy training based on the principle of co-development of sensory perception can significantly improve CI children's speech tone,language perception,auditory and other abilities,effectively improving their quality of life.This method not only helps with the psychological construction,self-confidence building,and social status improvement of CI children,but also alleviates the psychological pressure and anxiety of parents during their children's growth process.