The effect evaluation of palatal lift prosthesis used in the patients with dysarthria and severe velopharyngeal insufficiency
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The effect evaluation of palatal lift prosthesis used in the patients with dysarthria and severe velopharyngeal insufficiency
Journal of Chongqing Medical UniversityVol. 47, Issue 12, Pages: 1472-1478(2022)
作者机构:
滨州医学院附属医院 康复医学科,滨州,256600
作者简介:
基金信息:
DOI:
CLC:R493
Published:2022,
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Guo Meng. The effect evaluation of palatal lift prosthesis used in the patients with dysarthria and severe velopharyngeal insufficiency. [J]. Journal of Chongqing Medical University 47(12):1472-1478(2022)
DOI:
Guo Meng. The effect evaluation of palatal lift prosthesis used in the patients with dysarthria and severe velopharyngeal insufficiency. [J]. Journal of Chongqing Medical University 47(12):1472-1478(2022)DOI:
The effect evaluation of palatal lift prosthesis used in the patients with dysarthria and severe velopharyngeal insufficiency
Objective: To investigate the effect of palatal lift prosthesis (PLP) on the curative effect and nasal flow of patients with dysarthria. Methods: From April 2020 to January 2021
18 patients (15 males and 3 females) with dysarthria and severe velopharyngeal insufficiency (VPI) who underwent language training in the Department of Rehabilitation Medicine
Binzhou Medical University Hospital were included in the study
aged from 16 to 59
with an average age of 38.0 years old. The PLP group received PLP and rehabil-itation training (excluding training to overcome nasalization)
and the pure training group only received rehabilitation training
with a treatment course of 20 days. The two groups of patients underwent velopharyngeal lateral X-rays (photostatic and phonation/i/audiovisual each) measurement
and nasal flow tester to test the nasal flow
to determine the longest vocalization time
the speed of vocal rotation and the speech clarity. Results: In patients with dysarthria and severe VPI
the soft palate movement angle decreased
and the relative VPI rate increased. In the PLP group
the angle of movement of the soft palate was significantly increased compared to before treatment. The shortest distance between the soft palate and the posterior pharyngeal wall and the relative VPI rate were significantly reduced compared with before
the nasal flow was significantly reduced
the longest vocalization time was significantly prolonged
and the pronunciation was alternated. Movement speed was significantly increased
speech clarity was significantly improved
and the above indicators improved more significantly after wearing PLP and undergoing the training. Conclusion: PLP is an effective method to improve nasalization in patients with dysarthria and severe VPI. It can also improve the patient's longest vocalization time