A Case Study of Speech Intervention for Children with Auditory Brainstem Implantation Based on ICF-CY
徐之佳 1胡洋 2刘巧云2
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作者信息
1. 四川大学华西医院耳鼻咽喉头颈外科 成都 610041
2. 华东师范大学康复科学系 上海 200062
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摘要
目的 探讨基于国际功能、残疾和健康分类-儿童版(international classification of funcioning,disability and health,ICF-CY)理论框架对1名学龄前听觉脑干植入儿童进行语音康复的效果.方法 采用个案分析法对1名学龄前听觉脑干植入儿童进行语音感知和语音产生功能评估、家庭输入环境调查,实施华东师范大学(east China normal uinversity,ECNU)阶梯式语音感知与产生能力训练,每周2次,每次1小时,共干预10周,评估干预效果.结果 经过康复训练和调机,个案语音感知的精细程度有明显提升,韵母最小音位对识别率由63.77％提高到81.88％,声母最小音位对识别率由69.73％提高到81.61％.语音产生方面,个案能稳定产生/h/及其多个声韵组合.结论 基于ICF-CY理论框架的阶梯式语音康复训练能够有效提高听觉脑干植入儿童语音能力,为个体及家庭提供个性化康复方案和指导.
Abstract
Objective This study investigated the application of ICF-CY to the assessment and intervention of speech perception and production in auditory brainstem implanted children.Method The study analyzed a case of rehabilitation.The child was assessed for speech function and home language environment based on ICF-CY.Then the child underwent the ECNU ladder model for speech training,twice a week,each time 1 hour for a total of 10 weeks.Results After the training and fitting with an auditory brainstem implant,the child's ability to recognize and produce speech was improved.The recognition rate of minimal phoneme contrast of finals increased from 63.77％to 81.88％,and the recognition rate of t minimal phoneme contrast of initials increased from 69.73％to 81.61％.In terms of production,the child was able to produce/h/and its phonological combinations stably.Conclusion The speech intervention based on the ICF-CY theoretical framework can effectively improve the speech function of children with auditory brainstem implantation.
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