音乐疗法对特殊语言障碍儿童语言技能的影响:系统回顾

Natwipa Wanicharoen, Vich Boonrod
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摘要

背景介绍特殊语言障碍(SLI)会在没有任何神经损伤或疾病的情况下延迟语言的发展。这种障碍延伸到非语言任务,如音乐感知技能。近年来,言语病理学家(SLPs)和音乐治疗师(MTs)通过整合音乐治疗(MT)和言语治疗(ST),合作开发并改进了针对交流障碍(CDs)儿童的方法,包括全面发育迟缓(GDDs)、特殊语言障碍(SLIs)、轻度发育迟缓(DDs)和阅读障碍风险。音乐疗法可被视为提高 SLI 儿童语言能力的替代方法之一。研究目的本研究的目的是调查 MT 干预对 SLI 儿童语言技能的有效性,并调查这些研究中其他干预的特点,如干预者、干预、环境、课程类型和音乐方法。材料和方法:本研究是在系统综述和元分析首选报告项目(PRISMA)框架内进行的系统综述。研究结果的质量采用乔安娜-布里格斯研究所(JBI)提供的批判性评估工具进行评估。结果有两项研究符合纳入标准,被纳入本系统综述。采用的两种主要音乐治疗方法是歌曲提示和基于诺多夫-罗宾斯方法的创造性音乐治疗。目前的证据表明,音乐疗法可改善 SLI 儿童的语言成分,包括语音、句法、词法以及语言发展的其他方面,如句子理解和句子记忆。结论对于 SLI 儿童来说,音乐治疗是一种有价值且有效的干预措施。建议引入将 MT 和 ST 相结合的跨学科课程。不过,SLP 需要参加 MT 培训课程。
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Effect of music therapy on language skills in children with specific language impairment: A systematic review
Background: Specific language impairment (SLI) delays language development without any neurological damage or disease. This impairment extends to nonlinguistic tasks, such as music perception skills. In recent years, speech-language pathologists (SLPs) and music therapists (MTs) have collaborated to develop and improve approaches for children with communication disorders (CDs), including global developmental delay (GDD), SLI, mild developmental delay (DD), and the risk of developing reading difficulties, by integrating music therapy (MT) and speech therapy (ST). MT could be considered as one of the alternative methods offered to children with SLI to enhance their language skills. Objectives: The purpose of this study was to investigate the effectiveness of MT interventions on language skills in children with SLI and to investigate the characteristics of other intervention features in these studies, such as interventionists, intervention, settings, session type, and music methods. Materials and methods: The study was a systematic review conducted within the framework of the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). The quality of the research results was assessed using the critical appraisal tools provided by the Joanna Briggs Institute (JBI). Results: Two studies met the inclusion criteria and were included in this systematic review. The two main types of MT employed were song cues and creative music therapy based on the Nordoff-Robbins approach. Current evidence suggests that music therapy improves components of language, including phonology, syntax, morphology, and other aspects of speech development, such as understanding sentences and memory for sentences, in children with SLI. Conclusion: MT can be a valuable and effective intervention for children with SLI. The introduction of transdisciplinary programs that integrate MT and ST could be recommended. However, MT training courses are required for SLPs.
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