内外源提示下学障儿童注意定向的眼动研究

对三、六年级22名学障儿童和22名按年龄、性别和受教育水平匹配的正常儿童在内外源提示下的注意表现进行了眼动研究。结果表明:当内源性提示有效性比例较低时,学障和正常儿童的提示效度效应均不明显;当提示目标间隔时间较长时,外源性提示有效性对各组被试的反应时无显著影响;在内外源性提示下,六年级儿童的绩效好于三年级;学障儿童在反应时间、加工速度上和正常儿童没有显著差异,但在加工广度和策略上不如正常儿童。这些结果表明学障儿童的注意定向和相关的认知加工能力与正常儿童有所差异。

农村小学随班就读学障儿童课堂教学的策略阐述

学障儿童属于有特殊教育需求的儿童。而在农村,很少有学障儿童进入特殊教育学校接受教育,经常以随班就读的形式接受教育。而随班就读也是绝大多数学障儿童愿意接受的教育方式。文章重点针对农村小学随班就读学障儿童课堂教学的策略进行探讨。

运用归因理论探析学前学习障碍儿童

学障儿童是指生理正常,但在获得与听、讲、看、讲、做的各种技能上显示出困难的学前儿童,归因理论认为造成此类儿童的主要原因在于外部的不稳定的因素。因此,我们通过教育诊断,分析不同学障儿童出现的不同情况,并有的放矢的进行计划实施,循序渐进的指导练习,综合评价。在教育过程中,我们倡导要尊重学障儿童,耐心等待学障儿童,并鼓励他们大胆交往。

Clinical observation on Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy complicated with intellectual disabilities

Objective：To observe the clinical efficacy of Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy （CP） complicated with intellectual disabilities. Methods：A total of 300 CP cases aged between 1 and 5 years were randomly allocated into a treatment group （n=150） and a control group （n=150）. Patients in the treatment group were treated with Governor Vessel-unblocking and brain- refreshing scalp acupuncture combined with rehabilitation training, whereas patients in the control group received rehabilitation training alone. The Beijing Gesell developmental （Gesell） scale and gross motor function measure （GMFM） scale were used to assess the motor and intellectual development before and 3 months after the treatment. In addition, the head CT/MRI examination was applied to assess the brain nerve repair before and after the treatment. Results：After the treatment, the total effective rate in the treatment group was 78.0%, versus 42.7% in the control group, showing a statistical significance （P〈0.05）. As for scores of five subscales in the Gesell scale, there were significant intra-group differences in the treatment group （allP〈0.05）; and the scores in the treatment group were significantly better than those in the control group （allP〈0.05）. As for scores of five dimensions in GMFM scale, there were significant intra-group differences in the treatment group （allP〈0.05）; and the scores in the treatment group were significantly better than those in the control group （allP〈0.05）. According to the head CT/MRI findings, the total effective rate was 73.3% in the treatment group, versus 62.0% in the control group, showing a statistical significance （P〈0.05）. Conclusion：When used in combination with rehabilitative training, Governor Vessel-unblocking and brain-refreshing scalp acupuncture can significantly improve the clinical efficacy for cerebral palsy complicated with intellectual disabilities. It can also improve the patients＆#39; motor function, intelligence and language ability.

Clinical observation on muscle regions of meridians needling method in improving upper limb function for children with cerebral palsy of spastic hemiplegia type

Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cerebral palsy of spastic hemiplegia type were divided into a treatment group and a control group according to the visiting sequence,with 50 cases in each group.The control group was treated with conventional rehabilitation plus conventional acupuncture treatment.The treatment group was treated with conventional rehabilitation plus muscle regions of meridians needling method.The electromyography(EMG)signal values of triceps brachii and pronator teres were detected before treatment,and 3 months and 6 months after treatment.The clinical efficacy was evaluated by Peabody developmental motor scale-fine motor(PDMS-FM)and fine motor function measure(FMFM).Results:Three and six months after treatment,the EMG signal values of triceps brachii and pronator teres,grasping scores and visual-motor integrated scores of PDMS-FM and the FMFM scores in both groups increased to varying degrees compared with the same group before treatment,and the intra-group differences were all statistically significant(all P<0.05).Six months after treatment,the results of the above three items in the treatment group were all better than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Muscle regions of meridians needling method added on the basis of conventional rehabilitation can effectively reduce the muscle tone of upper limb and enhance the muscle strength,and improve the upper limb function in children with cerebral palsy of spastic hemiplegia type.The efficacy is superior to that of the conventional rehabilitation plus conventional acupuncture treatment.

Effects of scalp acupuncture plus acupuncture exercise therapy on walking ability in children with spastic cerebral palsy

Objective:To compare the effect of scalp acupuncture and scalp acupuncture plus acupuncture exercise therapy(AET)on walking ability in children with spastic cerebral palsy(CP).Methods:A total of 60 spastic CP children with gross motor function classification system(GMFCS)gradesⅠ-Ⅲwere divided into a control group and an observation group by the random number table method,with 30 cases in each group.Both groups were treated with the same conventional rehabilitation and scalp acupuncture therapy for CP.The control group received conventional rehabilitation first and then scalp acupuncture.The observation group received AET,which was to receive the conventional rehabilitation and scalp acupuncture simultaneously.Before and after treatment,the clinical efficacy was evaluated by the modified Ashworth scale(MAS)score,scores of dimensions D and E of the gross motor function measure(GMFM)scale,walking speed,and walking distance.Results:During treatment,there were 2 dropouts in the observation group.After 3 courses of treatment,the MAS scores in both the control group and observation group decreased compared with the same group before treatment(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance were increased(P<0.05);the between-group comparison showed that the MAS score in the observation group was lower than that in the control group(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance in the observation group were higher or longer than those in the control group(P<0.05).Conclusion:W ith the same treatments,scalp acupuncture combined with AET is superior to the conventional scalp acupuncture method in reducing lower-limb muscle tone,improving standing balance ability,and walking stability in children with spastic CP.

Non-Word Repetition Performance in Mandarin-Speaking Preschool Children With and Without Specific Language Impairment(SLI)

Childhood is a critical period for language development, and it is of great importance to discover normal language development and any specific language impairment （SLI） in child language acquisition and then to give them timely diagnosis and treatment. Also it has been previously shown that the non-word repetition task is an efficient assessment tool to screen out those children suspected with SLI. Based on this premise, the present study examined whether the non-word repetition task can be a suitable screening tool to detect language disorders for preschool children in Mandarin Chinese in China. A non-word repetition task was adapted specifically for this purpose. This study examined differences in non-word repetition performance of Mandarin-speaking preschool children screened by a criterion-referenced diagnostic test of specific language impairment （SLI） （the value of Cronbach Alpha at 0.86）. A sample of 282 children were administered the diagnostic test, and a total of 23 SLI suspects were screened out as their language ability measures deviated from the mean by 1.5 SDs. Results indicated that children with SLI made no error with respect to tone in Mandarin, but they showed great difficulty in non-word repetition skills compared to age-matched controls. The findings confirmed that the non-word repetition task is a culturally nonbiased index of language disorders, and that two syllable non-words can be used to identify language disorder.