发育性口吃的机制、评估和干预进展

doi:10.11852/zgetbjzz2021-0665

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (7): 750-754.DOI: 10.11852/zgetbjzz2021-0665

发育性口吃的机制、评估和干预进展

马丹^1,2, 张文丽¹, 曹玲¹, 张玲¹, 曲海波^2,3

1.四川大学华西第二医院康复医学科,四川成都 610041;
2.出生缺陷与相关妇儿疾病教育部重点实验室,四川成都 610041;
3.四川大学华西第二医院放射科

收稿日期:2021-04-27 修回日期:2021-07-12 发布日期:2022-07-25 出版日期:2022-07-10
通讯作者: 曲海波,E-mail:windowsqhb@126.com
作者简介:马丹(1984-),男,四川人,主治医师,硕士学位,主要从事儿童语言障碍的评估和治疗、高危新生儿神经发育评估及早期干预。
基金资助:
四川省科技厅重点研发项目(2019YFS0237)

Advances in the mechanism, assessment and intervention of developmental stuttering

MA Dan^*, ZHANG Wen-li, CAO Ling, ZHANG Ling, QU Hai-bo

^*Department of Rehabilitation Medicine, West China Second University Hospital of Sichuan University (WCSUH-SCU); Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan 610041, China

Received:2021-04-27 Revised:2021-07-12 Online:2022-07-10 Published:2022-07-25
Contact: QU Hai-bo, E-mail:windowsqhb@126.com

摘要/Abstract

摘要： 发育性口吃是一种病因至今尚未定论的、以字或音重复、拖长、停顿的语言节奏紊乱为特征的语言障碍,可伴有继发性的相关运动痉挛,口吃儿童可能在3岁时就开始表现出行为、情感和社会发展方面的障碍,而这些障碍在年龄较大的口吃儿童中会表现得更明显。因此,需要及时提供干预措施,防止患儿在今后生活中出现严重的心理健康问题。本文综述了口吃发病机制和评估方法,并阐述了口吃的和治疗方法,最后展望了口吃的影像学和治疗前景。

关键词: 儿童发育性口吃, 机制, 评估, 治疗

Abstract: Developmental stuttering is a language disorder characterized by repetition of words or sounds, lengthened and paused language rhythm disorder, which is still inconclusive in etiology. There may be secondary associated with motor spasms. Children who stutter may begin to show behavioral, emotional, and social development disorders as early as the age of 3, which are already evident in older children who stutter. Therefore, it is necessary to provide timely interventions to prevent children from serious mental health problems in their future life. This review summarizes the pathogenesis and evaluation methods of stuttering, expounds the treatment methods of stuttering, and takes an outlook at the imaging and treatment prospects of stuttering.

Key words: developmental stuttering in children, mechanism, evaluation, treatment

中图分类号:

R767.92

马丹, 张文丽, 曹玲, 张玲, 曲海波. 发育性口吃的机制、评估和干预进展[J]. 中国儿童保健杂志, 2022, 30(7): 750-754.

MA Dan, ZHANG Wen-li, CAO Ling, ZHANG Ling, QU Hai-bo. Advances in the mechanism, assessment and intervention of developmental stuttering[J]. Chinese Journal of Child Health Care, 2022, 30(7): 750-754.

参考文献

[1] American Psychiatric Association (2013).DSM-5 Task Force: Diagnostic and Statistical Manual of Mental Disorders: DSM-5[M].TM,5th Edn.Washington,DC:American Psychiatric Publishing Inc.
[2] Connally EL,Ward D,Pliatsikas C,et al.Separation of trait and state in stuttering[J].Hum Brain Mapp,2018,39(8):3109-3126.
[3] Erdemir A,Walden TA,Jefferson CM,et al.The effect of emotion on articulation rate in persistence and recovery of childhood stuttering[J].J Fluency Disord,2018,56(6):1-17.
[4] Koenraads SPC,El Marroun H,Muetzel RL,et al.Stuttering and gray matter morphometry:A population-based neuroimaging study in young children[J].Brain Lang,2019,194(5):121-131.
[5] Harrewijn A,Schel MA,Boelens H,et al.Children who stutter show reduced action-related activity in the rostral cingulate zone[J].Neuropsychologia,2017,96(5):213-221.
[6] Garnett EO,Chow HM,Nieto-Castañón A,et al.Anomalous morphology in left hemisphere motor and premotor cortex of children who stutter[J].Brain,2018,141(9):2670-2684.
[7] Busan P.Developmental stuttering and the role of the supplementary motor cortex[J].J Fluency Disord,2020,64(6):1-15.
[8] Chang SE,Garnett EO,Etchell A,et al.Functional and neuroanatomical bases of developmental stuttering: current insights[J].Neuroscientist,2019,25(6):566-582.
[9] Chang SE, Guenther FH.Involvement of the cortico-basal ganglia-thalamocortical loop in developmental stuttering[J].Front Psychol,2020,10(2):1-15.
[10] Choi D,Conture EG,Walden TA,et al.Emotional diathesis, emotional stress, and childhood stuttering[J]. J Speech Lang Hear Res,2016,59(4):616-630.
[11] Smith A,Weber C.How Stuttering develops:The multifactorial dynamic pathways theory[J].J Speech Lang Hear Res,2017,60(9):2483-2505.
[12] Bakhtiar M,Zhang C,Sze Ki S.Impaired processing speed in categorical perception: Speech perception of children who stutter [J].PLoS One,2019,14(4):1-18.
[13] Anderson JD,Wagovich SA,Brown BT.Phonological and semantic contributions to verbal short-term memory in young children with developmental stuttering[J].J Speech Lang Hear Res,2019,62(3): 644-667.
[14] Wieland EA,McAuley JD,Dilley LC, et al.Evidence for a rhythm perception deficit in children who stutter[J].Brain Lang,2015,144(1): 26-34.
[15] Druker KC, Mazzucchelli TG, Beilby JM.An evaluation of an integrated fluency and resilience program for early developmental stuttering disorders[J].J Commun Disord,2019,78(4):69-83.
[16] Davidow JH,Scott KA.Intrajudge and interjudge reliability of the stuttering severity instrument-fourth edition[J].Am J Speech Lang Pathol.2017,26(4):1105-1119.
[17] Millard SK, Davis S. The Palin Parent Rating Scales:Parents'perspectives of childhood stuttering and its impact[J].J Speech Lang Hear Res,2016,59(5):950-963.
[18] Perez HR, Stoeckle JH. Stuttering:Clinical and research update[J].Can Fam Physician, 2016,62(6):479-484.
[19] Amir O, Shapira Y, Mick L,et al.The Speech Efficiency Score (SES): A time-domain measure of speech fluency[J].J Fluency Disord,2018,58(6):61-69.
[20] Onslow M, Lowe R. After the RESTART trial: six guidelines for clinical trials of early stuttering intervention[J]. Int J Lang Commun Disord,2019,54(4):517-528.
[21] Usler ER, Walsh B.The Effects of syntactic complexity and sentence length on the speech motor control of school-age children who stutter[J].J Speech Lang Hear Res,2018,61(9):2157-2167.
[22] Shenker RC, Santayana G.What are the options for the treatment of stuttering in preschool children?[J]. Semin Speech Lang,2018,39(4):313-323.
[23] Shafiei B, Faramarzi S, Abedi A, et al.Effects of the Lidcombe program and parent-child interaction therapy on stuttering reduction in preschool children[J].Folia Phoniatr Logop,2019,71(1):29-41.
[24] Berquez A, Kelman E.Methods in stuttering therapy for desensitizing parents of children who stutter[J]. Am J Speech Lang Patholc,2018,27(3):1124-1138.
[25] Wieland EA, McAuley JD,Dilley LC, et al.Evidence for a rhythm perception deficit in children who stutter[J].Brain Lang,2015,144(2):26-34.
[26] Johnson M, Baxter S,Blank L,et al.The state of the art in non-pharmacological interventions for developmental stuttering. Part 2: Qualitative evidence synthesis of views and experiences[J].Int J Lang Commun Disord, 2016,51(1):3-17.
[27] Caughter S, Dunsmuir S. An exploration of the mechanisms of change following an integrated group intervention for stuttering, as perceived by school-aged children who stutter (CWS)[J].J Fluency Disord, 2017,51(4): 8-23.
[28] Maguire GA, Nguyen DL, Simonson KC,et al.The pharmacologic treatment of stuttering and its neuropharmacologic basis[J]. Front Neurosci,2020,14(1):1-8.
[29] Foundas AL, Mock JR, Corey DM,et al. The speech easy device in stuttering and nonstuttering adults: Fluency effects while speaking and reading[J].Brain Lang,2013,126(2):141-150.
[30] Donaghy MA,Smith KA.Management options for pediatric patients who stutter: Current challenges and future directions[J].Pediatric Health Med Ther,2016,7(1):71-77.
[31] Neumann K,Euler HA, Bosshardt HG,et al.The pathogenesis, assessment and treatment of speech fluency disorders[J]. Dtsch Arztebl Int,114(2):383-390.

发育性口吃的机制、评估和干预进展

Advances in the mechanism, assessment and intervention of developmental stuttering

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	李荣, 李年, 吴丹丹, 黄荣, 陈银花. 盐酸哌甲酯缓释片对注意缺陷多动障碍儿童生长的影响[J]. 中国儿童保健杂志, 2023, 31(7): 731-735.
[2]	孔文瑞, 许梦雪, 贾妮, 穆立娟, 韩颖, 李秋菊, 孟召学, 王淑兰, 朱宗涵, 关宏岩. 北京市0～3岁婴幼儿家长养育照护能力现状及影响因素分析[J]. 中国儿童保健杂志, 2023, 31(7): 741-745.
[3]	杨玉凤. 中国儿童身体活动与早期发展评估体系的建立与应用[J]. 中国儿童保健杂志, 2023, 31(5): 465-469.
[4]	王曼, 肖莹莹, 张园园, 张立新. 数字OT系统辅助下分析全身振动训练对脑瘫患儿精细运动能力影响的临床研究[J]. 中国儿童保健杂志, 2023, 31(5): 491-496.
[5]	牛婉侠, 梁爽, 王一彪. 儿童肥胖相关心肌病的分子机制[J]. 中国儿童保健杂志, 2023, 31(5): 507-511.
[6]	王娜, 李晓莺. 早产儿神经发育评估的进展[J]. 中国儿童保健杂志, 2023, 31(4): 404-407.
[7]	赵丽华, 李晶. 孤独症谱系障碍儿童非典型人际同步表现及其神经机制[J]. 中国儿童保健杂志, 2023, 31(3): 274-278.
[8]	王静, 黄珊, 高雪婷. 孤独症谱系障碍儿童室内替代座椅干预研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 284-288.
[9]	张雨平. 婴幼儿脑损伤及其早期评估[J]. 中国儿童保健杂志, 2023, 31(2): 123-125.
[10]	李阳, 贾玉凤, 张双, 高淑芝, 高静云, 李爽. 基于加拿大作业表现量表的作业治疗方案对全面性发育迟缓儿童作业表现及日常生活能力的影响[J]. 中国儿童保健杂志, 2023, 31(2): 131-135.
[11]	王海梅, 尹华英, 李燕, 董秋君, 陈静, 敖东琴, 罗爽. 照顾者技能培训对改善孤独症患儿症状及父母心理防御机制的研究[J]. 中国儿童保健杂志, 2023, 31(2): 141-146.
[12]	沈修姝, 汪军. 全身运动评估的临床应用研究进展[J]. 中国儿童保健杂志, 2023, 31(2): 167-170.
[13]	梅练妮, 胡纯纯, 徐琼. 脆性X综合征药物治疗进展[J]. 中国儿童保健杂志, 2023, 31(2): 180-184.
[14]	彭莘越, 薛洋, 单玲, 贾飞勇, 杜琳. 脊髓性肌萎缩症儿童神经心理发育水平特点[J]. 中国儿童保健杂志, 2023, 31(2): 195-199.
[15]	米腊腊, 张淑一, 张敏, 吴依然, 解军. 应用末梢全血干血斑评估学龄前儿童维生素A营养状况的可靠性研究[J]. 中国儿童保健杂志, 2023, 31(1): 37-41.