最新刊期

    卷 23 , 期 4 , 2025

      Expert Forum

    • Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus

      GONG Qin, CHEN Huan, ZHENG Ying-fang
      Vol. 23, Issue 4, Pages: 337-347(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.001
      摘要:Subjective tinnitus is a complicated and highly heterogeneous otological condition with intricate etiology. Sound therapy is a method involving the application of exogenous acoustic stimuli at specific frequencies and intensities to modulate the perception and response to subjective tinnitus. It includes various approaches,such as, Masking Therapy, Tailor Made Notched Music Training (TMNMT), Tailor-made Notch Masking Music Therapy(TNMMT), Tinnitus Neuro Music Therapy(TNMT), Heidelberg Model of Music Therapy(HMMT), Tetanus Stimulation Therapy(TST), Cancellation Therapy(CT) and Hearing Aid Compensation Therapy(HACT). Due to the complexity of tinnitus mechanisms and the significant variation among patients, the underlying mechanisms and therapeutic efficacy of existing sound therapies require further in-depth investigation. This review summarizes the mechanisms, methodologies, and clinical outcomes of commonly used sound therapies in clinical research, compares their treatment durations and target populations, discusses their limitations, and outlines future research directions.  
      关键词:Subjective tinnitus;Sound therapy;Mechanisms;Efficacy   
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    • CHEN Ren-ji
      Vol. 23, Issue 4, Pages: 348-351(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.002
      摘要:This paper systematically introduces the development history, current status, and challenges of speech disorder rehabilitation therapy in China. China's speech rehabilitation has gone through three stages: germination, system construction, and technological innovation, with the disciplinary system gradually improving. The current situation is severe: the patient base is huge, professional talents are severely scarce, and the grass-roots coverage rate is low. Industry challenges are prominent, including the lack of national professional certification standards for speech therapists, insufficient multidisciplinary collaboration, low application rate of artificial intelligence (AI) technology at the grass-roots level, and inadequate equipment investment.In response to the above challenges, core countermeasures are proposed: intensify talent training and improve the education system; promote technological innovation and scientific research, expand AI applications, and strengthen international cooperation; facilitate interdisciplinary integration, enhance medical-educational-social collaboration in speech rehabilitation, improve systems, and establish access standards and medical insurance policies. Guided by policies, technology, and collaboration, a complete ecological chain of prevention-treatment-rehabilitation-social integration will be constructed, the international influence of Chinese speech and language disorder research will be enhanced, and the standardized and professional development of China's speech rehabilitation industry will be promoted.  
      关键词:Speech and language disorder;Speech rehabilitation   
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      Tinnitus research

    • Study on Rehabilitation Biomarkers for Long-term Sound Therapy in Tinnitus

      GONG Qin, CHEN Huan, WANG Hui-min, LI Xin, JI Fei, YANG Hua, YI Hai-jin
      Vol. 23, Issue 4, Pages: 352-359(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.003
      摘要:ObjectiveTo investigate the long-term efficacy of Tailor-made Notched-Masking Music Training (TNMMT) in treating subjective tinnitus and to identify objective quantitative biomarkers for rehabilitation, providing a scientific basis for objective evaluation of tinnitus and therapeutic outcomes.MethodsA multicenter study involving subjective tinnitus patients was conducted. Behavioral data, subjective tinnitus scales, and resting-state electroencephalogram (EEG) data were collected at weeks 0, 2, 4, and 8 of TNMMT treatment.ResultsAfter 8 weeks of TNMMT intervention, subjective tinnitus patients showed significant reductions in Tinnitus Handicap Inventory (THI), Tinnitus Functional Index (TFI), and Visual Analogue Scale (VAS) scores (P<0.05). Over-threshold loudness of tinnitus also decreased significantly (P<0.05). Compared the baseline (week 0), resting-state EEG power spectra at weeks 2, 4, and 8 revealed significant differences in Delta wave power spectral density (P<0.05), Additionally, Theta wave power spectra exhibited significant differences between week 0 and weeks 2/8 (P<0.05). Regional analysis indicated significant changes in Delta wave power in the frontal, left temporal, and parietal lobes, as well as Theta wave power in the left frontal, right temporal, and left central regions. Correlation analysis demonstrated significant negative associations between THI, TFI, and VAS scores with Delta wave power. Specifically, VAS_L scores correlated significantly with Delta wave power in the right parietal lobe (P<0.05), and TFI scores correlated with Delta power in the left frontal lobe (P<0.05).ConclusionThe TNMMT demonstrates efficacy in long-term intervention for subjective tinnitus, with neuroplasticity phenomena observed during the treatment. Significant correlations were identified between delta band power spectral density and subjective rating scales.  
      关键词:Tinnitus;Notched-masking;Tailor-made sound therapy;Subjective scale;Resting-state EEG   
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    • GONG Qin, LIN Zhi-hao, CHEN Huan, FANG Hong-yu, JI Fei, HOU Zhi-qiang
      Vol. 23, Issue 4, Pages: 360-366(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.004
      摘要:ObjectiveTo investigate the characteristics of changes in scale and behavioral measures following short-term initial intervention with Tailor-made Notched-Masking Music Training (TNMMT) in subjective tinnitus, providing clinical assessment for establishing efficacy evaluation criteria in the initial intervention of subjective tinnitus.MethodsWe analyzed data from 1,083 initial intervention subjective tinnitus patients (1,514 ears) enrolled in over 20 medical institutions in China between July 2023 and December 2024, including 764 cases (1,092 ears) of high-frequency (≥3,000 Hz) tinnitus. During the visit, physicians first collected detailed tinnitus histories and pre-treatment tinnitus scales. The tinnitus sound perceived by the patients was then matched to the output of the "Tinnitus Rehabilitation Therapy Device" by adjusting three parameters—pitch, loudness, and bandwidth. A personalized notched masking sound was then tailor-made to the patient based on the above parameters. Subsequently, patients underwent a 10-minute TNMMT session. Subjective scale data (including the Tinnitus Handicap Inventory, THI, and Visual Analog Scale, VAS) and behavioral measures (pitch, loudness, bandwidth, and Residual Inhibition, RI) were collected. Finally, pre- and post-treatment VAS scores (VAS for loudness, VAS_L and VAS for anxiety, VAS_A) were compared and combined with RI to determine the effectiveness of the treatment protocol with the matching parameters.ResultsBefore treatment, the mean VAS_L and VAS_A scores were 4.5±1.8 and 3.9± 2.0, respectively. After 10 minutes of treatment, the scores decreased significantly (P<0.001) to 3.3±1.8 and 2.9±1.8. Post-treatment, RI exceeded 2s in duration in 1,265 ears (83.6%) and 10s in 1,065 ears (70.3%). Patients reported complete tinnitus disappearance in 195 ears (12.9%) and significant reduction in 1,064 ears (70.3%). Among high-frequency tinnitus patients, complete tinnitus disappearance was reported in 124 ears (11.4%), and tinnitus reduction reported in 793 ears (72.6%).ConclusionThe TNMMT protocol with matched parameters used in this study induced significant changes and correlation across tinnitus patients with varying frequencies, loudness levels, and severity. More than 58% of patients with subjective tinnitus showed "significantly effective" or "effective" efficacy and the duration of RI was greater than or equal to 40 seconds after the first intervention. This study provides reliable evidence for the clinical application of TNMMT, and lays a foundation for in-depth understanding of tinnitus intervention mechanism and optimization of intervention programs in the future.  
      关键词:The notched-masking music training(TNMMT);Sound therapy;Subjective tinnitus;Residual inhibition;Tinnitus scale   
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    • GONG Qin, ZHENG Ying-fang, ZHU Min, CHEN Huan, ZHU Ren-jun
      Vol. 23, Issue 4, Pages: 367-377(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.005
      摘要:Tinnitus is a complicated and highly heterogeneous ear disease. The assessment and detection of tinnitus has always been a difficult problem in clinical diagnosis and scientific research. Subjective scales, psychoacoustics and objective markers provide standardized multifaceted for the assessment, diagnosis and rehabilitation of tinnitus. Here, we reviewed and summarized the application of tinnitus scale, psychoacoustics and objective markers in clinical evaluation, matching,efficacy monitoring and mechanism research of tinnitus.We also discussed the outlook of the objective and quantitative diagnosis of tinnitus and its treatment markers.  
      关键词:Tinnitus;Assessment;Tinnitus scale;Psychoacoustics;Objective marker   
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    • Evaluation Methods and Clinical Applications of Tinnitus Questionnaires

      GONG Qin, CHEN Huan, ZHU Ren-jun
      Vol. 23, Issue 4, Pages: 378-388(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.006
      摘要:Tinnitus is a complex otological disorder characterized by multifaceted etiological factors and high clinical heterogeneity. Given its inherently subjective nature, the evaluation and quantification of tinnitus remain persistent challenges in both clinical management and scientific research. Tinnitus scales, serving as the key-tools for tinnitus assessment, provide standardized measurement approaches for clinical research. This paper reviews the evaluation methods of tinnitus and their dimensions, validity, reliability and application characteristics in clinical and research contexts; Elucidates the multidimensional applications of different scales in clinical evaluation, therapeutic outcome tracking and pathophysiological mechanism exploration.Further,it critically evaluates the limitations of current tinnitus subjective questionnaires with an outlook to the future development trend.  
      关键词:Tinnitus;Tinnitus subjective questionnaires;Assessment;Validity;Reliability   
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      Rehabilitation on speech and language disorders

    • Research Progress on Children's Vocal Training Methods

      JI Ling-ling, YAN Chen-xu, ZHANG Sen
      Vol. 23, Issue 4, Pages: 389-393(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.007
      摘要:Children's voice disorder is one of the common diseases in children's otolaryngology, and it is more common in school-age children. In recent years, voice training has become the preferred treatment method for otolaryngology-head-and-neck surgeons to treat voice disorders. This article provides a comprehensive review of voice training methods and outcome evaluation in children, aiming to assist clinicians in understanding the research progress in the field of childhood voice training and providing guidance for developing personalized approaches to voice training for children.  
      关键词:Children's voices training;Personalized treat;Individual treatment;Telemedicine;Psychotherapy   
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    • ZHANG Fang, LI Zheng, LI Yong-qin, SONG Cai-feng, ZHU Xiang-zhi, ZHANG Lei, LI Hong-tao
      Vol. 23, Issue 4, Pages: 394-396(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.008
      摘要:ObjectiveTo explore the articulation characteristics of the children with cochlear implant(CI) and hearing aids(HA).Method196 hearing-impaired children were selected, including 47 children with HA and 149 children with CI.ResultsThere was no significant gender difference (P>0.05). The age difference was significant(P<0.05),and the articulation intelligibility of deaf children in the 3-year-old group was significantly lower than that in the 5-year-old group(P<0.05).There was no significant difference between the 4-year-old group and the 3-year-old and 5-year-old groups. There was a significant diffrence between the two groups of children(P<0.05),and children with CI scored significantly higher than those with HA.ConclusionCI can significantly help hearing-impaired children improve their articulation intelligibility. HA and CI increase the articulation ability of children with age, and enter a peak period of development at the age of 5, but further intervention is needed to improve it.  
      关键词:Articulation;Cochlear implant;Hearing aids   
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    • WAN Sheng-hui, WANG Ling, DENG Dong-mei, LIU Fang
      Vol. 23, Issue 4, Pages: 397-400(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.009
      摘要:ObjectiveTo evaluate the effects of Lee-Silvemmman speech intervention on the movement of articulation organs, speech intelligibility and sound quality of stroke patients with dysarthria.Method92 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.ResultsThe 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 (P<0.05). The speech intelligibility of the study group was higher than that of the control group (P<0.05). The function, physiology, emotion and total score of the study group were lower than those of the control group (P<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 (P<0.05).ConclusionRei-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:Lee-Silvemmman speech intervention;Stroke;Dysarthria;Rehabilitation   
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    • WAN Ling
      Vol. 23, Issue 4, Pages: 401-404(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.010
      摘要:ObjectiveTo explore the impact of audio-visual intelligent rehabilitation technology combined with therapeutic games on speech function in children with delayed language development (DLD).MethodsFrom February 2022 to January 2023, 86 LDD children were equally randomized to observation group(audio-visual intelligent rehabilitation technology combined with therapeutic games) and control groups(routine training) for 3 months. Pre- and post-intervention, utilized Gesell Developmental Schedules (GDS), Diagnostic Receptive and Expressive Assessment of Mandarin-Comprehensive(DREAM-C), and Oral Movement Scale to assess developmental quotient (DQ), language development and oral motor function in the groups.ResultsFor Post-intervention, the observation group significantly showed higher Gesell scores (language, adaptive, social behaviors) versus the controls (P<0.05). Their DREAM-C scores (overall language, comprehension, expression, semantics, syntax) and oral functions (lip, jaw, tongue) were also higher (P<0.05).ConclusionThe Audio-visual intelligent rehabilitation technology combined with therapeutic games enhances intellectual development in DLD children, effectively improving speech and oral motor functions.  
      关键词:Audio visual language intelligent rehabilitation technology;Therapeutic games;Delayed language development;Speech function   
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    • YIN Rong-rong, ZHAO Qing, WEN Han-li, ZHANG Chan
      Vol. 23, Issue 4, Pages: 405-408(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.011
      摘要:ObjectiveTo evaluate the effects of progressive language training combined with multisensory stimulation and sand tray game on the language function of children with delayed language development.Methods131 children with language retardation who received treatment at our hospital from July 2022 to June 2024 were selected as the study objects. The children were divided into a control group (n=65) and study group (n=66) by random number table method. The control group received conventional language rehabilitation training, while the study group received progressive language training combined with multisensory stimulation and sandplay. The clinical efficacy of the two groups were compared.ResultsAfter treatment, the total effective rate of the study group (93.94%) was significantly higher than that of the control group (81.54%) (P<0.05), and the scores of receptivity, communicability, and descriptive language in the study group were significantly higher than those in the control group (P<0.05). The scores of oral motor function, articulation ability, and language clarity in the study group were significantly higher than those in the control group (P<0.05), and the Gesell Development Scale, American Association on Mental Deficiency Adaptive Behavior Scale (AAMD-ABS) and Pediatric Quality of Life Inventory Measurement Models (PedsQLTM) scores in the study group were significantly higher than those in the control group (P<0.05).ConclusionProgressive language training combined with multisensory stimulation and sand table games can significantly improve the language function of pediatric patients, promote their comprehensive development.  
      关键词:Progressive language training;Multisensory stimulation;Sandplay;Language delay;Language function   
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      Clinical Research

    • LU Ting, ZHAO Xia, ZHU Ning
      Vol. 23, Issue 4, Pages: 409-412(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.012
      摘要:ObjectiveTo investigate the developmental patterns of aided hearing thresholds and cortical auditory evoked potential (CAEP)P1 latency and amplitude in children with hearing impairment following a cochlear implant surgery under bimodal auditory intervention,and to evaluate the auditory effects and development of the central auditory cortex plasticity after cochlear implant surgery with bimodal auditory intervention.Methods29 children with hearing impairment with bimodal auditory intervention were selected as study subjects.Aided hearing threshold assessments were conducted in a sound field,and CAEP tests were performed using tone burst stimuli at 500Hz,1000Hz,2000Hz,and 4000Hz. The P1 latency and amplitude under the two auditory intervention methods were compared,and groups were formed based on age and hearing aid compensation effects to compare the CAEP P1 latency and amplitude under bimodal auditory intervention.ResultsThe bimodal intervention group after cochlear implantation had shorter CAEP P1 latency and higher amplitude compared to the unilateral cochlear implant group (P<0.05). There was no statistical difference in CAEP P1 latency and amplitude between the group older than 72 months and the group younger than 72 months (P>0.05).Those with noticeabe hearing compensation effects had shorter CAEP P1 latency and higher amplitude compared to those with poor hearing compensation effects with no statistical difference (P>0.05).ConclusionBimodal auditory intervention can effectively improve the auditory ability of children with hearing impairment,promote the cross-modal reorganization in the central auditory cortex of the brain,and enhance the maturation of the auditory cortex.  
      关键词:Cortical auditory evoked potential;Bimodal artificial auditory intervention;Central auditory cortex   
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    • ZHAO Li-na, YANG Lei, HE Jia-yu
      Vol. 23, Issue 4, Pages: 413-416(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.013
      摘要:ObjectiveTo analyze the correlation of the wearing effect of hearing aids and the degree of hearing loss and asthenia in elderly patients with hearing impairment.Methods150 elderly patients with hearing impairment admitted to our hospital from June 2022 to June 2024 were included as research objects. General information of patients, wearing effects of hearing aids [International Outcome Inventory for Hearing Aid (IOI-HA)], hearing loss degrees frailty and cognitive ability [Mini Mental State Evaluation (MMSE)] were compared. The wearing effect and cognitive ability of hearing aids with different degrees of hearing loss and the wearing effect, cognitive ability and speech recognition rate of hearing aids with different weakening elderly patients with hearing impairment were compared. Spearman correlation analysis was conducted to study the correlation of the wearing effect of hearing aids and cognitive ability with degree of hearing loss and asthenia. Multivariate regression analysis was used to study the influence factors of the wearing effect hearing aids in elderly patients with hearing impairment.ResultsThe IOI-HA score of 150 elderly patients with hearing impairment was 24.56±3.22. The degrees of hearing loss were mild in 82 cases, moderate in 48 cases, and severe in 20 cases. There were 85 cases without asthenia, 43 cases asthenia at early stage, 22 cases asthenia. There were significant differences in MMSE scores among patients with different degrees of hearing loss. The IOI-HA and MMSE score of elderly patients with severe hearing loss was significantly lower than that of those with mild hearing loss, and the IOI-HA, MMSE and speech recognition rate of elderly patients with asthenia was significantly different, and the scores of IOI-HA, MMSE and speech recognition rate of frailty elderly patients with hearing impairment were significantly lower than those without frailty (P<0.05).The wearing effect and cognitive ability of hearing aids was negatively correlated with the degree of hearing loss and asthenia (P<0.05).The degree of hearing loss and asthenia were the factors influencing the wearing effect of hearing aids (P<0.05).ConclusionElderly patients with severe hearing loss and asthenia hearing impairment have poor wearing effects, which is related to the wearing effect of hearing aids. The degree of hearing loss and asthenia are the factors affecting the wearing effect of hearing aids in elderly patients with hearing impairment.  
      关键词:Hearing impairment;Hearing aids;Degree of hearing loss;Frailty;Correlation   
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    • XING Shan-shan, LANG Lang, YAO Li-chao
      Vol. 23, Issue 4, Pages: 417-420(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.014
      摘要:ObjectiveTo analyze the construction and application effects of a rehabilitation intervention program for patients with sensorineural hearing loss based on the plan-do-check-act (PDCA) cycle theory.MethodsFrom March 2022 to March 2024, 110 patients with sensorinear hearing loss diagnosed and treated in our hospital were selected as research objects and divided into a conventional group (n=55) to receive routine intervention, and a study group (n=55) to receive rehabilitation intervention program based on PDCA cycle theory. Auditory ability, speech recognition rate, speech ability, pure tone air conduction hearing threshold and quality of life were evaluated.ResultsBefore intervention, auditory ability, language ability, quality of life score, language recognition rate and pure tone air conduction hearing threshold were compared between the two groups (P>0.05). Compared with pre-intervention, the hearing ability, language ability, life quality score and language recognition rate of the two groups increased after intervention, and the hearing ability, language ability, life quality score and language recognition rate of the research group were higher than those of the conventional group, and the pure tone air-conduction hearing threshold level was lower in the study group, and the pure tone air-conduction hearing threshold level was lower than that of the conventional group (P<0.05).ConclusionThe application of rehabilitation intervention program based on PDCA cycle theory patients with sensorineural hearing loss can enhance their hearing and language ability, improve their quality of life.  
      关键词:Plan-do-check-act cycle theory;Sensorineural hearing loss;Rehabilitation intervention;Language function;Application effect   
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    • YE Xiao-jing, ZHANG Li, ZHAO Nan, MA Yan-fang, TAN Hui-min, YIN Hong-yu, WANG Han-yue, SHAO Yan-hui, YANG Fan, LONG Jiang, LIANG Shuang
      Vol. 23, Issue 4, Pages: 421-424(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.015
      摘要:ObjectiveTo investigate the current status of hearing equipment monitoring for hearing-impaired children and explore methods to enhance their self-monitoring capabilities of hearing equipment.MethodsThis study targeted 427 parents of hearing-impaired children and 64 rehabilitation teachers for hearing-impaired children as respondents. Through face-to-face interviews or remote telephone interviews, we surveyed the abilities of hardware monitoring of the hearing devices of the users, monitoring effectiveness, and investigated rehabilitation teachers' expectations regarding the age at which hearing-impaired children can acquire the ability to self-monitor their hearing devices.ResultsAmong the surveyed hearing-impaired children, 52.66% could check their hearing devices together with their parents, 32.79% could independently check the appearance of their hearing devices, and 32.33% could independently check hearing devices battery levels. 53.54% of families were able to simultaneously use monitoring headphones and the Ling's six-sounds test to monitor hearing equipment effectiveness, with 16.07% doing so daily with headphones and 41.30% performing the Ling's six-sounds daily. 48.88% of families recorded their monitoring results promptly after completing the hearing equipment effectiveness monitoring. For self-monitoring capabilities, 80.60% of hearing-impaired children could promptly provide feedback when they noticed changes in sound quality, but only 8.78% could independently use the Ling's six-sounds test to monitor hearing equipment effectiveness. There were no significant age differences when the children conducted checks with parents (t=1.06, P>0.05). The age for beginning to independently checked hearing equipment appearance was Z=1.41, P>0.05; The age for beginning to independentlycheck hearing equipment batteries was t=1.31, P>0.05. The age for beginning to actively inform parents about hearing equipment malfunctions was Z=1.97, P=0.05.ConclusionWe should continue to strengthen training in hearing equipment monitoring capabilities in rehabilitation practice. Rehabilitation teachers should enhance their guidance in helping hearing-impaired children acquire the ability to self-check their hearing equipments, pay attention to parents' implementation in terms of hearing equipmen monitoring with headphones, Ling's six-sounds testing, and result recording. For hearing-impaired children entering elementary school, rehabilitation teachers should develop plans to gradually guide them in using the Ling's six-sounds test independently to monitor hearing equipments effectiveness.  
      关键词:Hearing impaired children;Hearing management;Monitoring of hearing equipment;Rehabilitation education   
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    • ZHOU Zuo, ZHANG Ya-mei, GUO Si-yuan, MU Yue, CHEN Ren-ji
      Vol. 23, Issue 4, Pages: 425-428(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.016
      摘要:ObjectiveThe aim of this study was to explore the clinical characteristics of otitis media with effusion(OME) in cleft palate(CP) patients.Methods600 ears of 300 CP patients who planned to do palatoplasty in the Department of Oral and Maxillofacial Plastic and Traumatic Surgery, Beijing Stomatological Hospital, Capital Medical University were included in the study. All the patients have accepted acoustic impedance tests and auditory brainstem responses(ABR) before surgery, and the results were recorded and analyzed..ResultsThe incidence of OME in CP children was 83% and the hearing loss was mainly mild in them. A statistically significant difference was determined between ears with and without OME. In the cases with OME(P<0.05),the average ABR wave V threshold was measured larger. A statistically significant difference was determined with latency of I,III and V wave. In the patients with CP,the latency of I,III and V wave prolonged while there was no obvious change in wave I-III and I-V intervals in patients with OME (P>0.05). Whether accompanied with cleft lip or not had no significant correlation with the incidence rate of OME and the degree of hearing loss (P>0.05).There was no significant relationship between the incidence of OME and the types of cleft palate. No significant relationship was determined with the level of hearing loss and the type of cleft palate (P>0.05).ConclusionThe incidence of OME in CP children is high, and the degree of hearing loss is serious. The type of cleft palate with or without association of cleft lip are not related to the incidence rate of OME and the degree of hearing loss. Therefore, oral maxillofacial surgeons and otolaryngologists should focus on the hearing status of children with cleft palate. Children who experience hearing loss need intervention in time.  
      关键词:Cleft palate;Otitis media with effusion;Hearing loss   
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      Rehabilitation Education

    • ZHU Chen-cheng, WU Ting, LIU-Pei, ZHANG Chun-jing, CUI Yuan-yuan, QIU Jian-xin, ZHANG Biao-xin
      Vol. 23, Issue 4, Pages: 429-432(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.017
      摘要:ObjectiveTo explore the care experience of parents of children with congenital deafness.Methods15 parents of children with congenital deafness who were admitted to the Department of Otolaryngology and Head and Neck Surgery of a Grade A tertiary hospital in Hefei City from June to July 2023 were selected for semi-structured interviews. The data were analyzed by Colaizzi seven-step analysis method and themes were extracted. 5 themes were extracted: negative emotional response was strong, significant guilt, high disease uncertainty, heavy physical and mental burden, and post-traumatic growth.ConclusionThe care experience of the parents of children with congenital deafness is complex and diverse. Medical staff should focus on the psychological state of the parents of children with congenital deafness, and help them effectively relieve negative emotions, reduce guilt, improve their cognition of the disease through professional psychological counseling and intervention measures. Positive coping strategies should be adopted to affirm their efforts and growth in adversity. To promote the quality of care and rehabilitation of children.  
      关键词:Congenital deafness;Parents;Caregiving experience;Qualitative study   
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    • WU Ting, ZHANG Biao-xin, QIU Jian-xin, LIU-Pei, ZHANG Chun-jing, CUI Yuan-yuan
      Vol. 23, Issue 4, Pages: 433-436(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.018
      摘要:ObjectiveTo explore the mediating role of resilience between social support and post-traumatic growth of primary caregivers of children with congenital deafness.Methods220 primary caregivers of children with congenital deafness were investigated by general data Questionnaire, Social Support Scale, Resilience Scale and Posttraumatic Growth Scale. Pearson correlation test was adopted to explore the relationship between variables. PROCESS 4.0 Model 4 was used to construct the mediation effect model, and the Bootstrap method was employed to verify the mediating role of psychological resilience. Meanwhile, Harman's single factor test was conducted to eliminate common method bias.ResultsThe social support of the main caregivers for children with congenital deafness was positively correlated with psychological resilience and post-traumatic growth, while psychological resilience and post-traumatic growth were positively correlated (P<0.01).The mediating effect of resilience on social support and posttraumatic growth of primary caregivers of children with congenital deafness was 45.8%.ConclusionThe posttraumatic growth of the primary caregivers of children with congenital deafness is at a lower than medium level, and the resilience and social support are at a medium level.  
      关键词:Congenital deafness;Primary caregiver;Resilience;Social support;Post-traumatic growth;Mediating effect   
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    • LI Fen-fang, ZHAO Pei, ZHANG Yan-jun
      Vol. 23, Issue 4, Pages: 437-440(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.019
      摘要:ObjectiveTo analyze the effectiveness of speech training and auditory discrimination training combined with parental involvement in the rehabilitation of children with dysarthria.MethodsOne hundred and twenty-three children who were hospitalized from May 2021 to May 2024 due to dysarthria were chosen as research participants and split into two groups at random. 61 cases were assigned to the control group and 62 cases to the observation group. The control group was treated with conventional language training, and the observation group was treated with language training and auditory discrimination training with parental participation. The total clinical effectiveness rate of the two groups was compared, and the levels of the two groups before and after treatment were compared in terms of clarity of articulation, correct rate of consonants, clarity of speech, oral-motor function, developmental quotient, and intelligence quotient.ResultsFollowing therapy, the observation group's overall clinical effectiveness rate (91.94%) was considerably greater than the control group's (78.69%) (P<0.05). The observation group's structural clarity, correct consonant rate, and speech clarity were all significantly higher than the control group's (P<0.05). The observation group's mandibular movement, lip movement, and tongue movement scores were notably higher than the control group's (P<0.05). There was a significant difference in the language, adaptive behavior, and personal socialization ratings compared to the control group (P<0.05). The observation group's operational IQ was much greater than the control group's (P<0.05).ConclusionThe combination of speech training and auditory discrimination training with parental participation can significantly improve the correctness of consonants, phonology, and speech intelligibility of children with dysarthria, promote the restoration of their speech function, improve their language, adaptive, and personal social skills.  
      关键词:Dysarthria;Speech training;Auditory discrimination training;Parental involvement;Rehabilitation outcomes   
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    • CAO Jing, AYIGULI Abasi, GULISUMUHAN Abulaiti, ZHOU Xiao-qian, YAKPU Aiheti, ZHANG Mei
      Vol. 23, Issue 4, Pages: 441-444(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.020
      摘要:ObjectiveTo analyze the current status of cognitive functions in children with language disorders, and to analyze the risk factors for cognitive decline in children with language disorders.MethodFrom January 2021 to December 2023, 107 children with language disorders admitted to the First Affiliated Hospital of Xinjiang Medical University and Xinjiang Uygur Autonomous Region Children's Hospital were prospectively collected. The Wechsler Intelligence Scale for Children (WISC) was used to assess all children, and those with scores below 70 were defined as the cognitive impairment group (n=42), while the rest were the control group (n=66). The main clinical characteristics of the two groups of children were compared, and the risk factors for cognitive impairment in children with language disorders were analyzed.ResultsAmong the 107 children with language disorders, 42 (39.25%) had cognitive impairment, with an average WISC score of 86.84±12.84 points, lower than the normal level. Compared with the control group, the proportion of parents who died in the cognitive impairment group significantly increased (23.81% vs. 6.06%, P<0.05). The average weekly outdoor exercise duration was significantly shortened (3.12±1.24 vs. 5.26±1.47 h, P<0.001). The course of the disease was significantly prolonged (4.26±2.12 vs. 3.12±1.58 years, P=0.002). The score for language behavior significantly decreased (28.47±7.93 vs. 34.93±8.03,P<0.001). The proportion of children with cerebral palsy significantly increased (28.57% vs. 6.06%, P<0.05). Multivariate logistic regression analysis showed that average weekly outdoor exercise duration, disease duration, language behavior scale score, and cerebral palsy were independent influencing factors of cognitive impairment in children with language disorders.ConclusionThe incidence of cognitive dysfunction in children with language disorders is relatively high, and early intervention should be targeted at relevant risk factors.  
      关键词:Language disorders;children;Cognitive function;Wechsler intelligence scale for children   
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      Post Education

    • The Principles of Articulation and Articulation Disorders in Mandarin

      LAN Jin-wei, LIU Bo-quan
      Vol. 23, Issue 4, Pages: 445-448(2025) DOI: 10.3969/j.issn.1672-4933.2025.04.021
      摘要:This article starts from the physiological basis of articulation, introduces the respiratory, phonatory, and resonant organs that make up the human articulatory system, as well as articulation methods. It explains the principles and process of Mandarin articulation and summarizes the corresponding articulation disorders caused by damage to articulatory organs, abnormal muscle movement, or improper articulation techniques in each system.  
      关键词:Articulation organs;Articulation disorders;Speech therapy   
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