分娩性臂丛神经损伤和先天性多关节畸形伴上肢功能障碍儿童的语言治疗和教育分析

封面


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

论证。伴有上肢受累的肌肉骨骼系统病理往往是导致孩子在不同学习阶段出现特定困难的因素之一。患有先天性多发性关节发育不全和分娩性臂丛神经损伤的3岁以下儿童通常语言发育迟缓。还可能出现行为障碍，这在幼年时期就已决定了需要进行矫正，包括语言治疗。

目的。本研究主要分析分娩性臂丛神经损伤和先天性多发性关节发育不良伴上肢功能障碍儿童的语言治疗和教育。

材料与方法。2020年至2022年，H. Turner国家儿童矫形和创伤外科医学研究中心对46名6至15岁因先天性多发性关节发育不良和分娩性臂丛神经损伤导致上肢畸形的儿童（平均年龄为9.57±2.91岁）进行了检查。研究采用了言语医学、矫形医学和统计学方法。

结果。本研究包括25名先天性多关节畸形患儿（54.3%）和21名分娩性臂丛神经损伤后遗症患者（45.7%）。上肢功能障碍从轻度到重度不等，其中以轻度（17名患者，占36.9%）和中度（20名患者，占43.5%）为主。30人（65.2%）发现手部功能障碍。11名儿童（23.9%）出现早期语言发育迟缓。在41名儿童（89.1%）中发现了语言病理现象，其中包括一般发育不全（20名儿童，43.9%）、词汇-语法发育不全（12人，26.1%）和语音-音位发育不全（9名患者，19.8%）。25名不同年龄组的患者（54.3%）被诊断出构音障碍。18名学生（52.9%）出现了书写语言障碍。根据言语病理学的性质，先天性多发性关节发育不良患者组和分娩性臂丛神经损伤患者组之间的差异无统计学意义（p>0.05）。与分娩性臂丛神经损伤的患者相比，先天性多发性关节发育不良的患者更容易进行个体化训练或无组织训练（p<0.05）。

结论。患有先天性多发性关节发育不良和分娩性臂丛神经损伤的儿童和青少年有特殊的教育需求。此外，考虑到矫形病理学的特殊性，他们往往需要语言治疗。

全文:

受限制的访问

作者简介

Olga E. Agranovich

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: olga_agranovich@yahoo.com
ORCID iD: 0000-0002-6655-4108
SPIN 代码: 4393-3694
Scopus 作者 ID: 56913386600
Researcher ID: B-3334-2019
http://www.rosturner.ru/kl10.htm

MD, PhD, Dr. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Zoya E. Agranovich

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; Center for Restorative Treatment “Child Psychiatry” named after S.S. Mnukhin

Email: barsik1966@mail.ru
ORCID iD: 0000-0003-1622-7114
俄罗斯联邦, Saint Petersburg; Saint Petersburg

Evgenia I. Ermolovich

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; “XXI century”

Email: dr.lazareva@bk.ru
ORCID iD: 0000-0001-6716-1034
SPIN 代码: 6598-5653

MD, neurologist

俄罗斯联邦, Saint Petersburg; Saint Petersburg

Ekaterina V. Petrova

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: pet_kitten@mail.ru
ORCID iD: 0000-0002-1596-3358
SPIN 代码: 2492-1260
Scopus 作者 ID: 57194563255

MD, PhD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Anna N. Shestakova

National Research University “Higher School of Economics”

Email: a.shestakova@hse.ru
ORCID iD: 0000-0001-9374-9878
SPIN 代码: 6010-6538
Scopus 作者 ID: 6701794973
Researcher ID: H-3329-2013
俄罗斯联邦, Moscow

Evgeny D. Blagovechtchenski

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; National Research University “Higher School of Economics”

编辑信件的主要联系方式.
Email: eblagovechensky@hse.ru
ORCID iD: 0000-0002-0955-6633
SPIN 代码: 2811-5723
Scopus 作者 ID: 6506349269
Researcher ID: B-5037-2014

PhD, Cand. Sci. (Biol.)

俄罗斯联邦, Saint Petersburg; Moscow

参考

  1. Mimouni-Bloch A, Tsadok-Cohen M, Bart O. Motor difficulties and their effect on participation in school-aged children. J Child Neurol. 2016;31(11):1290–1295. doi: 10.1177/0883073816653783
  2. Beery KE, Beery NA. The beery-buktenica development test of visual-motor integration: beery VMI with supplemental developmental tests of visual perception and motor coordination; for children and adults, with stepping stones age norms from birth to age 6. Minneapolis: Pearson, 2006.
  3. Clark GJ. The relationship between handwriting, reading, fine motor and visual-motor skills in kindergarteners [abstract dissertation]. Ames, Iowa; 2010.
  4. Chagas DV, Leporace G, Batista LA. Relationships between motor coordination and academic achievement in middle school children. IJES. 2016;9(5):616–624.
  5. Chloë N. Carames, Lauren N, et al. Is there a relation between visual-motor integration and academic achievement in school-aged children with and without ADHD? Child Neuropsychol. 2022;28(2):224–243. doi: 10.1080/09297049.2021.1967913
  6. Robinson RO. Arthrogryposis multiplex congenita; feeding, language and other health problems. Neuropediatrics. 1990;21(4):177–178. doi: 10.1055/s-2008-1071489
  7. Trindade JA, Freitas JDS, Menzen L, et al. Speech-language pathology aspects in a pediatric case of head and neck arthrogryposis. Codas. 2018;30(2). doi: 10.1590/2317-1782/20182017181
  8. Chang KW, Yang LJ, Driver L, et al. High prevalence of early language delay exists among toddlers with neonatal brachial plexus palsy. Pediatr Neurol. 2014;51(3):384–389. doi: 10.1016/j.pediatrneurol.2014.04.021
  9. Bellew M, Kay SP, Webb F, et al. Developmental and behavioural outcome in obstetric brachial plexus palsy. J Hand Surg Br. 2000;25(1):49–51. doi: 10.1054/jhsb.1999.0331
  10. Rasberry CN, Lee SM, Robin L, et al. The association between school-based physical activity, including physical education, and academic performance: a systematic review of the literature. Prev Med. 2011;52(Suppl 1):S10–20.
  11. Torrijos-Niño C, Martínez-Vizcaíno V, Pardo-Guijarro MJ, et al. Physical fitness, obesity, and academic achievement in schoolchildren. J Pediatr. 2014;165:104–109.
  12. Сhaddock L, Erickson KI, Prakash RS, et al. A neuroimaging investigation of the association between aerobic fitness, hippocampal volume, and memory performance in preadolescent children. Brain Res. 2010;1358:172–183.
  13. Thomas AG, Dennis A, Bandettini PA, et al. The effects of aerobic activity on brain structure. Front Psychol. 2012;3:86.
  14. Sigurdardottir S, Vik T. Speech, expressive language, and verbal cognition of preschool children with cerebral palsy in Iceland. Dev Med Child Neurol. 2011;53(1):74–80. doi: 10.1111/j.1469-8749.2010.03790.x
  15. Pirila S, van der Meere J, Pentikainen T, et al. Language and motor speech skills in children with cerebral palsy. J Commun Disord. 2007;40(2):116–128. doi: 10.1016/j.jcomdis.2006.06.002
  16. Nemkova SA. Detskii tserebral’nyi paralich: diagnostika i korrektsiya kognitivnykh narushenii: ucheb.-metod, posobie. Moscow: Soyuz pediatrov Rossii; 2012. (In Russ.)
  17. Nemkova SA. Speech disorders in children with cerebral palsy: diagnostics and correction. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2019;119(5):112–119. (In Russ.) doi: 10.17116/jnevro2019119051112
  18. Allison KM, Reidy TG, Boyle M, et al. Speech production gains following constraint-induced movement therapy in children with hemiparesis. J Pediatr Rehabil Med. 2017;10(1):3–9. doi: 10.3233/PRM-170405
  19. Prikaz Ministerstva obrazovaniya i nauki RF ot 2013 Oct 17 No. 1155. Ob utverzhdenii Federal’nogo gosudarstvennogo standarta doshkol’nogo obrazovaniya. (In Russ.)
  20. Prikaz Ministerstva Prosveshcheniya RF ot 2021 May 31 No. 286. Ob utverzhdenii Federal’nogo gosudarstvennogo standarta nachal’nogo obshchego obrazovaniya. (In Russ.)
  21. Prikaz Ministerstva Prosveshcheniya RF ot 2021 May 31 No. 287 Ob utverzhdenii Federal’nogo gosudarstvennogo standarta osnovnogo obshchego obrazovaniya. (In Russ.)
  22. Smirnova IA. Diagnostika narushenii razvitiya rechi. Uchebno-metodicheskoe posobie / Ed. by E.A. Ushakovoi. Saint Petersburg: DETSTVO-PRESS; 2020. (In Russ.)
  23. Nelson HD, Nygren P, Walker M, et al. Screening for Speech and language delay in preschool children: systematic evidence review for the US preventive services task force. Pediatrics. 2006;117:e298–e319. doi: 10.1542/peds.2005-1467
  24. Smirnova IA. Diagnostika narushenii razvitiya rechi. Uchebno-metodicheskoe posobie / Ed. by E.A. Ushakovoi. Saint Petersburg: DETSTVO-PRESS; 2020. (In Russ.)
  25. Smirnova IA. Logopedicheskii al’bom dlya obsledovaniya zvukoproiznosheniya: naglyadno-metodicheskoe posobie. Saint Petersburg: DETSTVO-PRESS; 2010. (In Russ.)
  26. Smirnova IA. Logopedicheskii al’bom dlya obsledovaniya fonetiko-fonematicheskoi sistemy rechi: naglyadno-metodicheskoe posobie. Saint Petersburg: DETSTVO-PRESS; 2010. (In Russ.)
  27. Smirnova IA. Logopedicheskii al’bom dlya obsledovaniya leksiko-grammaticheskogo stroya i svyaznoi rechi: naglyadno-metodicheskoe posobie. Saint Petersburg: DETSTVO-PRESS; 2010. (In Russ.)
  28. Smirnova IA. Logopedicheskii al’bom dlya obsledovaniya sposobnosti k chteniyu i pis’mu: naglyadno-metodicheskoe posobie. Saint Petersburg: DETSTVO-PRESS; 2020. (In Russ.)
  29. Nishcheva NV. Kartinnyi material k rechevoi karte rebenka s obshchim nedorazvitiem rechi ot 4 do 7 let: naglyadno-metodicheskoe posobie. Saint Petersburg: DETSTVO-PRESS; 2010. (In Russ.)
  30. Sadovnikova IN. Narusheniya pis’mennoi rechi i ikh preodolenie u mladshikh shkol’nikov. Moscow: Vlados; 1997. (In Russ.)
  31. Lopatina LV, Golubeva GG, Kalyagin VA, et al. Logopedicheskaya diagnostika i korrektsiya narushenii rechi u detei: sbornik metodicheskikh rekomendatsii. Saint Petersburg, Moscow: SAGA: FORUM, 2006. (In Russ.)
  32. Agranovich OE, Agranovich ZE, Ermolovich EI, et al. Speech development in children of preschool age with arthrogryposis multiplex congenital with upper limb deformities. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2021;9(4):435–446. (In Russ.) doi: 10.17816/PTORS76266
  33. Agranovich OE, Agranovich ZE, Ermolovich EI, et al. Speech development in children with sequelae of obstetrics palsy. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2022;10(4):385–396. (in Russ.) doi: 10.17816/PTORS110783
  34. Tsykunov M. Evaluation of disorders of the musculoskeletal system pathology using categories of the international classification of functioning. Physical and Rehabilitation Medicine. 2019:1(2):37–59. (In Russ.) doi: 10.26211/2658-4522-2019-1-2-37-59
  35. Prikaz Ministerstva truda i sotsial’nogo razvitiya RF ot 2019 Aug 27 No. 585n. O klassifikatsiyakh i kriteriyakh, ispol’zuemykh pri osushchestvlenii mediko-sotsial’noi ekspertizy grazhdan federal’nymi gosudarstvennymi uchrezhdeniyami mediko-sotsial’noi ekspertizy. (In Russ.)
  36. Panasenko КЕ, Voloshina LN, Shinkareva LV, et al. Socialization-Individualization of preschool children with speech disorders in motor activity. J Med Chem Sci. 2021;4(6):538–554.
  37. Kol’tsova MM. Dvigatel’naya aktivnost’ i razvitie funktsii mozga rebenka: rol’ dvigatel’nogo analizatora v formirovanii vysshei nervnoi deyatel’nosti rebenka. Moscow: Pedagogika; 1973. (In Russ.)
  38. Michel GF, Campbell JM, Marcinowski EC, et al. Infant hand preference and the development of cognitive abilities. Front Psychol. 2016;7:410. doi: 10.3389/fpsyg.2016.00410
  39. Dud’ev VP. Psikhomotornaya nedostatochnost’ pri sistemnykh narusheniyakh rechi. Sibirskii psikhologicheskii zhurnal. 2003;18:111–115.
  40. Dud’ev VP. Psikhomotorika detei s ogranichennymi vozmozhnostyami zdorov’ya: uchebnoe posobie. Barnaul: AltGPU; 2020.
  41. Pennington L, Akor WA, Laws K, et al. Parent-mediated communication interventions for improving the communication skills of preschool children with non-progressive motor disorders. Cochrane Database of Systematic Reviews. 2018;7(7). doi: 10.1002/14651858.CD012507.pub2
  42. Pyatakova GV, Agranovich OE. Emotional characteristics of mothers bringing up children with arthrogryposis. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2016;4(3):41–46. (In Russ.) doi: 10.17816/PTORS4341-46
  43. Cuevas G, Cognian C. Artrogriposis multiple congenita. In: Blanco M. Enfermedades invalidantes de la infancia: enfoque integral de rehabilitacion. Santiago de Chile: Teleton; 2006. P. 128–133.
  44. Hall JG, Aldinger KA, Tanaka KI. Amyoplasia revisited. Am J Med Genet A. 2014;164A(3):700–730. doi: 10.1002/ajmg.a.36395
  45. Macias Merlo L, Fagoaga Mata J. Fisioterapia en pediatria. Madrid: McGraw-Hill/Interamericana, 2002.
  46. Forin V. Artrogriposis. EMC Apar Locomot. 2010;43(2):1–9.
  47. Tachdjian M. Ortopedia clinica pediatrica: diagnostico y tratamiento. Buenos Aires: Panamericana, 1999.
  48. Almazova AA, Babina GV, Lyubimova MM, et al. Detection of risk factors causing impaired writing and reading: technological and prognostic aspects. Integration of Education. 2018;22(1):151–165. (In Russ.) doi: 10.15507/1991-9468.090.022.201801.151-165
  49. Gordon N. Arthrogryposis multiplex congenita. Brain Dev. 1998;20(7):507–511. doi: 10.1016/s0387-7604(98)00037-0
  50. Cohen NJ, Barwick MA, Horodezky NB, et al. Language, achievement, and cognitive processing in psychiatrically disturbed children with previously identified and unsuspected language impairments. J Child Psychol Psychiatry. 1998;39(6):865–877.
  51. Cohen NJ, Menna R, Vallance DD, et al. Language, social cognitive processing, and behavioral characteristics of psychiatrically disturbed children with previously identified and unsuspected language impairments. J Child Psychol Psychiatry. 1998;39(6):853–864.
  52. Locke JL. Clinical phonology: the explanation and treatment of speech sound disorders. J Speech Hear Disord. 1983;48(4):339–341. doi: 10.1044/jshd.4804.339
  53. Newmeyer AJ, Grether S, Grasha C, et al. Fine motor function and oral-motor imitation skills in preschool-age children with speech-sound disorders. Clin Pediatr (Phila). 2007;46(7):604–611. doi: 10.1177/0009922807299545
  54. Peter B, Stoel-Gammon C. Central timing deficits in subtypes of primary speech disorders. Clin Linguist Phon. 2008;22(3):171–198. doi: 10.1080/02699200701799825
  55. Lewis BA, Avrich AA, Freebairn LA, et al. Literacy outcomes of children with early childhood speech sound disorders: impact of endophenotypes. J Speech Lang Hear Res. 2011;54(6):1628–1643. doi: 10.1044/1092-4388(2011/10-0124)
  56. Tiganov, A.S. Patologiya psihicheskogo razvitiya. Moscow; 1998. (In Russ.)
  57. Almazova AA, Babina GV, Lyubimova MM, et al. Soderzhatel’no-organizatsionnye aspekty propedevtiki trudnostei usvoeniya pis’ma i chteniya u detei s narusheniyami rechi. Spetsial’noe obrazovanie. 2017;4(48):6–21. (In Russ.)
  58. Prikaz Ministerstva obrazovaniya i nauki RF ot 2014 Dec 19 No. 1598. Ob utverzhdenii federal’nogo gosudarstvennogo standarta nachal’nogo obshchego obrazovaniya obuchayushchikhsya s ogranichennymi vozmozhnostyami zdorov’ya. (In Russ.)

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Box plots for “hand dysfunction” according to the diagnosis. AMC, arthrogryposis multiplex congenita; OP, obstetric palsy

下载 (44KB)
索引源数据
3. Fig. 2. Box plots for “functional disorders” according to the diagnosis. AMC, arthrogryposis multiplex congenita; OP, obstetric palsy

下载 (43KB)
索引源数据
4. Fig. 3. Box plots for “number of surgeries” according to the diagnosis. AMC, arthrogryposis multiplex congenita; OP, obstetric palsy

下载 (44KB)
索引源数据
5. Fig. 4. Speech disorders in patients of different age groups. GUS, general underdevelopment of speech; LGUS, lexical and grammatical underdevelopment of speech; PPU, phonetic–phonemic underdevelopment

下载 (57KB)
索引源数据

版权所有 © Эко-Вектор, 2023


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС77-54261 от 24 мая 2013 г.


##common.cookie##