脑瘫患儿口运动障碍的治疗方法与疗效评价

目的探讨口腔感觉运动刺激治疗法对脑瘫患儿口运动障碍的疗效.方法对32例口运动障碍的脑瘫患儿行神经病学检查评价脑瘫类型,Gesell发育评分评价运动发育年龄.语言治疗师对患者进行口腔感觉运动刺激治疗,治疗前后分别测定口运动评分、构音能力、语言理解和表达商.结果治疗后脑瘫患儿口运动评分平均提高14.94分,明显高于治疗前(t=11.946,P<0.01);语言理解商与表达商各平均提高11.72和13.56;较治疗前亦明显提高(t值分别为5.376和7.552,P<0.01).28例(87.5%)患儿构音能力明显改善.结论口腔感觉运动刺激治疗法治疗脑瘫患儿的口运动功能和构音障碍疗效显著,对语言理解和言语表达能力的提高亦有明显治疗效果.

Effect of oral sensorimotor therapy on oral motor dysfunction after cerebral palsy

ObjectiveTo evaluate the clinical effectiveness of oral sensorimotor therapy on oral motor dysfunction after cerebal palsy (CP).MethodsThirty-two CP children were confirmed the type of cerebral palsy by neurological examination and developmental age by Gesell's developmental scale. Oral sensorimotor therapy was performed one time a day by speech-language therapist.Before and after a treatment period of 3 months,the oral motor and language-speech ability of each case was assessed using Oral Motor Scale and Sign-Significate relations.ResultsAfter treatment, the oral motor function had been improved significantly( t =11.946, P <0.01) and the oral motor score was meanly increased by 14.94 score.The levels of oral language comprehension and expression had also been improved significantly( t =5.376, P <0.01; t =7.552, P <0.01).Articulation of 28 cases(87.5%) was improved. ConclusionOral sensorimotor therapy is effective on improving oral motor function, articulation,as well as on increasing language comprehension and expression.