家庭严肃游戏对儿童发音障碍言语治疗的语音和发音参数影响:前瞻性单臂临床试验。

IF 3.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES JMIR Serious Games Pub Date : 2023-10-11 DOI:10.2196/49216
Seong-Yeol Kim, Minji Song, Yunju Jo, Youngjae Jung, Heecheon You, Myoung-Hwan Ko, Gi-Wook Kim
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引用次数: 0

摘要

背景:发音障碍降低了语言的清晰度,导致儿童的学习和社交能力下降。由于治疗师人数有限以及地理或经济限制,对非面对面治疗的需求正在增加。使用严肃游戏的非面对面言语治疗项目已被提议作为一种替代方案。目的:本研究的目的是使用智能语音游戏界面研究家庭治疗对发音障碍儿童的发音和发音能力的疗效。方法:本研究为前瞻性单臂临床试验。患有发音障碍的儿童被纳入研究,他们的发音和语音尿液测试(U-TAP)为-2 SD或更低,接受和表达词汇测试得分为-1 SD或更高。进行了初步评估(E0),以检查儿童是否患有发音障碍,在接下来的4周里,他们在没有其他治疗的情况下过着正常的生活方式。在训练开始前,进行了预评估(E1),孩子们每天在家训练≥30分钟,每周训练≥5次,为期4周(共20次)。智能语音计划包括口语锻炼训练、呼吸训练和语音训练;训练的难度和类型根据参与者的发音错误、锻炼和发声能力而有所不同。训练结束后,使用相同的方法进行后评估(E2)。最后,8周后,进行后评估(E3)作为随访。语音评估包括参数,如最大发声时间(MPT)、基频(F0)、抖动、峰值气压(相对平均扰动)、音高、强度和语音开始时间。发音参数包括正确辅音的百分比(PCC;U-TAP单词单元PCC、U-TAP句子单元PCC和三位置发音测试)和交替动作评估(diadochokinesis,DDK)。比较在每次评估(E1-E2-E3)期间获得的数据。结果:共有13名4-10岁的发音障碍儿童参与了这项研究。在语音参数方面,MPT、抖动和音高在重复测量ANOVA中显示出显著变化。然而,在事后测试中,只有MPT在E1-E2(P=0.007)和E1-E3(P=0.004)期间显示出显著变化。其他语音参数没有显示出显著变化。在关节参数方面,U-TAP、三位关节测试(TA)和DDK在重复测量ANOVA中显示出显著变化。在事后测试中,U-TAP(单词、句子)和TA在E1-E2(P=0.003、.04和.01)和E1-E3(P=0.001、.03和.003)期间表现出显著变化,而DDK仅在E1-E2中表现出显著改变(P=0.03)。结论:家庭严肃游戏可被视为改善语言功能的替代治疗方法。试验注册:临床研究信息服务KCT0006448;https://cris.nih.go.kr/cris/search/detailSearch.do/20119.
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effect of Voice and Articulation Parameters of a Home-Based Serious Game for Speech Therapy in Children With Articulation Disorder: Prospective Single-Arm Clinical Trial.

Background: Articulation disorder decreases the clarity of language and causes a decrease in children's learning and social ability. The demand for non-face-to-face treatment is increasing owing to the limited number of therapists and geographical or economic constraints. Non-face-to-face speech therapy programs using serious games have been proposed as an alternative.

Objective: The aim of this study is to investigate the efficacy of home therapy on logopedic and phoniatric abilities in children with articulation disorder using the Smart Speech game interface.

Methods: This study is a prospective single-arm clinical trial. Children with articulation disorders, whose Urimal Test of Articulation and Phonology (U-TAP) was -2 SDs or less and the Receptive and Expressive Vocabulary Test score was -1 SD or more, were enrolled. A preliminary evaluation (E0) was conducted to check whether the children had articulation disorders, and for the next 4 weeks, they lived their usual lifestyle without other treatments. Prior to the beginning of the training, a pre-evaluation (E1) was performed, and the children trained at home for ≥30 minutes per day, ≥5 times a week, over 4 weeks (a total of 20 sessions). The Smart Speech program comprised oral exercise training, breathing training, and speech training; the difficulty and type of the training were configured differently according to the participants' articulation error, exercise, and vocal ability. After the training, postevaluation (E2) was performed using the same method. Finally, 8 weeks later, postevaluation (E3) was performed as a follow-up. A voice evaluation included parameters such as maximum phonation time (MPT), fundamental frequency (F0), jitter, peak air pressure (relative average perturbation), pitch, intensity, and voice onset time. Articulation parameters included a percentage of correct consonants (PCC; U-TAP word-unit PCC, U-TAP sentence-unit PCC, and three-position articulation test) and alternate motion evaluation (diadochokinesis, DDK). Data obtained during each evaluation (E1-E2-E3) were compared.

Results: A total of 13 children with articulation disorders aged 4-10 years were enrolled in the study. In voice parameters, MPT, jitter, and pitch showed significant changes in repeated-measures ANOVA. However, only MPT showed significant changes during E1-E2 (P=.007) and E1-E3 (P=.004) in post hoc tests. Other voice parameters did not show significant changes. In articulation parameters, U-TAP, three-position articulation test (TA), and DDK showed significant changes in repeated-measures ANOVA. In post hoc tests, U-TAP (word, sentence) and TA showed significant changes during E1-E2 (P=.003, .04, and .01) and E1-E3 (P=.001, .03, and .003), and DDK showed significant changes during E1-E2 only (P=.03).

Conclusions: Home-based serious games can be considered an alternative treatment method to improve language function.

Trial registration: Clinical Research Information Service KCT0006448; https://cris.nih.go.kr/cris/search/detailSearch.do/20119.

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来源期刊
JMIR Serious Games
JMIR Serious Games Medicine-Rehabilitation
CiteScore
7.30
自引率
10.00%
发文量
91
审稿时长
12 weeks
期刊介绍: JMIR Serious Games (JSG, ISSN 2291-9279) is a sister journal of the Journal of Medical Internet Research (JMIR), one of the most cited journals in health informatics (Impact Factor 2016: 5.175). JSG has a projected impact factor (2016) of 3.32. JSG is a multidisciplinary journal devoted to computer/web/mobile applications that incorporate elements of gaming to solve serious problems such as health education/promotion, teaching and education, or social change.The journal also considers commentary and research in the fields of video games violence and video games addiction.
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