耳穴贴压联合视觉认知能力训练治疗儿童汉语发展性阅读障碍:随机对照试验OA
Auricular acupoint pressing combined with visual cognitive training for children with Chinese developmental dyslexia:a randomized controlled trial
目的:观察耳穴贴压联合视觉认知能力训练对汉语发展性阅读障碍(DD)患儿的治疗效果.方法:将50 例汉语DD患儿随机分为观察组(25 例,脱落 2 例)和对照组(25 例,脱落 2 例).对照组予视觉认知能力训练,每次40 min,每周1次;观察组在对照组治疗基础上予耳穴贴压治疗,取耳穴神门、皮质下、肾、心、肝、脾,双耳交替,每周1次.两组患儿家长根据当天训练内容每天进行15 min家庭强化训练,均治疗3个月.观察两组患儿治疗前后无运动视觉感知测试(第4版,MVPT-4)、视觉运动整合测验(VMI)、儿童长处和困难问卷(SDQ)评分.结果:与治疗前比较,治疗后观察组患儿 MVPT-4 视觉辨别、视觉记忆、空间关系、视觉完型评分及总分升高(P＜0.05),对照组患儿MVPT-4 视觉记忆评分及总分升高(P＜0.05),两组患儿VMI评分、SDQ亲社会化行为评分升高(P＜0.05),观察组患儿SDQ多动/注意缺陷评分降低(P＜0.05);治疗后,观察组患儿MVPT-4视觉辨别评分及总分、VMI评分高于对照组(P＜0.05),SDQ情绪问题评分低于对照组(P＜0.05).结论:耳穴贴压联合视觉认知能力训练治疗可改善汉语DD患儿的视觉感知及视觉运动整合能力,减少多动/注意缺陷行为,并增加亲社会行为增加.
Objective To observe the therapeutic effect of auricular acupoint pressing combined with visual cognitive training in children with Chinese developmental dyslexia(DD).Methods A total of 50 children with Chinese DD were randomly divided into an observation group(25 cases,2 cases dropped out)and a control group(25 cases,2 cases dropped out).The control group received visual cognitive training for 40 min,once a week.The observation group received auricular acupoint pressing treatment in addition to the same visual cognitive training.The selected auricular acupoints included Shenmen(TF4),subcortex(AT4),Kidney(CO10),Heart(CO15),Liver(CO12),and Spleen(CO13),applied alternately to both ears,once a week.Parents of both groups were instructed to provide 15-minute daily home-based reinforcement training according to the day's session.The treatment lasted for 3 months.Before and after treatment,the motor-free visual perception test-4(MVPT-4),visual-motor integration(VMI),and the strengths and difficulties questionnaire(SDQ)scores in the two groups were assessed.Results Compared with before treatment,the observation group showed significant increases in MVPT-4 sub-scores of visual discrimination,visual memory,spatial relations,visual closure,and total score after treatment(P＜0.05),while the control group showed significant improvement in MVPT-4 sub-score of visual memory and total score(P＜0.05).Both groups had increased VMI scores and SDQ scores of prosocial behavior(P＜0.05).In the observation group,SDQ score for hyperactivity/inattention was significantly decreased(P＜0.05).After treatment,the observation group had higher MVPT-4 visual discrimination and total scores,and higher VMI score(P＜0.05)and lower SDQ emotional symptom score compared with the control group(P＜0.05).Conclusion Auricular acupoint pressing combined with visual cognitive training can improve visual perception and visual-motor integration in children with Chinese DD,reduce hyperactivity/inattention behaviors,and enhance prosocial behavior.
骆丹丹;沈敏;王素娟;汪军;丁逸
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 200127||上海交通大学医学院附属上海儿童医学中心,上海 200127复旦大学附属儿科医院,上海 201102复旦大学附属儿科医院,上海 201102复旦大学附属儿科医院,上海 201102
汉语发展性阅读障碍耳穴贴压视觉认知能力训练视感知视觉运动整合随机对照试验
Chinese developmental dyslexiaauricular acupoint pressingvisual cognitive trainingvisual perceptionvisual-motor integrationrandomized controlled trial(RCT)
《中国针灸》 2026 (3)
347-352,6
上海市残联科研项目:2023ZC1006
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