"六字诀"功法训练对脑卒中后迟缓型构音障碍的疗效观察OA

Objective:To explore the clinical efficacy of Liuzijue Qigong training in the rehabilitation of patients with post-stroke flaccid dysarthria.Methods:A total of 70 patients diagnosed with post-stroke flaccid dysarthria were randomly divided into the control group and the observation group,with 35 cases in each group.The control group received conventional respiratory training combined with articulation training,while the observation group received Liuzijue Qigong training plus articulation training.Both groups were trained once a day for 30 minutes each time,five times a week,for a total of four weeks.The Frenchay Dysarthria Assessment(FDA),speech intelligibility evaluation,maximum phonation time(MPT),vocal loudness,and the Chinese version of the World Health Organization Quality of Life Scale(WHOQOL-100)were evaluated before and after intervention.Results:There were no significant differences in all baseline indicators between the two groups before treatment(P>0.05).After four weeks of intervention,both groups showed significant improvements in FDA scores,speech intelligibility,MPT,vocal loudness,and WHOQOL-100 scores(P<0.05),and the observation group achieved significantly better outcomes than the control group(P<0.05).In terms of FDA sub-items,the observation group obtained higher scores in six dimensions including respiration and lip movement,excluding reflexes and jaw position(P<0.05),with particularly prominent improvements in MPT and vocal loudness(P<0.05).Additionally,both groups presented improved scores in the physiological,psychological,and social relationship domains of quality of life(P<0.05),and the observation group showed more significant advantages(P<0.05).Conclusion:Liuzijue Qigong training can effectively improve respiratory and vocal functions in patients with post-stroke flaccid dysarthria,and its curative effect is superior to conventional respiratory training.