The correction method open rhinolalia in children and adolescents

 

(57) Abstract:

The invention relates to medicine, speech therapy. Hold finger massage of biologically active points located on the head and body. After this exercise, the impact of the microflow from device "Aurica" on auricular points. The method extends the tools of influence. table 1.

The invention relates to speech therapy when using methods of reflexotherapy.

Closest solution is the use of acupressure and acupuncture in the treatment of speech disorders in children (tank, Workshop on Chinese acupuncture and acupressure for children. - Taganrog: Academic publishing International Institute of Chinese medicine, 1995. - S. 137-138). For disorders of speech, regardless of the reasons for the delay of speech development, the author suggests that acupuncture effects on the following BATH: WITH4WITH5, MS6, Gl4E36; VG15, VG14, VG11. The treatment is performed 2 times per week, the series consists of 10 sessions, a break between the series - 1-2 weeks. After 3 series - long break. The treatment lasts 1-2 years. The need for a differentiated approach to children depending on their age, etiology, symptomatic the political correction in cases of organic open rhinolalia, due to anatomical and physiological defects of the vocal apparatus, by using the combined effects of method of acupressure and auriculoventricular (the effect on the acupuncture points of the ears with micro current through the device for electroreflectance and correction).

This object is achieved by holding finger acupressure soothing way for 4-5 biologically active points (BAP), located on the head and body of the patient, from the series: RP6, MS, MS, F3, P5, P7, P11, VB4, VB18, VG14, VG15, VG20, VG26, VG27, VG28, RS, GI2, GI4, GI6. GI7, GI11, GI19, GI20, E3, E5, E6, e, e, E36, e, V15, V40, VC15, VC17, VC22, followed by painless for the patient impact within 1-3 minutes on the acupuncture point (AT) of ears with micro current through the device for electroreflectance and correction "Aurica" from a number of: 2, 3, 4, 5, 6, 11, 13, 14, 15, 16, 22A, 29, 31, 33, 51, 55, 84, 100, 104, 111. Reflexology is 2 courses of 10 days each, with an interval of 10 days. If required courses are repeated in 3-6 months.

Is finger acupressure:

BAT: GI4, E36, RP6, MS, VG20, VG14, F3 - point wide-spectrum, providing for the exposure method of acupressure restorative, against the I20, E3, E5, E6, e, e, e, V15, V40 - point local actions that weaken the tension of the facial muscles, muscles of tongue, mouth, larynx and vocal folds; strengthening and activating the muscles of the face, pharynx, soft palate;

BAT: P5, P11, V15, VG27, VC15, VC17, VC22, MS, R1 - point regulating speech breathing, correct muscle interconnectedness of the vocal apparatus.

In the process of auriculoventricular makes an impact on AT the ears:

- 2, 3, 4, 5, 6, 11, 14, 15, 16, 55, 84, 111 - AT associated with organs of the peripheral speech apparatus (tongue, mouth, soft palate, nasopharynx, throat, larynx, vocal folds, and others), with the objective of enhancing velopharyngeal closure, activation of the muscles involved in speech;

- 13, 22A, 29, 31, 33, 51, 55, 82, 100, 104 - AT regulating speech breathing; activating related work the muscles of the organs of articulation, breathing and golosovanie.

The method is as follows: every rhinolalia after a thorough medical, psychological and speech therapy examination is conducted two courses of acupuncture, developed individually for each patient based on the survey results. Each course consists of 10 daily sessions with an interval of 10 days between I and II course.

For example, in the process of acupressure was applied impact on symmetric BAHT, BAHT front and rear surfaces of the body, at the local and distant points were used bilateral cross-combination of points (GI4 - right and E36 left; GI4 - left and E36 - right), the method of the triangle (the top point on the front or sidesliding Meridian). In addition, at each session of the course with regard to symptomatology open rhinolalia for each patient were selected combination BAT, positively affecting the body, activates the muscles of the vocal apparatus, in particular the muscles of the larynx, nasopharynx, soft palate, participating is breathing, phonation.

When using auriculoventricular at each session of the course was carried out impact on 4 AT each ear with the aim of strengthening the muscles of the soft palate, nasopharynx to restore velopharyngeal closure for the purpose of normalization of the state speech breathing, golosovanie, the mobility of the organs of articulation. AT 55 is used at each session auriculoventricular as a point with a pronounced anti-inflammatory, sedative, antispasmodic and anti-stress effect.

Before the surgery, uranoplasty (elimination of cleft palate surgery) method was used to prepare segments Palat to participate in velopharyngeal closing, which reduces the time of release of the sky and allows to increase his mobility after surgery to prevent degeneration of the muscles of the pharynx, activation of the organs involved in speech.

15-20 days after surgery to close the cleft or after applying functional of pharyngeal obturator these methods reflexology has been used extensively to eliminate swelling heaven, ensure adequate velopharyngeal closure, development of mobility Palat, potnia and voices in children and adolescents with open rhinolalia.

The method of combined use of acupressure and auriculoventricular was tested in the experimental group of 14 children, adolescents and adults with an open rhinolalia (9 preschool children, 3 teenagers, 2 adults seeking speech therapy through the center of traditional medicine "Albina" , Kursk. With a control group of children and adolescents with organic open rhinolalia (10 preschoolers, 4 student) was conducted logopedic correction without using reflexology-based speech therapy rooms children's polyclinics, Kursk.

The application of the described method for correcting the large majority of patients with rhinolalia experimental group (9 of preschool children, 1 teenager 1 adult, which is about 79% of the study) had persistent positive changes in the state of velopharyngeal closure, articulatory motor, prosodic components of speech, breath, voice, making it possible to significantly reduce the time logopedic correction: formulation and introduction to speech missing or distorted sounds, eliminate nasal tone of speech. The remaining 3 rhinolalia were also noted positive changes in the state of relazioni scars and violations of the dental series.

In the control group, the positive results of the correction of the open rhinolalia were obtained from 6 preschoolers and 1 student that is 50% of the study, and the time the process logopedic correction in children of the control group lasted 2-3 times longer than in the experimental group. The other children saw a slight improvement in speech, continued its nasalization.

An example of a specific implementation.

Julia K., age 6 - congenital open rhinolalia, unilateral cleft hard and partly soft palate, the state after uranoplasty conducted in 5 years.

The organs of articulation: the tongue drawn back to the throat, its root and backrest raised up, the tip of the tongue paretic; soft palate passively, not separates the oral and nasal cavity, there is no closure of the soft palate and the posterior pharyngeal wall. On the top of the sky - postoperative scars. The breath is shallow, rapid. Totally broken the sound pronunciation of consonants and vowel sounds. The sounds are pronounced distorted with a strong nasal tone by connecting nasal cavity and changes the aerodynamic conditions phonation. Speech Malorossiya, although the girl some what open rhinolalia in this particular case was used a calming effect on BAT: RS, VG14, VG28, VG20, GI4, GI11, GI19, GI20, E5, E6, e, e, E36, IG18, VC15, VC22, VB4, VB18, V15, V40, R11 and others, as well as auriculoventricular for 1-2 minutes on each of the AT (see table).

As a result of application of the described correction method open rhinolalia, and other medical and speech therapy tools, the girl positive dynamics in the state language functions began to appear by the end of session 1 of the course: gradually start to climb the soft palate by strengthening and stimulating his muscles by using the described methods of reflexotherapy; improved state of the muscles of the articulatory apparatus, in particular, has been eliminated particnote muscles of tongue; improved state speech breathing and phonation, decreased nasalization speech that helped to start speech therapy correction of violations of sound pronunciation and other aspects of speech to the end of the first course correction. By the time the end of the second course correction the girl managed to put the vowels sounds, whistling and sanaatana consonants, work began hissing sounds and sonorama significantly decreased nasal tone of voice due to the recovery of velopharyngeal closure.

Thus, the task has reached The correction method open rhinolalia in children and adolescents, includes the combined effect of acupressure on biologically active points on the head and body of the patient and auriculotemporal, characterized in that the conducting finger acupressure soothing way 4-5 biologically active points located on the head and body from a number: RP6, MC5, MC7, F3, P5, P7, P11, VB4, VB18, VG14, VG15, VG20, VG26, VG27, VG28, PC3, G12, G14, G16, G17, GI11, GI19, GI20, E3, E5, E6, E9, E24, E36, E45, V15, V40, VC15, VC17, VC22, followed by painless for the patient impact with micro current from the device to electroreflectance and correction "Aurica" for 1-3 minutes on each of 4 auricular points from a number of: 2, 3, 4, 5, 6, 11, 13, 14, 15, 16, 22A, 29, 31, 33, 51, 55, 84, 100, 104, 111, while the sessions are conducted daily at the rate of 10 sessions, the second course in 10 days, courses repeated in 3-6 months.

 

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2 dwg

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