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Nonverbal Communication Tool for Children with Severe Motor and Intellectual Disabilities Using Biochemical Measurement

机译：使用生化测量为患有严重运动和智力残疾的儿童提供非语言交流工具

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Children with severe motor and intellectual disabilities (SMID) find it almost impossible to communicate whether they are feeling comfortable or uncomfortable. Most of the children with SMID rely on medical care involving disposable-type life support devices such as tracheostomy tubes or gastric tubes. It is believed that the insertion and removal of these medical devices could cause extreme physical pain under certain circumstances. The authors have previously reported a hand-held type salivary amylase (AMY) activity monitor that can be used to evaluate the sympathetic nervous system. This report proposes a nonverbal communication procedure based on a biochemical measurement using AMY activity for children with SMID. The physiological conditions of these children were evaluated using a hand-held type AMY activity monitor that we fabricated. The AMY activity and heart rate of six subjects, who required daily insertion and removal of tracheostomy tubes or gastric tubes, were simultaneously measured before and after medical care. Apart from one subject who required a respirator due to severe cerebral palsy, the experimental results showed that the AMY value increased sharply by 200 400% after medical care compared to the resting state. Furthermore, the rate of change of AMY activity was 10 times larger than the change in heart rate. Therefore, it is suggested that using these biochemical measurements a nonverbal communication tool for children with SMID can be established
机译：患有严重运动和智力残疾（SMID）的儿童几乎感觉不到交流，无论他们感到舒服还是不舒服。大多数患有SMID的儿童都依赖于涉及一次性生命支持设备（例如气管造口管或胃管）的医疗服务。人们相信，在某些情况下，插入和取出这些医疗设备可能会导致极度的身体疼痛。作者先前曾报道过一种手持式唾液淀粉酶（AMY）活性监测仪，可用于评估交感神经系统。本报告提出了一种基于生化测量的非言语交流程序，该方法使用了SMID儿童的AMY活动。使用我们制造的手持式AMY活动监测仪评估了这些孩子的生理状况。在医疗护理前后同时测量了六名每天需要插入和拔除气管造口管或胃管的受试者的AMY活动和心率。除了一名因严重脑瘫而需要戴口罩的受试者外，实验结果表明，与静息状态相比，医疗后的AMY值急剧增加了200 400％。此外，AMY活动的变化率比心率变化大10倍。因此，建议使用这些生化测量方法可以为SMID儿童建立非语言交流工具

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