The Impact of the Mind on Language Function and Motor Function in Children with Cerebral Palsy

ZHANG Xia-li; GUO Jian-xin; WANG Xian; GUAN Jun-ting; ADILIJIANG Karari

doi:10.3969/j.issn.1672-4933.2025.06.021

您当前的位置：

首页 >

文章列表页 >

The Impact of the Mind on Language Function and Motor Function in Children with Cerebral Palsy

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

- The Impact of the Mind on Language Function and Motor Function in Children with Cerebral Palsy
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 6, Pages: 649-653(2025)
- 作者机构：
  
  新疆医科大学第一附属医院乌鲁木齐 830000
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.06.021
  CLC： G762
- Received：21 February 2025，
  
  Online First：17 November 2025，
  
  Published：15 November 2025
- 稿件说明：
移动端阅览
张霞丽,郭建新,王娴等.针刺联合语言训练对脑瘫患儿语言功能与运动功能的影响[J].中国听力语言康复科学杂志,2025,23(06):649-653.

ZHANG Xia-li,GUO Jian-xin,WANG Xian,et al.The Impact of the Mind on Language Function and Motor Function in Children with Cerebral Palsy[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):649-653.
张霞丽,郭建新,王娴等.针刺联合语言训练对脑瘫患儿语言功能与运动功能的影响[J].中国听力语言康复科学杂志,2025,23(06):649-653. DOI： 10.3969/j.issn.1672-4933.2025.06.021.

ZHANG Xia-li,GUO Jian-xin,WANG Xian,et al.The Impact of the Mind on Language Function and Motor Function in Children with Cerebral Palsy[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):649-653. DOI： 10.3969/j.issn.1672-4933.2025.06.021.

摘要

目的

探讨针刺联合语言训练对脑瘫患儿语言功能及运动功能的疗效，分析其与脑血流动力学的相关性。

方法

选取113例脑瘫伴语言发育迟缓患儿，随机分为实验组（n=57，醒脑开窍针+语言训练）和对照组（n=56，单纯语言训练）。干预8周后（T1）采用三维步态分析评估患儿下肢运动学参数（步速、关节活动度），采用构音语音测量仪（S3）及S-S法评估患儿语言功能，采用Berg平衡量表（berg balance scale，BBS）、儿童功能独立性评定量表（functional independence measure for children，WeeFIM）评估患儿运动功能，经颅多普勒（transcranial doppler，TCD）检测脑血流动力学指标（Vm、RI），治疗后12周（T2）随访。

结果

实验组T1时步速（0.79±0.18 vs 0.64±0.16 m/s）、踝关节活动范围（range of motion of the ankle joint，ROM）（44.90±7.25°vs 39.90±6.87°）、构音清晰度（77.85%±12.74% vs 63.07%±11.95%）均显著优于对照组（

0.001）；T2时疗效维持率

85%，实验组总有效率（89.47%）显著高于对照组（64.29%）（

=0.001）；步速改善与词汇量增长呈正相关（

=0.523，

0.001），脑血流Vm升高与步速改善强相关（

=0.673，

0.001）。

结论

针刺联合语言训练可协同改善脑瘫患儿下肢运动控制、语言能力及脑血流灌注，疗效持久，为运动-语言整合康复提供新策略。

Abstract

Objective

To explore the therapeutic effects of awakening the brain and opening the orifice needle combined with language training on lower limb kinematic parameters

language function

and motor function in children with cerebral palsy

and to analyze its correlation with cerebral hemodynamics.

Method

113 children with cerebral palsy and delayed language development were selected and randomly divided into a combination group (n=57

brain awakening acupuncture+language training) and a control group (n=56

simple language training). After 8 weeks of intervention

a three-dimensional gait analysis was used to evaluate lower limb kinematics (step speed

joint range of motion)

articulation speech measurement instrument (S3) and S-S method were used to evaluate language function. Berg Balance Scale (BBS) and WeeFM scale were used to evaluate motor function

transcranial Doppler (TCD) was used to detect cerebral hemodynamic indicators (Vm

RI)

and follow-up was conducted at 12 weeks after treatment (T2).

Result

The walking speed (0.79 ± 0.18 vs 0.64 ± 0.16 m/s)

ankle joint ROM (44.90 ± 7.25 ° vs 39.90 ± 6.87 °)

and articulation clarity (77.85 ± 12.74% vs 63.07 ± 11.95%) of the combined group at T1 were significantly better than those of the control group (

0.001). At T2

the efficacy maintenance rate was

85%

and the total effective rate of the combination group (89.47%) was higher than that of the control group (64.29%) (

=0.001). The improvement of walking speed is positively correlated with vocabulary growth (r=0.523

0.001)

and the increase of cerebral blood flow Vm is strongly correlated with the improvement of walking speed (

=0.673

0.001).

Conclusion

The combination of awakening and opening the orifice needle and language training can synergistically improve lower limb motor control

language ability

and cerebral blood flow perfusion in children with cerebral palsy

and the therapeutic effect is long-lasting

providing a new strategy for the integrated rehabilitation of "motor language".

关键词

Keywords

references

万玲 . 视听语言智能康复技术联合治疗性游戏对语言发育迟缓患儿的影响 [J ] . 中国听力语言康复科学杂志 , 2025 , 23 ( 4 ): 401 - 404 .

王翠 , 李文竹 , 谢旖婧 , 等 . 儿童和青少年脑性瘫痪肌张力与其他健康相关因素交互作用的系统综述 [J ] . 中国循证儿科杂志 , 2025 , 20 ( 1 ): 9 - 21 .

张雯 , 贺勋 , 黄月 . 语言康复训练结合针灸对小儿脑性瘫痪的疗效 [J ] . 河南医学研究 , 2022 , 31 ( 3 ): 485 - 488 .

任爽爽 , 詹焱 , 陈雪 , 等 . 重复经颅磁刺激在儿童语言发育迟缓中的应用 [J ] . 按摩与康复医学 , 2020 , 11 ( 9 ): 14 - 17 .

袁萍 , 梁玮秦 , 邓六香 . 自拟中药复方熏蒸联合醒脑开窍针法对HDU昏迷患者功能恢复的作用研究 [J ] . 医学理论与实践 , 2025 , 38 ( 13 ): 2212 - 2214 .

Rosenbaum P , Paneth N , Leviton A , et al . A report: the definition and classification of cerebral palsy April 2006 [J ] . Developmental Medicine & Child Neurology Supplement , 2007 , 49 (Suppl1): 8 - 14 .

邱霞 , 姜志梅 , 张霞 , 等 . 脑性瘫痪«国际功能、残疾和健康分类(儿童与青少年版)»核心分类组合介绍 [J ] . 中国康复医学杂志 , 2016 , 31 ( 2 ): 222 - 227 .

卢静 , 王丹 , 许春梅 , 等 . 感觉统合训练联合Beckman口肌训练在语言发育迟缓患儿中的应用效果 [J ] . 海军医学杂志 , 2024 , 45 ( 12 ): 1287 - 1291 .

康颖 , 高硕 , 于颖 , 等 . 脑卒中吞咽障碍患者合并构音障碍风险预测模型的构建与验证 [J ] . 护理学报 , 2025 , 32 ( 10 ): 23 - 28 .

路凯 , 张桂成 , 刘鑫 , 等 . 镜像疗法联合头部电针透穴疗法治疗缺血性脑卒中偏瘫的效果 [J ] . 实用心脑肺血管病杂志 , 2025 , 33 ( 8 ): 104 - 109 .

胡斐斐 , 邵莉 , 章晓丽 , 等 . 关键反应训练联合重复经颅磁刺激对孤独症谱系障碍儿童认知功能和社交能力的影响 [J ] . 中国妇幼保健 , 2025 , 40 ( 9 ): 1754 - 1757 .

郝铃钰 , 张英杰 , 陈吕佳 , 等 . 基于转录组测序探讨线粒体对缺血性卒中的作用及电针干预机制 [J ] . 上海针灸杂志 , 2025 , 44 ( 6 ): 740 - 749 .

范卉 , 徐中芹 , 马春霞 , 等 . 经穴推拿联合吞咽康复训练对老年脑卒中后吞咽障碍患者的影响 [J ] . 康复学报 , 2021 , 31 ( 4 ): 286 - 291 .

金虹 , 李欣羽 , 张东旭 , 等 . 头穴针刺对阿尔茨海默病相关信号通路调控的研究进展 [J ] . 中医药导报 , 2025 , 31 ( 2 ): 120 - 123 .

艾洁尔古丽 . 麦合苏木 , 宋娟 ,谢超,等. 静息态fMRI评价脑瘫患儿手术前后的脑功能[J ] . 磁共振成像, 2020 , 11 ( 4 ): 259 - 263 .

余婷 , 阳艳 , 伍雅妮 , 等 . 基于病因学和中西医康复现状探讨脑瘫伴构音障碍临床康复治疗思路 [J ] . 中医药临床杂志 , 2022 , 34 ( 11 ): 1995 - 2000 .

王臣 , 易颖 , 茅旭辉 , 等 . 团体式手-臂双侧强化干预对脑瘫患儿运动功能和功能独立性的影响 [J ] . 全科医学临床与教育 , 2021 , 19 ( 2 ): 165 - 167 .

费维维 . 基于小组形式的构音训练对脑性瘫痪后构音障碍患儿康复效果的影响 [J ] . 兰州大学学报(医学版) , 2019 , 45 ( 5 ): 40 - 45 .

马慧 , 纪昌春 , 张荣妮 , 等 . 基于数据挖掘探讨针灸治疗卒中后运动性失语选穴规律 [J ] . 国际中医中药杂志 , 2025 , 47 ( 2 ): 256 - 261 .

任雯雯 . 针灸联合推拿对脑瘫患儿语言功能、运动能力及血液流变学指标水平的影响 [J ] . 反射疗法与康复医学 , 2023 , 4 ( 23 ): 19 - 22 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

The Impact of Family Intervention Combined with Multi-Sensory Language Rehabilitation Training and Integrated Fun Games on Children with Language Disorders

Construction and Application of Rehabilitation Intervention Scheme for Patients with Sensorineural Hearing Loss Based on PDCA Cycle Theory

Effects of Progressive Language Training Combined with Multisensory Stimulation and Sandplay on the Children with Delayed Language Development

Correlation Analysis between Motor Skill Disorders and Language Function in Children with Autism Spectrum Disorder

Application of Auditory Oral Grammar to Rehabilitation Training of Children with Speech Retardation

Related Author

ZHANG Yong

LI Fen-fang

YAO Li-chao

LANG Lang

XING Shan-shan

ZHANG Chan

WEN Han-li

ZHAO Qing

Related Institution

华中科技大学同济医学院附属武汉儿童医院

中国医科大学附属盛京医院

空军军医大学第一附属医院门诊部

广州中医药大学体育健康学院

厦门弘爱医院康复科

⁰