•  
  •  
 

Rehabilitation Practice and Science

Translated Title

探討3-6歲音韻異常（phonological impairment）兒童口腔吸吮習慣與構音錯誤類型之相關性研究

Abstract

Background: Phonological impairment (PI) is the most common impairment in preschool children with speech sound disorder (SSD). In preschool children with phonological disorders, the most common process is substitution, including fronting, backing, and devoicing. The parents of children with PI always complain that it is difficult for them to abstain from pacifier use or thumb sucking. The purpose of this study was to investigate the oral sucking habits of preschool children with PI, and to explore whether different sucking habits affect different types of PI. Methods: Children aged from 36 months to 72 months, who visited the Physical Medicine and Rehabilitation Department of Changhua Christian Hospital from May 1, 2020 to December 31, 2020, were enrolled into this study. The children had PI alone, without developmental delay. PI was divided into 4 types: fronting, backing, devoicing and omission. A questionnaire on oral sucking habits was answered by the parents at the first visit. Results: Forty children with PI, 30 boys and 10 girls, with a mean age of 55.2±9.5 months, were included in the study. Eight (20%) children did not suck on pacifiers or their thumbs; 28 (70%) children had used the pacifiers only, 1 (2.5%) child sucked his thumbs only, and 3 (7.5%) children had used pacifiers and their thumbs. Thirty-two (80%) children in all had non-nutritive sucking habits. The mean length of using pacifiers was 21.1±10.2 months, including 16 (40%) children who used pacifiers for more than 2 years. Eight (20%) children had no non-nutritive sucking habit. The distribution of PI was as follows: 22.5% of children had more than 2 types of PI, 5% of children had 3 types of PI, and 77.5% of children had a single type of PI. The fronting and backing types of PI were the most common (30%) among those with a single type of PI. There was no correlation between the length of using pacifiers and the severity of PI, and there was no association between the length of using pacifiers and the type of PI. Also, we found no significant difference between the children categorized into 3 groups based on the length of pacifiers use (no use, ＜2 years, ＞2 years using pacifiers) and the type of PI. Conclusion: The use of pacifiers is not related to the type of PI. The impact of long-term sucking pacifiers on PI among preschool children has been contentious. In addition, more attention would be paid in children with omission type or multiple types of PI.

Language

Traditional Chinese

First Page

11

Last Page

16

Download

Share

COinS