RU2760197C1 - Method for treatment of acute form of stuttering in children aged 2 to 5 years - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine and can be used to treat an acute form of stuttering in children aged 2 to 5 years. Treatment is carried out at home in the presence of the closest adult relatives without external irritating factors. Moreover, the treatment is carried out in three stages. At the first stage, one month, therapeutic speech is imposed on the child by means of uniform speaking by adults in separate syllables to the metronome. Throughout the first stage, adults receive psychological assistance. After the formation of speech in a child without spasmodic delays and convulsions, the second stage, treatment is carried out for 1-2 months by evenly speaking adults in separate syllables to the metronome. At the third stage, treatment is alternated with the uniform speaking of separate words by adults to the metronome and visiting crowded places by adults and the child. At the same time, between visiting crowded places, the psychologist conducts lessons with the child.

EFFECT: method provides acceleration of treatment of acute stuttering and consolidation of the resulting effect.

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Description

The invention relates to medicine, in particular to methods for treating stuttering.

From the prior art, there is a METHOD FOR STUTTING TREATMENT * RU2306153C2, publ. 09/20/2007], including the use of psychocorrection methods, speech therapy, characterized in that they conduct 5-7 courses of complex rehabilitation, 100 lessons each, while the complex rehabilitation includes the following 3 types of lessons: social and speech rehabilitation - 50 lessons, 45-90 min; adaptive physical rehabilitation - 25 sessions up to 45-180 minutes; psychological and pedagogical rehabilitation - 25 lessons for 45-90 minutes, each lesson is carried out with a generally accepted division into introductory, main and final parts; in the classroom for social and speech rehabilitation through deep disinhibition of speech and a metered load on auditory perception, pronunciation and psychoemotional sphere that increases from class to session, smooth and rhythmic speech is formed, for which the brain is first activated by stimulating the auditory and speech zones, while for excitation the auditory zone of the brain affects the patient's hearing with prolonged and / or loud sounds, speech and non-speech, and to excite the speech zone of the brain, the patient is offered to perform dosed speech loads in the form of prolonged and / or loud pronunciation of sounds, syllables, words, phrases, simple, complex sentences , monologue, in parallel they perform speech therapy generally accepted exercises for the development of smooth and rhythmic speech, but at the same time they perform them in the mode of a simulated psychoemotional load of a mini-stress nature, at the same time conduct training in public speaking using elements of dispute, argumentation and evidence of speech in interactive and polylogical modes; in classes on adaptive-physical rehabilitation, deep stretching of the muscles is carried out and for this, the main part of the lesson includes the performance of the gymnastic exercise "sitting bent over" in a static isometric mode, and during the exercise they strive to achieve the patient's position "legs together, chest lies on their feet", at which the angle formed by the patient's back and legs is zero, and to gradually achieve this state from session to session, the load is increased slightly beyond the tolerance limit so that the angle formed by the patient's back and legs decreases from session to session; in addition, at each lesson, the duration of the exercise is increased so that it is 30 seconds in the first lesson, increases by 0.5-1 minutes in each of the first 10 lessons and by 5-15 minutes in subsequent lessons, with the duration of the exercise being increased to the last lessons of the course up to 45-180 minutes, depending on individual indications; starting from the 10th lesson, when performing the exercise, an additional external load is exerted on the patient's back in the form of either pressing with the hands of the trainer, or imposing a load on the back, while the weight of the load is increased from session to session and gradually brought to a mass equal to half of the patient's body weight; in the classroom on psychological and pedagogical rehabilitation, stress resistance is developed by repeated repetition of stress loads that increase from class to session and their psychocorrection, for which at each lesson a stressful situation is simulated, aimed at causing a strong emotional response, both positive and predominantly negative, and then psychocorrection is carried out using the techniques of theatrical performance, gestalt therapy, body-oriented therapy with the evocation of expressed emotions, and the classes are carried out first individually, and then in a group of patients.

The disadvantage of this analogue is the long duration of stuttering treatment, which can lead to regression of the achieved results during the correction process, the limited speech disorders that can be corrected in this way, and the strong dependence of the achieved results on the individual characteristics of the patient.

The closest in technical essence is a METHOD FOR STUTTING TREATMENT * RU2450835С1, publ. 05/20/2012+, which includes self-regulation of the speech system through its connection with an external synchronizer, characterized in that at the first stage, a session of imperative suggestion and emotional stress therapy is performed, after which patients are prescribed a silence mode outside of class for 5 days, then training sessions are conducted correct speech exhalation, voice delivery and voice leading, in addition, at the first stage, autogenic training is carried out, at the second stage, exercises are carried out in which patients are taught to synchronize speech with tactile irritation of the palms and fingers, in addition, at this stage, they conduct sessions of relaxing massage, self-massage , as well as sessions of group therapy to re-shape the attitude of patients to the speech defect, to increase the motivation for treatment, at the third stage, the skill of synchronizing speech with tactile irritation of the palms and fingers formed in patients is used in artificially created difficult situations in the "public speaking" mode, graduallyreplacing the movements of two hands with the movement of one leading hand, and then, with speech, without its accompaniment by the movement of the leading hand.

The disadvantage of the prototype is the long term treatment of stuttering, which, on the one hand, is due to insufficient psychoemotional and muscle relaxation of the patient before training, as well as a limited set of tools to influence the process of restoring speech function.

The objective of the invention is to eliminate the disadvantages of the prototype.

The technical result of the invention is to accelerate the treatment of acute stuttering, consolidate the effect.

The specified technical result is achieved due to the fact that a method of treating acute stuttering in children aged 2 to 5 years, including treatment at home in the presence of closest adult relatives without external irritating factors, and the treatment is carried out in three stages: at the first stage within one month, the child is imposed a healing speech through uniform speaking by adults of individual syllables under the metronome, while throughout the first stage, adults are provided with psychological assistance; after the formation of speech in the child without spasmodic delays and seizures, the second stage of treatment is carried out, in which treatment is continued for 1-2 months by means of uniform speaking of separate syllables by adults under the metronome; at the third stage, treatment is alternated with the adults speaking evenly with separate words under the metronome and visits by adults and the child to crowded places, while between visits to crowded places, the psychologist conducts classes with the child.

In particular, external irritants include radio and television broadcasts, and computer games.

Implementation of the invention

The method is designed for the treatment of an acute form of stuttering in children from 2 to 5 years old, while an acute form of stuttering means stuttering that has arisen from several days to several weeks before the start of treatment.

The therapeutic effect in this case is achieved by creating a special treatment environment for the child, which includes the following regime moments: refusal to visit preschool institutions, any circles and sections, crowded places. The child's stay at home in the presence of only the next of kin. Exclusion from the life of a family and a child of watching TV, listening to radio broadcasts that excite the nervous system of computer games. Creation of the most relaxed and welcoming atmosphere at home. In addition, one of the most important techniques in achieving a therapeutic effect is to impose a certain rhythm of speech on the child. To do this, all surrounding adults must completely abandon the usual fluent speech in the presence of a child and completely switch to post-syllable, uniform speech. To facilitate this transition, you can use a metronome, a simulated app, or an electronic device. The imposition of a healing speech on a child should take place in a very soft, benevolent manner, through games and positive reinforcement. At this stage, parents are provided with psychological assistance aimed at maintaining a high level of motivation, faith in the successful completion of treatment and reducing the stress level due to forced isolation. Within a month of adherence to the therapeutic regimen, thanks to the activity of the mirror neurons of the cerebral cortex, the child switches to speaking in an equal-metric speech, which allows him to get rid of hesitation. Speech becomes smooth, without spasmodic delays and convulsions. To maintain a positive result, a consolidation stage is required. At this stage, the family continues to adhere to the treatment regimen and equal speech. At the end of this stage, the third, final stage of treatment begins, namely, the exit from the regime and return to normal life and ordinary fluent speech. This stage takes place strictly under the supervision of a specialist, is carried out gradually and consists in regular visits of parents with a child to crowded places, gradually increasing the time of stay and alternating them with periods of previous isolation and observation of changes in the child's speech. At this stage, it is advisable to involve a child psychologist in the work, with the goal of returning to kindergarten as less traumatic for the child as possible.

Compliance with all the conditions that make up this method allows you to reverse pathological processes and return the child to the skill of smooth, healthy speech.

Claims (2)

1. A method for the treatment of acute stuttering in children aged 2 to 5 years, including treatment at home in the presence of closest adult relatives without external irritating factors, and the treatment is carried out in three stages: at the first stage, the child is imposed on the child within one month healing speech through uniform speaking by adults of individual syllables under the metronome, while throughout the first stage, adults are provided with psychological assistance; after the formation of speech in the child without spasmodic delays and seizures, the second stage of treatment is carried out, in which treatment is continued for 1-2 months by means of uniform speaking of separate syllables by adults under the metronome; at the third stage, treatment is alternated with the adults speaking evenly with separate words under the metronome and visits by adults and the child to crowded places, while between visits to crowded places, the psychologist conducts classes with the child. 2. The method according to claim 1, characterized in that external irritants include radio and television broadcasts, computer games.