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基于HT-CHC模式的康复训练对特定学习障碍儿童认知能力的影响OACSTPCD

Effect of rehabilitation training based on HT-CHC mode on cognitive ability of children with specific learning disabilities

中文摘要英文摘要

目的 探讨基于CHC认知理论、以假设检验CHC模式(HT-CHC)为基础的个性化康复训练对特定学习障碍(SLD)儿童的干预效果.方法 采用自身前后对照研究.选择 2021 年 1 月至 2023 年 1 月在复旦大学附属儿科医院学习与阅读障碍门诊就诊的SLD儿童 42 名.诊断后采用感觉统合能力发展量表Ⅱ、快速命名(数字、图形)测试表、书写表现评估表、无运动视觉感知测试(第 4 版)(MVPT-4)、注意缺陷多动障碍评定量表评估儿童认知能力,根据评估结果制定个性化康复训练计划,每周 1 次,10 次为一疗程,并于康复治疗 3 个月再次进行上述量表评估,比较康复治疗前后各量表得分变化.结果 康复治疗后,SLD儿童感觉统合(前庭觉、本体觉及学习能力)、书写能力表现(工整性、握笔工学、书写方向)、视知觉功能(视觉辨别、视觉记忆、空间关系及视觉完型)、快速命名(数字及图片快速命名)及注意力均较治疗前改善(P均<0.05).结论 基于HT-CHC模式的针对性康复训练可以有效提高SLD儿童的各项认知能力.

Objective To evaluate the interventional effect of personalized rehabilitation training based on CHC cognitive theory and hypothesis testing CHC(HT-CHC)mode on children with specific learning disabilities(SLD).Methods In this self-control study,42 children with SLD who attended the Learning and Dyslexia Clinic of the Pediatric Hospital of Fudan University from January 2021 to January 2023 were selected.After diagnosis,they were assessed for cognitive abilities by the Sensory Integration Developmental Scale,Rapid Naming(Numbers,Figures),Writing Performance Assessment Scale,No-Motion Visual Perception Test(MVPT-4),Attention Deficit Checklist.Personalized rehabilitation training plans were formulated according to the assessment results,once a week for 10 sessions.Assessment data were collected pre-intervention and 3 months post-intervention for its own before-and-after control study.Results After the rehabilitation treatment,children with SLD showed significant improvement in sensory integration(vestibular sense,proprioception,and learning ability),writing performance(neatness,pen grip engineering,and writing direction),visual-perceptual function(visual discrimination,visual memory,spatial relationship,and visual completion),rapid naming(rapid naming of numbers and pictures),and attention compared with the pre-treatment period(all P<0.05).Conclusions Targeted rehabilitation training based on the HT-CHC mode can effectively improve the cognitive abilities of children with SLD.

骆丹丹;沈敏

上海中医药大学康复医学院,上海 201203||复旦大学附属儿科医院,上海 201102上海中医药大学康复医学院,上海 201203||上海市特殊儿童康复中心,上海 201619||上海交通大学医学院附属上海儿童医学中心,上海 200127

HT-CHC模式学习障碍认知能力康复训练

HT-CHC modeLearning disabilityCognitive abilityRehabilitation training

《新医学》 2024 (12)

1047-1053,7

上海市残联科研项目(2023ZC1006)

10.3969/j.issn.0253-9802.2024.12.011

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