구강기능훈련이 뇌성마비 아동의 발화 산출에 미치는 효과

Abstract

The purpose of this study was to examined whether the oral function training was effective in improving the speech production of children with cerebral palsy. The subject participated in the study is 3 children, they have mean aged 6 years and 8 months with cerebral palsy. This study is consisted of 3 phases; baseline, intervention, and maintenance(post) stage. It was carried out for a total of 24 sessions. 25~30 minute oral function training sessions were provided 3 times a week for 8 weeks. To verify the effectiveness of the oral function training, the oral sensory function score, the number of utterable vowels and consonants were repeatedly measured according to stage, and the average score was compared step by step. The following results were obtained. First, the average oral sensory function score increased to 1.45 in the baseline stage, 4.08 in the intervention stage, and 6.00 in the post evaluation. Second, the total number of utterable vowels was 1.56 in the baseline stage, but increased to 4.08 in the intervention stage, and 5.67 in the post-stage. Third, the number of utterable consonants was 1.56 in the baseline step, and increased to 4.58 in the intervention stage. but decreased slightly to 3.11 in the post stage. The results suggest that, oral function training had an effective in the improving oral sensory function, which is a basic function for improving speech in children with cerebral palsy. It is also effective in prompting the ability to begin to speak vowels or consonants. However, the effect of maintaining the utterance of the consonants was found to be small, indicating that continuous oral function training is necessary to promote the consonant utterance ability of children with cerebral palsy.