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

Abstract

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

CLC Number:

R767.92

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.

Figures/Tables 4

References 32

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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

Characteristics of oral sensory-motor function in children with functional articulation disorders

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