脑瘫儿童言语障碍的康复新模式

言语障碍的脑瘫儿童，

一是不宜过于强调个别训练，

而忽视集体训练。

提倡集体训练为主导、

个别训练与集体训 练相结合。

在集体训练中能提供机会使患儿练习交流与表达。

二 是言语康

复训练特别强调室内训练与室外练习相结合，

机构训练 与家庭练习相结合。

室外练习使康复

教学活动得到充分的温习与 实践，

巩固了训练的效果，

同时能提高患儿主动表达与交流的积

极性，

患儿进步更快。充分发挥家长的作用，

< br>陪同并参与训练，不但能提高患儿的言语康复

1

效果、

缩短言语康复训练时间，

为日后的家 庭与社区康复打下基础，

同时减轻康复治疗师和

特教老师的工作 量。

三是自行设计的引导式教育集体康复体操，

强化了患儿的说 话意识和言

语与运动能力，是提高患儿言语与运动功能较好的教学方法。

［关健词］

脑瘫

言语障碍

康复

[Abstract ]

Purpose:

To

explore

the

rehabilitation pattern and effect

of

the cerebral palsy children who suffer the dysphonia (speech disorder).

Methodology:

Through

comprehensive

evaluation,

we

can

know

the

cause of the dysphonia and the IQ of the children. We create a coherent and

logical

training

program

combining

the

rehabilitation

exercises

and

teaching

projects. The therapist

and

special educator

work as

the

guide,

training

and

guiding

the

children

to

finish

the

project

in

nine

courses

in

a

day.

(Some

courses may be finished within a week.) The specific method is to add more

language

stimulation

in

the

systematic

rehabilitation

training,

to

highlight

the

training

of

language

in

the

courses,

to

improve

the

language

function

of

comprehension,

expression,

articulation

and

vocalization

through

collective

teaching,

individualized

training

and

music

activities.

70%

of

the

parents

accompanied the training program.

Result: 38 cases have improved greatly on language, acquisition, sports,

daily

life

and

social

adaptability,

especially

in

vocalization

and

articulation.

Their

language

communication

skills

have

been

improved.

16

cases

who

suffer

dysarthria

have

achieved

progresses

in

tongue

movements

and

breathing.

The

effective

rate

is

88.8%.

32

cases

have

improved

language

communication

ability

and

the

effective

rate

is

84.2%.

95%

parents

feel

satisfied with the results of the training.

Conclusion:

To

those

Cerebral

Palsy

children

who

suffered

the

coalescent

speech

disorder,

it

is

important

first

of

all

not

to

prefer

the

individualized

training

to

collective

training.

It

is

highly

promoted

to

combine

the collective training and individual training and center in collective training. In

the collective training, the kids can get more chances to express themselves

2

and

communicate

with

each

other.

Secondly,

it

is

important

to

integrate

the

outdoor

training

and

indoor

training,

the

organizational

training

and

family

training. Outdoor exercise can make sure that the rehabilitation activities are

practiced

and

warmed

up

completely

and

will

help

strengthen

the

training

effect.

At

the

same time,

outdoor

exercise can

stimulate

the

kids

to

express

and communicate actively so that they can make rapid progresses. To make

good

use

of

the

effort

of

the

parents

and

ask

them

to

accompany

the

kids

during

the

training

and

activities

not

only

can

help

improve

the

effect

of

language rehabilitation, shorten the rehabilitation training period, but also will

lay the foundation for the family and community rehabilitation after the training

courses and help relieve the work amount of the therapists and teachers. What

is

more,

such

self-designed

collective

rehabilitation

exercises

have

strengthened

the

consciousness

of

the

speaking,

their

ability

of

using

language and doing sports. It is truly a good pedagogical method to improve

the language ability and sports capacity for the Cerebral Palsy children.

Key Words:

Cerebral Palsy

Dysphonia

Rehabilitation

< /p>

临床上，脑瘫儿童约

80%

合并有言语障 碍。其原因主要是运动障碍性构音障

碍和言语发育迟缓。后者源于构音器官的运动协调与 发育障碍

［

1

］

，或伴有言语

中枢发育落后。

所以对他们的言语康复采取何种 手段和方法，

值得我们探索。

本

康复中 心

2006

年

6

月－

2008

年

7

< br>月收训的

70

例脑瘫患儿中，合并有言语障碍