功能性构音障碍儿童口部感觉-运动功能特征分析

doi:10.3969/j.issn.1006-9771.2022.08.005

摘要/Abstract

摘要：

目的探究功能性构音障碍(FAD)儿童的口部感觉-运动功能特征。

方法选取2021年6月至2022年1月就诊于青岛大学附属医院儿童保健科的FAD儿童61例为病例组,正常健康儿童90例为对照组。采用口部感觉-运动评估表对口部感觉及下颌、唇、舌的运动功能进行评估,比较不同年龄和不同性别间的差异。采用Conners父母用症状问卷将病例组分为无多动病例组(n = 48)和伴多动病例组(n = 13),并进行比较。

结果病例组的口部感觉-运动功能总分及口部感觉,下颌、唇、舌运动得分均显著低于对照组(t > 4.471, P < 0.001)。对照组不同年龄组间口部感觉-运动功能总分及各项运动功能得分有非常高度显著性差异(H > 17.015, P < 0.001),随年龄增长逐渐增加;病例组不同年龄组间口部感觉-运动功能总分及各项得分均有非常显著性差异(H > 10.567, P < 0.01),随年龄增长而增加。病例组男童、女童口部感觉-运动功能总分、下颌、唇和舌运动得分均低于同性别对照组(t > 2.49, P < 0.05);病例组男童口部感觉-运动功能总分,唇、舌运动得分均低于女童(|Z| > 2.409, P < 0.05)。伴多动病例组与无多动病例组口部感觉-运动功能各项得分均无显著性差异(P > 0.05)。

结论 FAD儿童口部感觉-运动功能低于同年龄同性别正常儿童,正常儿童和FAD儿童口部感觉-运动功能均随年龄增长不断成熟。

关键词: 功能性构音障碍, 儿童, 口部感觉, 口部运动

Abstract:

Objective To explore the characteristics of oral sensory-motor function in children with functional articulation disorders (FAD).

Methods From June, 2021 to January, 2022, 61 children with FAD in the Department of Children's Health of the Affiliated Hospital of Qingdao University were as case group, 90 normal healthy children were as control group. They were assessed with Oral Sensory-Motor Assessment, and were compared among different genders and different ages. Hyperactivity problems were assessed using Conners Parent Symptoms Questionnaire, and their oral sensory-motor function were compared between patients with hyperactivity problem (n = 13) and without hyperactivity problem (n = 48).

Results The total score and the scores of oral sensation, mandibular motion, lip motion and tongue motion were significantly lower in the case group than in the control group (t > 4.471, P < 0.001). There were significant differences in the total score and motor function scores among different ages in the control group (H > 17.015, P < 0.001), and they increased with age. There were significant differences in the total score, oral sensory and motor function scores among different ages in the case group (H > 10.567, P < 0.01), and they increased with age. The total scores, and the scores of mandibular, lip and tongue movements were lower in the boys and girls of the case group than in the same gender of the control group (t > 2.49, P < 0.05). The total score and the scores of the lip and tongue movements were lower in boys than in girls in the case group (|Z| > 2.409, P < 0.05). There was no significant difference in the total score and other scores between the patients with hyperactivity problem and without hyperactivity problem (P > 0.05).

Conclusion The oral sensory-motor function is poor for children with FAD, and can develop with age in both normal and FAD children.

Key words: functional articulation disorders, children, oral sensation, oral movement

中图分类号:

R767.92

刘媛媛,马良,衣明纪,单延春,刘小梅,冯雪英,冉霓. 功能性构音障碍儿童口部感觉-运动功能特征分析[J]. 《中国康复理论与实践》, 2022, 28(8): 903-908.

LIU Yuanyuan,MA Liang,YI Mingji,SHAN Yanchun,LIU Xiaomei,FENG Xueying,RAN Ni. Characteristics of oral sensory-motor function in children with functional articulation disorders[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(8): 903-908.

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组别	n	口部感觉	下颌	唇	舌	总分
对照组	90	1.00±0.00	0.91±0.05	0.93±0.04	0.94±0.03	0.94±0.03
病例组	61	0.96±0.08	0.80±0.15	0.86±0.09	0.82±0.12	0.85±0.08
t值		4.471	6.595	5.865	9.626	10.307
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

年龄	n(病例组/对照组)	口部感觉		下颌		唇		舌		总分		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d	t值^e	P值^e
年龄	n(病例组/对照组)	病例组	对照组	病例组	对照组	病例组	对照组	病例组	对照组	病例组	对照组	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d	t值^e	P值^e
4岁~	24/29	0.92±0.04	1.00±0.00	0.71±0.14	0.87±0.05	0.84±0.09	0.91±0.03	0.77±0.11	0.92±0.02	0.81±0.07	0.93±0.02	4.233	< 0.001	6.095	< 0.001	4.009	< 0.001	8.012	< 0.001	8.890	< 0.001
5岁~	21/32	0.97±0.11	1.00±0.00	0.82±0.10	0.93±0.04	0.85±0.09	0.93±0.04	0.80±0.12	0.93±0.02	0.83±0.07	0.94±0.02	1.802	0.079	5.172	0.001	4.439	0.002	6.063	< 0.001	7.739	< 0.001
6岁~	16/29	0.99±0.08	1.00±0.00	0.90±0.11	0.96±0.03	0.90±0.08	0.96±0.04	0.87±0.13	0.97±0.02	0.91±0.06	0.97±0.02	1.126	0.266	1.093	0.281	1.165	0.251	3.162	0.003	3.094	0.004
H值		11.950	0.000	25.340	41.877	10.567	17.015	12.652	54.709	20.086	47.467
P值		0.003	1.000	< 0.001	< 0.001	0.005	< 0.001	0.002	< 0.001	< 0.001	< 0.001

性别	n(病例组/对照组)	口部感觉		下颌		唇		舌		总分		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d	t值^e	P值^e
性别	n(病例组/对照组)	病例组	对照组	病例组	对照组	病例组	对照组	病例组	对照组	病例组	对照组	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d	t值^e	P值^e
男	42/60	0.95±0.09	1.00±0.00	0.71±0.14	0.89±0.05	0.85±0.09	0.92±0.03	0.79±0.12	0.93±0.03	0.83±0.07	0.94±0.02	4.073	< 0.001	5.340	< 0.001	5.665	< 0.001	9.487	< 0.001	10.462	< 0.001
女	19/30	0.98±0.07	1.00±0.00	0.78±0.14	0.95±0.04	0.90±0.10	0.95±0.04	0.88±0.09	0.95±0.03	0.89±0.08	0.96±0.03	1.835	0.073	4.083	0.001	2.492	0.016	3.813	< 0.001	4.133	< 0.001
Z值		-1.385	0.000	-1.343	-4.862	-1.958	-3.806	-2.979	-3.633	-2.409	-3.323
P值		0.166	1.000	0.179	< 0.001	0.005	< 0.001	0.003	< 0.001	0.016	0.001

类型	n	多动指数	口部感觉	下颌	唇	舌	总分
对照组	90	-	1.00±0.00	0.91±0.05	0.93±0.04	0.94±0.03	0.94±0.03
无多动病例组	48	0.72±0.24	0.97±0.07	0.79±0.16	0.86±0.09	0.83±0.11	0.86±0.08
伴多动病例组	13	1.75±0.25	0.93±0.12^a	0.82±0.10^a	0.87±0.10^a	0.76±0.13^a	0.83±0.08^a
H值		-15.280	23.997	22.061	17.966	48.156	54.222
P值		0.033	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001