モーラ指折り法による麻ひ性構音障害（仮性球麻ひタイプ）患者の言語訓練

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  • Treatment for Spastic Dysarthric Speech Using the Mora-by-mora Method with Finger-counting Gestures.

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This study aimed at examining the immediate and long-term effects of the mora-by-mora method with finger-counting gestures for the treatment of dysarthric patients. In this method, patients with spastic dysarthria are asked to utter each mora together with finger-counting gestures so that an individual mora is produced deliberately and separately and morae are not elided. Five spastic dysarthric patients with a history of cerebrovascular accident were enrolled in individual speech training using this method for 3 to 3.5 months and their speech was evaluated perceptually. The results were as follows:<BR>1. Improvement in perceptual score was obtained for “severity of dysarthria” (sum of scale values for Bizarrenes and Intelligibility) in all five patients.The dimensions showing significant improvement (decrease in scale value of more than 0.5) were: Distorted vowels, Imprecise consonants, Nasal emission, Hypernasality, Bizarreness, Intelligibility, etc. By contrast, deterioration (increase in scale value of more than 0.5) was noted for the dimensions of Prolonged intervals and Rate-slow.<BR>2. At 6 to 36 months after the termination of training, no change was observed in severity in 3 patients out of the 5, while deterioration was seen in the remaining 2.

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