目的:分析1例遗传性痉挛性截瘫的构音障碍治疗方案以及治疗效果。

方法:以1例自 2023 年11月至 2023 年12月参与本次研究的遗传性痉挛性截瘫患者为研究对象，予以常规构音障碍训练联合重复经颅磁刺激治疗，应用Frenchay 构音障碍评定量表、最长发声时间(maximal phonation time,MPT)、言语清晰度评估、口腔轮替运动(Oral-diadochokinesis,DDK)评定患者构音障碍改善情况。

结果:患者治疗前 Frenchay 构音障碍评定量表总分为95分,治疗后总分为113分;治疗前MPT为4s,治疗后为10s;治疗前言语清晰度评分为86分,治疗后为100分;治疗前 DDK中的顺序运动速率(sequential motion rates,SMR )为 4,治疗后 SMR为9。

结论:遗传性痉挛性截瘫患者接受常规构音障碍训练联合重复经颅磁刺激治疗方案可促进口部运功功能改善,同时也使其言语清晰度显著提高,对患者言语障碍改善可发挥积极作用。

Objective: To observe the efficacy of speech and language therapy in one case ofhereditary spastic paraplegia (HSP).

Methods: A patient with HSP who participated in this study from November 2023 toDecember 2023 was treated with repetitive transcranial magnetic therapy (rTMS) combined with speech and language therapy. The pantient's improvement of dysarthriawas assessed by Frenchay dysarthria assessment scale,maximal phonation time (MPT)、speech intelligibility and Oral- diadochokinesis (DDk).

Results: The total score of Frenchay dysarthria assessment scale was 95 before treatmentand 113 after treatment. MPT was 4 seconds before treatment and 10 seconds aftertreatment. Speech intelligibility score was 86 points before treatment and 100 points aftertreatment,The sequential motion rates (SMR) in DDK before treatment were 4, and aftertreatment, the SMR was 9.

Conclusion: Patients with HSP who received rTMS and speech and language therapypromoted improvements in oral motor function, as well as a significant increase in theclarity of their consonants, suggesting that this protocol may improve dysarthria.