励-协夫曼言语干预对脑卒中构音障碍患者康复效果的影响

万胜慧; 王玲; 邓冬梅; 刘芳

doi:10.3969/j.issn.1672-4933.2025.04.009

您当前的位置：

首页 >

文章列表页 >

励-协夫曼言语干预对脑卒中构音障碍患者康复效果的影响

言语语言障碍康复 | 更新时间：2026-07-11

- 励-协夫曼言语干预对脑卒中构音障碍患者康复效果的影响
- Effects of Lee-Silvemmman Speech Intervention on Timbre Rehabilitation in Stroke Patients with Dysarthria
- 中国听力语言康复科学杂志 2025年23卷第4期页码：397-400
- 作者机构：
  
  皖西卫生职业学院附属医院六安 237000
- 作者简介：
  
  万胜慧本科主管护师；研究方向：神经内科与神经语言学
  王玲，E-mail：45688290@qq.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.04.009
  中图分类号： R473
- 收稿：2025-02-21，
  
  纸质出版：2025-07-15
- 稿件说明：
移动端阅览
万胜慧,王玲,邓冬梅等.励-协夫曼言语干预对脑卒中构音障碍患者康复效果的影响[J].中国听力语言康复科学杂志,2025,23(04):397-400.

WAN Sheng-hui,WANG Ling,DENG Dong-mei,et al.Effects of Lee-Silvemmman Speech Intervention on Timbre Rehabilitation in Stroke Patients with Dysarthria[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):397-400.
万胜慧,王玲,邓冬梅等.励-协夫曼言语干预对脑卒中构音障碍患者康复效果的影响[J].中国听力语言康复科学杂志,2025,23(04):397-400. DOI： 10.3969/j.issn.1672-4933.2025.04.009.

WAN Sheng-hui,WANG Ling,DENG Dong-mei,et al.Effects of Lee-Silvemmman Speech Intervention on Timbre Rehabilitation in Stroke Patients with Dysarthria[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):397-400. DOI： 10.3969/j.issn.1672-4933.2025.04.009.

摘要

目的

探究励-协夫曼言语干预对脑卒中构音障碍患者构音器官运动、言语清晰度、声音质量的影响。

方法

以随机数字表法将2021年1月～2024年1月皖西卫生职业学院附属医院神经内科收治的92例脑卒中构音障碍患者分为研究组和对照组各46例。对照组采用常规构音障碍干预，研究组采用励-协夫曼言语干预，干预14天。比较两组构音器官运动、言语清晰度、嗓音障碍指数、嗓音声学客观指标。

结果

研究组最长发音时间、头部控制、唇力度、舌外伸范围、舌灵活度改善均显著大于对照组（

0.05），言语清晰度显著高于对照组（

0.05），噪音障碍指数功能、生理、情感及总分显著低于对照组（

0.05），基频、谐噪比显著高于对照组，但基频微扰、振幅微扰显著低于对照组（

0.05）。

结论

励-协夫曼言语干预能有效改善脑卒中构音障碍患者构音器官运动及嗓音声学客观指标，提升言语清晰度，降低嗓音障碍指数。

Abstract

Objective

To evaluate the effects of Lee-Silvemmman speech intervention on the movement of articulation organs

speech intelligibility and sound quality of stroke patients with dysarthria.

Method

92 patients with stroke dysarthria admitted to the Department of Neurology

Affiliated Hospital of Wanxi Health Vocational College from January 2021 to January 2024 were divided into a study group and control group by random number table method

46 cases in each group. The control group was treated with routine dysarthria intervention

and the study group was treated with Lee-Silvemmman speech intervention for 14 days. The movement of articulation organs

speech intelligibility

voice disorder index and objective evaluation index of voice acoustics were compared between the two groups.

Results

The longest pronunciation time

head control

lip strength

tongue extension range and tongue flexibility in the study group were better than those in the control group (

0.05). The speech intelligibility of the study group was higher than that of the control group (

0.05). The function

physiology

emotion and total score of the study group were lower than those of the control group (

0.05). The fundamental frequency and harmonic-to-noise ratio of the study group were higher than those of the control group

but the fundamental frequency perturbation and amplitude perturbation were lower than those of the control group (

0.05).

Conclusion

Rei-Schoffman speech intervention can effectively improve the objective evaluation indexes of articulation organ movement and voice acoustics in stroke patients with dysarthria

improve speech intelligibility and reduce voice disorder index.

关键词

Keywords

references

吉莉 , 周蓓 , 吕翔 , 等 . 重复经颅磁刺激联合励-协夫曼言语治疗对脑卒中后吞咽障碍联合嗓音障碍患者嗓音质量的影响研究 [J ] . 实用心脑肺血管病杂志 , 2024 , 32 ( 11 ): 120 - 124 .

Papadopoulos A , Voniati L , Ziavra N , et al . The Effectiveness of Lee Silverman Voice Treatment (LSVT LOUD) on Children's Speech and Voice: A Scoping Review [J ] . Brain Sci , 2024 , 14 ( 9 ): 937 - 937 .

Nozaki S , Fujiu-Kurachi M , Tanimura T , et al . Effects of Lee Silverman Voice Treatment (LSVT LOUD) on Swallowing in Patients with Progressive Supranuclear Palsy: A Pilot Study [J ] . Prog Rehabil Med , 2021 , 6 ( 3 ): 20210012 .

Hayashi K , Izumi R , Saito N , et al . Effectiveness of Lee Silverman Voice Treatment (LSVT-LOUD) in Parkinsonian-Type Multiple System Atrophy (MSA-P): A Case Report [J ] . Cureus , 2024 , 16 ( 11 ): e73106 .

中华医学会神经病学分会 , 中华医学会神经病学分会脑血管病学组 . 中国急性缺血性卒中诊治指南2023 [J ] . 中华神经科杂志 , 2024 , 57 ( 6 ): 523 - 559 .

李胜利 . 语言治疗学 . 第2版 [M ] . 北京 : 人民卫生出版社 , 2013 . 122 - 142 .

谭茗丹 , 冯锭瑶 , 陈曦 , 等 . 中文版构音障碍影响程度量表对帕金森病患者的信度和效度 [J ] . 中国康复理论与实践 , 2022 , 28 ( 6 ): 696 - 703 .

李咏雪 , 谭茗丹 , 范豪 , 等 . 励-协夫曼言语治疗对中国帕金森病患者言语功能的影响 [J ] . 中华物理医学与康复杂志 , 2020 , 42 ( 3 ): 245 - 248 .

李红艳 , 徐文 , 胡蓉 , 等 . 嗓音障碍指数量表简化中文版的研究 [J ] . 听力学及言语疾病杂志 , 2010 , 18 ( 6 ): 566 - 570 .

Rusz J , Tykalova T , Ramig LO , et al . Guidelines for Speech Recording and Acoustic Analyses in Dysarthrias of Movement Disorders [J ] . Mov Disord , 2021 , 36 ( 4 ): 803 - 814 .

杨璐萌 , 程忻 . 血糖及侧支循环对急性前循环大动脉缺血性脑卒中预后的影响 [J ] . 心脑血管病防治 , 2020 , 20 ( 3 ): 229 - 231,238 .

韩晶 , 李金贤 , 谢荣 , 等 . 维吾尔语脑卒中构音障碍患者元音声学特征分析 [J ] . 中国康复 , 2023 , 38 ( 2 ): 78 - 80 .

张文娟 . 听力统合康复训练对缺血性脑卒中后构音障碍的干预效果及对语言功能影响 [J ] . 中华养生保健 , 2024 , 42 ( 20 ): 63 - 66 .

阳杨 , 庞子建 , 刘恒鑫 , 等 . 励-协夫曼言语治疗对2例不同构音障碍患者嗓音的影响比较 [J ] . 中国听力语言康复科学杂志 , 2022 , 20 ( 1 ): 12 - 15 .

廖成钜 , 潘锦梅 , 陈少彬 , 等 . 励-协夫曼言语治疗对帕金森病构音障碍患者电声门图参数和言语功能的影响研究 [J ] . 重庆医学 , 2024 , 53 ( 9 ): 1328 - 1332 .

Baldanzi C , Crispiatico V , Foresti S , et al . Effects of Intensive Voice Treatment (The Lee Silverman Voice Treatment [LSVT LOUD]) in Subjects With Multiple Sclerosis: A Pilot Study [J ] . J Voice , 2022 , 36 ( 4 ): 585.e1 - 585.e13 .

Zhu M , Wang X , Deng H , et al . Towards Evaluating Pitch-Related Phonation Function in Speech Communication Using High-Density Surface Electromyography [J ] . Front Neurosci , 2022 , 16 ( 7 ): 941594 .

Choi Y , Kim D . Effects of Task-Based LSVT-BIG Intervention on Hand Function, Activity of Daily Living, Psychological Function, and Quality of Life in Parkinson's Disease: A Randomized Control Trial [J ] . Occup Ther Int , 2022 , 2022 ( 8 ): 1700306 .

Bryans LA , Palmer AD , Anderson S , et al . The impact of Lee Silverman Voice Treatment (LSVT LOUD®) on voice, communication, and participation: Findings from a prospective, longitudinal study [J ] . J Commun Disord , 2021 , 89 ( 22 ): 106031 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果

音乐疗法在听障儿童康复中的应用研究进展

100动词任务训练对脑卒中后运动性失语命名功能的疗效观察

脑白质异常合并感音神经性突聋儿童康复个案研究

“助康研”全链条听力健康人才培养模式探索与实践