- 期刊
構音障礙兒童接受低密集性語言治療之結果
Result of Low Frequency Speech Therapy in Children with Articulation Disorder
摘要
構音障礙(articulation disorder)是發展中兒童常見的障礙之一，學齡前及學齡兒童約10%有構音障礙的問題。本研究分析了過去四年間至敝院復健科接受語言治療的55個構音障礙兒童，男女比爲2.4比1，構音障礙各類型之比例爲：扭曲音(distortion)18例，佔33%；取代音(substitution)30例，佔54%；省略音(omission)7例，佔13%。其中44%的個案合併有其他障礙，分別爲語言發展遲緩，智能障礙，唇顎裂，腦性麻痺及聽力障礙。在接受了每週1到2次，每次半小時的低密集性治療後，44%的個案治療成功，22%的個案仍在治療中，有34%的個案中斷治療，治療成功者之平均治療次數爲29次，扭曲音及省略音所需之治療次數較替代音多，合併有其他障礙之個案所需之治療次數較單純構音障礙者爲多，構音障礙嚴重者所需之治療次數亦較多。 在語言治療師人力有限之地區，提供構音障礙個案低密集性之語言治療，亦可收到治療效果，不失爲可行之治療方式，但若合併有其他障礙之個案則須投入較多的人力與時間。
並列摘要
Articulation disorder refers to the mispronunciation of speech sounds by omitting, distorting, substituting, or adding sounds which make speech difficult to understand. It is not an uncommon disorder among children. The prevalence of articulation disorder in preschool and school-age children is about 10%. For children without associated condition, articulation disorder may be treatable with speech therapy. In this study, we examined 55 children with articulation disorder who received speech therapy in our hospital during the past four years. The boys to girls ratio is 2.4 to 1. Among the different types of articulation disorders, substitution is the most common type which involves 54% of the cases, followed by distortion with a ratio of 33%. Omission is less common (13%). Many of the children (44%) have associated disorders such as speech developmental delay, mental retardation, cleft lip/palate, cerebral palsy, and hearing impairment. After a low-frequency speech therapy of 1 to 2 sessions a week, 44% of the children completed the treatment program with significant improvement. However, 34% discontinued treatment due to various reasons, while 22% of the children are still under the treatment program. The average number of speech therapy sessions offered to those who complete the treatment is 29, while it is 17 for those with no associated disorders. Children with associated disorders need more treatment sessions (43 sessions). We conclude that low frequency speech therapy is effective in treating children with articulation disorders with or without associated disorder.