Efficacy Analysis of Surface Electromyography-Guided Oral Muscle Exercises Combined with Speech Training on Speech Disorders in Children with Cerebral Palsy
Objective To explore the clinical efficacy of surface electromyography guided oral muscle exercises combined with speech training on speech disorders in children with cerebral palsy.Methods Ninety-eight children with cerebral palsy admitted to the Department of Pediatric Rehabilitation,The First Affiliated Hospital of Nanyang Medical College,from January 2021 to August 2023 were selected as research subjects and randomly divided into a control group and a study group,with 49 cases in each group.The control group received conventional speech training,while the study group received surface electromyography guided oral muscle exercises in addition to the conventional speech training.After 6 months of rehabilitation treatment,the clinical efficacy of the two groups was evaluated,and the changes in language function[Chinese version of the Children's Language Development Delay Evaluation Method(S-S method)],oral muscle movement function(Oral Motor Assessment Scale),and surface electromyography detection results of the oral muscles(suprahyoid muscles,submental muscles,and masseter muscles)before and after treatment were compared.Results The treatment efficacy in the study group(93.88%)was higher than that in the control group(73.47%).Before treatment,there were no statistically significant differences in language function scores between the two groups(P＞0.05).After treatment,the language function scores(receptive language ability,expressive language ability,articulation disorder)in both groups significantly improved,and the scores in the study group were higher than those in the control group,with statistically significant differences(P＜0.05).Before treatment,there were no statistically significant differences in oral motor status scores between the two groups(P＞0.05).After treatment,the oral motor status scores in both groups significantly improved,and the scores in the study group were higher than those in the control group,with statistically significant differences(P＜0.05).Before treatment,there were no statistically significant differences in surface electromyography detection results of the suprahyoid muscles,submental muscles,and masseter muscles between the two groups(P＞0.05).After treatment,the surface electromyography detection results of the same side(left,right)and same state(relaxed,active)in both groups were higher than before treatment,and the results in the study group were higher than those in the control group,with statistically significant differences(P＜0.05).Conclusion The application of surface electromyography-guided oral muscle exercises combined with speech training has a significant effect on improving speech disorders in children with cerebral palsy.surface electromyography has important guiding value in the rehabilitation treatment of children with cerebral palsy.
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