The impact of family sharing participation, music therapy combined with AAC communication training on language function in children with cerebral palsy
家庭共享参与、音乐疗法结合AAC的沟通训练对脑瘫患儿的语言功能的影响

摘要

目的 探讨家庭共享参与、音乐疗法结合AAC的沟通训练对脑瘫（Cerebral Palsy, CP）患儿的语言功能的影响。方法 患儿入选时间限定为2022年1月至2024年3月，共计选入脑瘫患儿82例，将入选者分成常康复组（n=41例，常规康复训练）与实验组（n=41例，常规+家庭共享参与、音乐疗法结合AAC的沟通训练干预），评价组间指标变化。结果 实验组接受干预1个月及干预6个月的语音清晰度评分均明显高于常规能康复组，即（P＜0.05）；干预前两组入选患儿的GMFM评分之间对比（P＞0.05），实验组患儿干预4周GMFM评分（87.08±5.29）评分明显高于（67.03±4.29）分，数据差异性明显（P＜0.05）。结论 家庭共享参与、音乐疗法结合AAC的沟通训练应用在脑瘫患儿中对其语言功能、认知功能、大运动评分改善均具有积极促进作用。

Abstract

Objective To investigate the effects of family sharing participation and communication training combining music therapy with AAC on language function in children with cerebral palsy (CP).
Methods Children were enrolled from January 2022 to March 2024, with a total of 82 CP patients selected. Participants were divided into a regular rehabilitation group (n=41, conventional rehabilitation training) and an experimental group (n=41, conventional rehabilitation + family sharing participation and communication training combining music therapy with AAC), and changes in intergroup indicators were evaluated.
Results The speech clarity scores of the experimental group at 1 month and 6 months post-intervention were significantly higher than those in the conventional rehabilitation group (P<0.05). The GMFM scores of the two groups before intervention showed no significant difference (P>0.05). However, the GMFM score of the experimental group at 4 weeks post-intervention (87.08±5.29) was significantly higher than that of the conventional group (67.03±4.29), with a statistically significant difference (P<0.05).
Conclusion   Family sharing participation and communication training combining music therapy with AAC have shown positive promoting effects on the improvement of language function, cognitive function, and gross motor scores in children with cerebral palsy.