Effects of audio-visual feedback real-time accent movement therapy on speech fluency disorders in chil-dren with spastic cerebral palsy
10.3969/j.issn.1001-1242.2025.02.005
- VernacularTitle:视听反馈式实时重读运动疗法对痉挛型脑性瘫痪儿童言语流利性障碍的疗效研究
- Author:
Kemin QI
1
;
Zhongbing DING
;
Meng ZHANG
Author Information
1. 天津体育学院教育与心理学院,天津市,301617
- Publication Type:Journal Article
- Keywords:
audio-visual feedback real-time accent movement therapy;
spastic cerebral palsy;
speech fluency disorders;
treatment effect
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(2):196-202
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of audio-visual feedback real-time accent movement therapy on speech fluency disorders in children with spastic cerebral palsy.Method:A total of 44 children aged 5-7 years with spastic cerebral palsy who met the inclusion criteria were randomly assigned to an experimental group(n=22)or a control group(n=22)using a random number ta-ble method.The control group received traditional accent movement therapy,while the experimental group re-ceived audio-visual feedback real-time accent movement therapy in addition to the control group's training regi-men.Both groups completed 10 sessions over 3 weeks(one session per day,30 minutes per session).Speech samples were collected pre-and post-treatment using the picture-based narrative task Doing Housework,select-ed for its ecological validity.A two-group pretest-posttest design was employed to evaluate changes in objec-tive speech fluency metrics,including speech rate,pauses,prolongations,and repetitions,and to assess the clini-cal efficacy of the intervention.Result:Before treatment,there were no significant differences between the two groups in seven speech fluen-cy metrics(P＞0.05),including speech speed,pause,prolongation,and repetition,indicating comparability.Af-ter treatment,there was a significant difference in the 7 measurement indicators of speech fluency function be-tween the two groups(P＜0.05),and the experimental group was significantly better than the control group(P＜0.05).Within-group comparisons revealed significant improvements in speech fluency metrics in the experimen-tal group after treatment(P＜0.05),whereas no significant changes were observed in the control group(P＞0.05).Conclusion:Audio-visual feedback real-time accent movement therapy significantly improved speech fluency in children with spastic cerebral palsy,as evidenced by increased speech rate and reduced abnormal pauses,prolon-gations,and repetitions.These findings indicates that this therapy is an effective intervention for improving speech fluency disorders in this population.Future research should focus on multi-center studies and the broad-er clinical application of this therapy.
