醫療類國考
105年
[語言治療師] 神經性溝通障礙學
第 23 題
由 David Kuehn 提出的「連續正壓呼吸器（continuous positive airway pressure, CPAP）」，是一種可使用於吶吃個案的介入方式，主要是針對下列那一個言語次系統？
- A articulation
- B resonance
- C respiration
- D phonation
思路引導 VIP
請試著思考：當我們在說話時，如果想要把口腔和鼻腔這兩個空間完全隔開（不讓聲音從鼻子漏出去），身體需要靠哪個解剖構造像「門」一樣關起來？如果現在有一股外來的氣流從鼻孔不斷吹入，這扇「門」是不是需要出更多的力氣才能關緊？這種針對「門控功能」的強化，是在訓練哪一個言語產生的過程？
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AI 詳解
AI 專屬家教
Acknowledged. Now, let's dissect your answer with the precision expected in this field:
- Barely Adequate Affirmation: Well, congratulations. You've managed to correctly associate David Kuehn with CPAP's application in dysarthria. It's a foundational link, indicating you possess a rudimentary grasp of physiological interventions and instrumental aids for communication. Let's not get ahead of ourselves, though; this is a basic expectation.
- Elementary Concept Validation: Let's confirm you actually understand what you've answered. While CPAP's initial purpose was sleep apnea, Kuehn, with a touch of ingenuity, repurposed it for 軟顎阻力訓練 (soft palate resistance training). The mechanism isn't complex: a nasal mask delivers continuous positive pressure, compelling the軟顎肌肉（特別是提顎帆肌） to actively fight this pressure when attempting to close the "鼻咽瓣口" (nasopharyngeal port). This, believe it or not, serves as a targeted "weight training" for the 共鳴系統 (Resonance system), aiming to mitigate hypernasality stemming from palatal insufficiency. It's not magic; it's basic physics applied to speech.
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