脑瘫儿童辅助沟通系统词汇训练效果个案研究  

A Single-Subject Study on the Effect of Vocabulary Training Using Augmentative and Alternative Communication on Children with Cerebral Palsy

作　　者：金星 黄立[2] 金金 张换心 Szu-Han Kay Chen JIN Xing;HUANG Li;JIN Jin;ZHANG Huan-xin;Szu-Han Kay Chen

机构地区：[1]上海中医药大学康复医学院,上海201203 [2]上海中医药大学附属岳阳中西医结合医院,上海200437 [3]上海市虹口区曲阳路街道社区卫生服务中心,上海200437 [4]美国新罕布什尔大学,USA Durham,NH 03824

出　　处：《中国听力语言康复科学杂志》2022年第6期451-454,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的 探讨使用辅助沟通系统(augmentative and alternative communication,AAC)训练对1例脑瘫儿童词汇学习的疗效。方法 采用ABAB单一被试实验设计,应用辅助沟通系统中的辅助语言刺激(aided language stimulation,ALS)干预策略训练1例脑瘫儿童7个常用词汇,观察其表达性词汇掌握情况。采用目视分析法分析数据。结果 (1)个案在处理期B1的AAC词汇掌握情况呈不稳定上升趋势;(2)维持期A2能够保持处理期B1的干预效果,但不稳定;(3)处理期B2虽然未进一步增进干预效果,平均水平略有下降,但趋势稳定在2个词汇。结论 采用辅助沟通系统的ALS干预策略,该脑瘫儿童的表达性词汇量有一定增加,说明ALS策略对汉语脑瘫儿童的表达性词汇提升有效,后续可针对更大样本量长期干预,以进一步验证临床效果。Objective To explore the effect of using augmentative and alternative communication(AAC) training on vocabulary learning in a child with cerebral palsy.Methods The case study used ABAB single-subject design to evaluate the treatment outcome of using aided language stimulation(ALS) to train a child with cerebral palsy to learn 7 daily words.Visual analyses were used to analyze the data.Results The child’s AAC vocabulary in the treatment period(B1) showed a positive trend but not stable.The child maintained partial intervention effect of the treatment period(B1) in the maintenance period(A2).The child’s performance remained in the treatment period(B2),and did not show a continued improvement.Conclusion The child ’s vocabulary size slightly improved after implementing ALS in the AAC intervention,which suggests ALS is feasible and has the potential to improve Chinese-speaking children with cerebral palsy’s expressive vocabulary.Future research will focus on longitudinal treatment effect in a bigger sample to improve the clinical evidence.

关 键 词：辅助沟通系统 辅助语言刺激 脑瘫儿童 词汇学习 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]