The Effect of EEG Biomimetic Electrical Stimulation Combined with AAC on Children with Cerebral Palsy and Speech Disorders

GUAN Wen-yan; XU Xi-chang; SUN Ying-hong; YANG Jie; ZHOU Fan

doi:10.3969/j.issn.1672-4933.2025.06.019

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The Effect of EEG Biomimetic Electrical Stimulation Combined with AAC on Children with Cerebral Palsy and Speech Disorders

Rehabilitation Education | 更新时间：2026-07-30

- The Effect of EEG Biomimetic Electrical Stimulation Combined with AAC on Children with Cerebral Palsy and Speech Disorders
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 6, Pages: 641-644(2025)
- 作者机构：
  
  江苏大学附属医院儿科镇江 212000
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.06.019
  CLC： G762
- Received：27 March 2025，
  
  Online First：17 November 2025，
  
  Published：15 November 2025
- 稿件说明：
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管文燕,许西长,孙映红等.脑电仿生电刺激联合辅助沟通系统对脑瘫言语障碍儿童的影响[J].中国听力语言康复科学杂志,2025,23(06):641-644.

GUAN Wen-yan,XU Xi-chang,SUN Ying-hong,et al.The Effect of EEG Biomimetic Electrical Stimulation Combined with AAC on Children with Cerebral Palsy and Speech Disorders[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):641-644.
管文燕,许西长,孙映红等.脑电仿生电刺激联合辅助沟通系统对脑瘫言语障碍儿童的影响[J].中国听力语言康复科学杂志,2025,23(06):641-644. DOI： 10.3969/j.issn.1672-4933.2025.06.019.

GUAN Wen-yan,XU Xi-chang,SUN Ying-hong,et al.The Effect of EEG Biomimetic Electrical Stimulation Combined with AAC on Children with Cerebral Palsy and Speech Disorders[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):641-644. DOI： 10.3969/j.issn.1672-4933.2025.06.019.

摘要

目的

探究脑电仿生电刺激联合辅助沟通系统（augmentative and alternative communication，AAC）对脑瘫（cerebral palsy，CP）言语障碍儿童言语可懂度、构音障碍的影响。

方法

以2021年10月～2024年10月江苏大学附属医院82例CP言语障碍患儿进行前瞻性试验，随机数字表法分为观察组与对照组各41例，对照组接受AAC训练，观察组接受脑电仿生电刺激+AAC训练，持续3个月。比较2组疗效、汉语构音语音能力评估词表、口部运动功能量表、Frenchay构音障碍评定法（frenchay dysarthria assessment，FDA）、复旦中文版沟通功能分级系统（communication function classification system，CFCS）、事件相关单位P300（P300潜伏期、波幅）结果。

结果

观察组总有效率（95.12%）显著高于对照组（80.49%）（

＜0.05）；观察组干预后语音清晰度、口部运动功能、FDA评分、CFCS分级、P300潜伏期、波幅均显著高于对照组（

＜0.05）。

结论

脑电仿生电刺激联合AAC治疗儿童CP言语障碍效果较好，可减轻构音障碍，增强言语可懂度及沟通功能。

Abstract

Objective

Exploring the effects of EEG biomimetic electrical stimulation combined with assisted communication system (AAC) on speech intelligibility and articulation disorders on

children with cerebral palsy (CP) speech disorders

Method

A prospective trial was conducted on 84 children with CP speech disorders at XX Hospital from October 2021 to October 2024. They were randomly divided into two groups of 41 each using a random number table method. The AAC group received AAC

while the observation group received EEG biomimetic electrical stimulation+AAC for 3 months. Compare the efficacy of two groups by administering "Chinese Phonetic Ability Assessment Vocabulary"

Oral Motor Function Scale

Frenchay Phonetic Disorder Assessment(FDA)

Fudan Chinese Communication Function Classification System (CFCS)

and Event Related Unit P300 (P300 Latency and Wave Amplitude).

Result

The total effective rate of the combined group was 95.12%

higher than that of the AAC group at 80.49% (

0.05). After intervention

the speech clarity and oral motor function scores of the combined group were higher than those of the AAC group (

0.05). After intervention

the FDA score of the combined group was higher than that of the AAC group (

0.05). After intervention

the CFCS grading of the combined group was better than that of the AAC group (

0.05). After intervention

the latency and amplitude of P300 in the combined group were higher than those in the AAC group (

0.05).

Conclusion

The combination of EEG biomimetic electrical stimulation and AAC has a definite effect on the treatment of CP speech disorders in children

which can reduce articulation disorders

enhance speech intelligibility and communication function

improve event-related potential P300

and is worthy of clinical promotion.

关键词

Keywords

references

Liu F , Zhang R , Cui C , et al . Care burden and quality of life among family caregivers of children with cerebral palsy in China: the mediating roles of social support and coping styles [J ] . BMC Public Health , 2025 , 25 ( 1 ): 506 - 506 .

Hahn Arkenberg RE , Mitchell SS , Craig BΑ , et al . Neuromuscular adaptations of swallowing and speech in unilateral cerebral palsy:shared and distinctive traits [J ] . J Neurophysiol , 2023 , 130 ( 6 ): 1375 - 1391 .

Long HL , Mahr TJ , Natzke P , et al . Longitudinal change in speech classification between 4 and 10 years in children with cerebral palsy [J ] . Dev Med Child Neurol , 2022 , 64 ( 9 ): 1096 - 1105 .

Fiori S , Ragoni C , Podda I , et al . PROMPT to improve speech motor abilities in children with cerebral palsy: a wait-list control group trial protocol [J ] . BMC Neurol , 2022 , 22 ( 1 ): 246 - 246 .

金星 , 黄立 , 金金 , 等 . 脑瘫儿童辅助沟通系统词汇训练效果个案研究 [J ] . 中国听力语言康复科学杂志 , 2022 , 20 ( 6 ): 451 - 454 .

中华医学会物理医学与康复学分会康复治疗学组 , 中国医师协会康复医师分会水疗康复专业委员会 , 中国康复医学会循证康复医学工作委员会 . 脑性瘫痪儿童水中运动治疗临床实践指南 [J ] . 中国康复理论与实践 , 2021 , 27 ( 1 ): 1 - 14 .

庄燕 , 任敏 , 孟宪忠 , 等 . 改良六字诀联合执行功能训练在脑卒中后构音障碍及认知障碍治疗中的价值 [J ] . 临床和实验医学杂志 , 2025 , 24 ( 2 ): 156 - 161 .

余婷 . 补气调衡法针刺结合言语功能训练治疗脑瘫伴构音障碍的临床观察 [D ] . 湖南中医药大学 , 2023 .

张靖 , 韦新艳 , 韦娟 , 等 . 表面肌电图评估脑瘫儿童口部运动训练康复的治疗效果 [J ] . 中国医学物理学杂志 , 2017 , 34 ( 12 ): 1267 - 1272 .

潘娟娟 , 陈雪尔 , 程佩锋 , 等 . 镜像视觉反馈疗法结合语音训练对学龄前功能性构音障碍儿童语音清晰度的影响 [J ] . 中国妇幼保健 , 2025 , 40 ( 1 ): 41 - 44 .

王燕娜 , 史惟 . 复旦中文版沟通功能分级系统的信度和效度研究 [J ] . 中国循证儿科杂志 , 2017 , 12 ( 5 ): 321 - 327 .

Pahisa-Solé J , Herrera-Joancomartí J . Testing an AAC system that transforms pictograms into natural language with persons with cerebral palsy [J ] . Assist Technol , 2019 , 31 ( 3 ): 117 - 125 .

张亚歌 , 王小哲 , 王小品 . 辅助沟通系统训练对痉挛型脑性瘫痪伴交流障碍患儿的效果观察 [J ] . 中国中西医结合儿科学 , 2023 , 15 ( 2 ): 157 - 161 .

MacLellan LE , Stepp CE , Fager SK , et al . Evaluating Camera Mouse as a computer access system for augmentative and alternative communication in cerebral palsy:A case study [J ] . Assist Technol , 2024 , 36 ( 3 ): 217 - 223 .

周涛 , 郭壮丽 , 梁颖 . 经颅直流电刺激联合常规言语训练治疗卒中后失语症患者的疗效观察 [J ] . 临床医学进展 , 2023 , 13 ( 11 ): 17772 - 17779 .

彭华英 , 邓安伦 , 王子静 . 口部运动联合电刺激及构音障碍训练在脑卒中构音障碍的应用 [J ] . 中国当代医药 , 2023 , 30 ( 2 ): 66 - 69 .

郇赛 , 王佩佩 , 杨暖 , 等 . 常规康复治疗联合头部低频电刺激对脑瘫患儿单胺类神经递质、NSE、ET-1及脑血流动力学的影响 [J ] . 海南医学院学报 , 2019 , 25 ( 5 ): 384 - 387 .

耿健 , 娄田 , 刘萍萍 , 等 . 脑电仿生电刺激联合常规康复治疗轻中度智力障碍儿童效果观察 [J ] . 中国康复 , 2024 , 39 ( 9 ): 530 - 533 .

孔令凤 , 杨卫红 , 李玉华 . 发音器官矫正联合语言训练对小儿脑瘫并语言障碍的疗效观察 [J ] . 听力学及言语疾病杂志 , 2024 , 32 ( 2 ): 142 - 146 .

段红莉 , 张中平 , 许秀 , 等 . 初发脑卒中后构音障碍的中医针刺、言语训练联合电刺激干预效果 [J ] . 世界中医药 , 2019 , 14 ( 1 ): 187 - 190 .

李丹慧 , 由丽 , 张传文 , 等 . 经颅直流电刺激联合言语训练治疗老年卒中者不同失语类型的效果研究 [J ] . 老年医学与保健 , 2022 , 28 ( 4 ): 766 - 771,793 .

张媛 , 陈立峰 , 陈薇 , 等 . 集体语言训练联合经颅直流电刺激对语言发育迟缓患儿发育水平、言语功能及神经中枢营养因子水平的影响 [J ] . 现代生物医学进展 , 2024 , 24 ( 6 ): 1166 - 1170 .

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