scholarly journals Prewerbalne zachowania komunikacyjne dzieci z zespołem Cri du Chat w ocenie rodziców

Author(s):  
Agnieszka Kamyk - Wawryszuk

Cri du Chat syndrome (CdC) is a rare disease characterized, among others, by decreased muscle tone, microcephaly, and high palate; underdevelopment of the mandible, abnormal structure and laryngeal function (somatic symptoms) and disorders of psychomotor development and intellectual disability (psychomotor symptoms). These children have a varied level of functioning and most of them do not use verbal speech. Describing the problem of preverbal communication behaviors, the following elements were taken into account: the level of behavior in the primary communication, sensory, auditory communication, organization of behavior and signaling needs. The purpose of this article is to describe the pre-verbal behavior of children with Cri du Chat syndrome. The following questions were formulated: What is the level of pre-verbal communication (primary, sensory and auditory) of a child with CdC syndrome? What are the communicative behaviors of the child with the CdC team and at what level of organization? What is the level of signaling your needs by a child with CdC? The preverbal communication behavior of children with the Cri du Chat team presented in the article indicate that they are diverse, ranging from indicating the gesture of what they need, to vocalizing in order to provoke contact with another person. The behavior of the daughter / son indicated by the parents may constitute the basis for the teaching process of preverbal communication.

2003 ◽  
Vol 61 (4) ◽  
pp. 902-905 ◽  
Author(s):  
Lygia Ohlweiler ◽  
Alexandre Rodrigues da Silva ◽  
Sonja Vergínia Barros ◽  
Rudimar Riesgo ◽  
Newra Tellechea Rotta

This study compared the results of neurodevelopmental examination at 6 months' corrected age of premature infants with neonatal seizures and/or intracranial hemorrhage and normal premature infants. There was a statistically significant correlation (p=0.000007) between intracranial hemorrhage and seizures in the group of 68 premature infants seen in the neurodevelopmental outpatient service at Hospital de Clínicas de Porto Alegre, Brazil. Intracranial hemorrhage was significantly associated with multiparity (p=0.02). The neurodevelopmental examination at 6 months' corrected age revealed that patients who suffered neonatal intracranial hemorrhage and/or seizures had inappropriate muscle tone, strength and reflexes, as well as delay in head control. Conclusion: we compared the results of neurodevelopmental examinations of two groups of premature infants at 6 months' corrected age. The difference in neurological development at 6 months' corrected age was statistically significant when comparison was corrected for premature infants who had neonatal seizures and periventricular hemorrhage.


2018 ◽  
Vol 5 (2) ◽  
pp. 508 ◽  
Author(s):  
Prathiba N. Doddabasappa ◽  
N. S. Mahantshetti ◽  
Mahesh Kamate ◽  
Adarsh E.

Background: Low birth weight (LBW) is one of the risk factor for neurodevelopmental delay. The present study was undertaken to assess the role of the Kangaroo Mother Care (KMC) in the neurodevelopmental outcome of low birth weight babies. Methods: The present study was undertaken at Department of Paediatrics, Jawarharlal Medical college, Belgaum during the period from January 2009 to October 2010. The study includes 80 stable LBW babies were randomized into 40 in the KMC group and 40 in convention method of care group. 36 babies in the KMC group and 33 babies in the CMC group completed the study. The Neurodevelopmental outcome was assessed by the Amiel Tison test at three, six, nine and twelfth months of age. This was compared with BSID test, at one year.Results: The neurosensory examination and passive muscle tone (PMT) were found to be abnormal. Majority of the babies in both groups has a normal neurosensory and PMT development at one year. Statistically significant to muscle tone deficit was observed in the CMC babies at six months and nine months (p = 0.005 and p = 0.013). With respect to BSID, 16 and 29 KMC babies had a normal Psychomotor Development Index (PDI) and Motor Development Index (MDI) scores when compared to 8 and 18 CMC babies (p = 0.003 and p = 0.057 respectively). Number of babies with significant delay was observed to be higher in the CMC group being 11 versus 1 for PDI scores and 4 versus 1 for MDI scores.Conclusions: The present study shows that KMC has a beneficial effect on the neurodevelopmental outcome of low birth weight babies and BSID II is a better test to detect the psychomotor and mental developmental delay when compared to the Amiel Tison test.


2012 ◽  
Vol 34 (1) ◽  
pp. 56-58 ◽  
Author(s):  
Billy T. Ogletree ◽  
Patrick Bartholomew ◽  
John C. Wagaman ◽  
Suzannah Genz ◽  
Katie Reisinger

Partner-perceived communication behaviors are catalogued from four institutionalized adults with severe intellectual disabilities who are not intentional communicators. These behaviors have been observed in typically developing infants and are speculated to comprise the earliest end of a developmental continuum culminating in conventional communication. Clinical applications of findings are discussed.


2016 ◽  
Vol 16 (suppl 1) ◽  
pp. 39-44 ◽  
Author(s):  
Ana Carla Gomes Botelho ◽  
Luana Valeriano Neri ◽  
Marina Queiroz Ferreira da Silva ◽  
Thaisa Teixeira de Lima ◽  
Karla Gonçalves dos Santos ◽  
...  

Abstract Introduction: the identification of Zika virus (ZikV) in the amniotic fluid, in the placenta and in newborns' brains suggests a neurotropism of this agent in the brain development, resulting in neuro-psycho-motor alterations. Thus, this present study reports the assessment of children diagnosed by a congenital infection, presumably by ZikV, followed-up at the Rehabilitation Center Prof. Ruy Neves Baptist at the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP). Description: as proposed by the Ministry of Health, the following instruments were used to evaluate the neuro-motor functions of four children with microcephaly aged between three and four months: The Test of Infant Motor Performance (TIMP); the functional vision assessment; the manual function scale development; and the clinical evaluation protocol on pediatric dysphagia (PAD-PED). Discussion: the children evaluated presented atypical motor performance, muscle tone and spontaneous motricity which encompass the symmetry and the motion range of the upper and lower limbs proven to be altered. The functional vision showed alterations which can cause limitations in the performance of functional activities and the learning process. Regarding to the speech articulator's functions observed that the maturation and coordination of sucking, swallowing and breathing did not yet encounter the appropriate age maturity level.


2019 ◽  
Vol 7 (3) ◽  
pp. 6
Author(s):  
G A. Butko ◽  
O. V. Suvorova ◽  
S. N. Sorokoumova

Introduction: the article is devoted to the study of the motor sphere of preschoolers with mental retardation. The issues of complex diagnostics of physical development, motility and psychomotor children of children with mental retardation in comparison with their normally developing peers are considered. Disorders of motor development of preschool children with mental retardation are not clearly expressed, but, to a large extent, are the cause of their lag in cognitive, verbal, and social development. Special motor disorders of these children are most often the result of early intrauterine minimal organic lesions of the central nervous system. In the early stages of development of such children, disorders of muscle tone are observed, pathological tonic reflexes take place, all stages of motor development in infancy are delayed evenly. The combination of these three components results in special disturbances, which are characterized as motor ones. In children with minimal organic pathology, quite often, especially in children with mental retardation, the frontal brain regions are formed very slowly, namely, they are responsible for creating an action program and monitoring it. n this case, the child is not able to build a scheme of the motor act, does not understand what should be the movement. The reason for the difficulties in this case is not a violation of muscle tone, but a disturbance in the cerebral cortex: the child does not understand how to perform the action. In this case, there is a psychomotor disorder. These two groups of motor disorders in children with mental retardation determine the two systems of work to overcome them. There is a third group of disorders - a mixed form, when a child has both motor and psychomotor disorders. The direction of work to overcome motor disorders in children with mental retardation will depend on the nature of the disorders: motor, psychomotor, and mixed. Thus, motor developmental disorders of children with mental retardation may have a different nature, it is necessary to carefully study the characteristics of the motor sphere of these children and implement a differentiated approach to overcoming its disadvantages.Results of the research: the article presents the results of the study of the motor and psychomotor functions of preschoolers with mental retardation, indicators of their health and physical development. A comparative experimental study of the characteristics of the motor sphere of preschoolers with mental retardation and their peers who attend mass groups of the kindergarten allowed to draw some conclusions about the specific shortcomings of the motor development of children with mental retardation. Most children with mental retardation have quite serious impairments in their state of health, are lagging in physical development: they have disproportions in their height and weight, reduced muscle strength in their hands, and insufficient lung capacity. Motor skills do not meet age norms: speed and power characteristics of movements, dexterity and coordination abilities are most reduced. Indicators of psychomotor development, especially the dynamic and spatial organization of movements, are lower than those of peers who attend mass groups in kindergarten. These deficiencies are the result of early organic damage to the central nervous system or its functional immaturity. As a result of studying the state of motor skills of children according to N.I. Ozeretsky revealed some important facts: when performing certain tests (for simultaneity of movements, speed of movements, dynamic coordination of movements) and children with mental retardation, and children from large groups showed equally poor results. This indicates a general trend of deterioration of the motor development of modern children, especially those living in the megalopolis. As part of the neuropsychological research, three groups of children with mental retardation in terms of the development of movements and actions were identified, which can serve as the basis for the implementation of a differentiated approach during remedial work. The application of the method of age cuts allowed to conclude that there is a certain positive age dynamics in the formation of motor and psychomotor children with mental retardation, but there is a difference in the sensitive periods of motor skills formation in children with mental retardation and children with normal development. If in normally developing children, at the age of five, the basic motor skills are practically formed, then in children with mental retardation they are formed only by six to seven years and later.Discussion and conclusions: the article proposed a diagnostic program for studying the characteristics of the motor sphere of preschoolers with mental retardation. Comprehensive diagnostics of the motor development of children with mental retardation is necessary to take into account the individual characteristics of children in the organization of physical education and to implement a differentiated approach in physical education and other motor exercises. Based on the characteristics of the contingent of children with mental retardation, the following system for diagnosing motor development was proposed: an individual assessment of the physical development and functional state of the organism of children of preschool age; assessment of children's physical fitness; study of children's motility using metric tests N.I. Ozeretsky; study of the characteristics of the psychomotor development of children using neuropsychological tests for the study of movements and actions adapted for preschool children with mental retardation. Thus, a combination of qualitative and quantitative assessment of psychological and pedagogical data on the level of development of the child’s motility, dynamic observation and comprehensive neuropsychological research allows most accurately and fully assess the overall psychophysical development of the child, the state of his motility and psychomotor system, predict future development and determine the best ways psychological and pedagogical correction.


2012 ◽  
Vol 26 (4) ◽  
pp. 5-13
Author(s):  
Katarzyna Poklękowska ◽  
Joanna Suchocka

Abstract Introduction: One of the commonly used terms in the assessment of CNS functioning is muscle tone. In literature we can find many different and not standardized definitions. Postural tone depends on topographic distribution in proximal and distal parts of body and antigravital activity. For diagnostic and therapeutic purpose the term postural tone is used. The aim of this study was to assess (monitoring) the psychomotor development of infants between 2 months and 2 years of life with abnormal posture tone (hypotonia of posture) and asymmetry of postural and motor patterns. Infants participated in NDT-Bobath therapeutic intervention. Material and methods: 65 infants fulfilling specified criteria were examined during 2 years of prospective study. According to hypotonic type, infants were divided into two groups. The presence of asymmetrical tonic neck activity in spontaneous movements was coded in two-points scale (1 or 2). Results: All infants were examined at first visit with INSITE developmental scale which displayed psychomotor retardation. At the age of 2 years, only 21,87% from first group and 100% from second group still were assessed as retarded. Conclusions: Disintegrated activity ATOS decreased the level of motor development of 24-month-old infants even to 4 months of developmental age. In the second group, the number of infants with more disorders in quality of movement and decreased final developmental age is much bigger.


1996 ◽  
Vol 3 (3) ◽  
pp. 20-30 ◽  
Author(s):  
R. Glenn Ray ◽  
Steve D. Ugbah ◽  
Cam Brammer ◽  
Sue DeWine

The purpose of this study was to examine the communication and leadership behaviors of mavericks as they relate to innovation in the organization. We sought to answer the following questions: (1) Can mavericks be identified by other organizational members? (2) What impact do their communicative behaviors have on the process of innovation in the organization? (3) How do they perceive themselves in the organizational context? Since an interpretive approach to studying innovation was used, these questions served as a general framework for our investigation. Qualitative data (in-depth interviews with 32 organizational members), were collected from individuals who had been nominated by others as "organizational mavericks" and a sample of non-mavericks. Organizational mavericks were found to be more eager to communicate than non-mavericks, and less apprehensive about a variety of communication situations. It appears that skillful mavericks do not want to be identified as separate from the group and that the organization which is "loosely coupled" facilitates maverick behavior.


1980 ◽  
Vol 97 (3) ◽  
pp. 401-405 ◽  
Author(s):  
Louise E. Wilkins ◽  
Judith A. Brown ◽  
Barry Wolf

2021 ◽  
pp. 29-39
Author(s):  
M.A. Khan ◽  
Prikuls V.F. Prikuls V.F. ◽  
N.A. Mikitchenko ◽  
O.Yu. Smotrina ◽  
Filatova E.V. Filatova E.V.

The article is dedicated to non-pharmacological rehabilitation of children with perinatal lesions of the central nervous system. Currently, the main methodological principles of the staged medical rehabilitation of newborns, mainly children with consequences of perinatal damage to the nervous system, have been determined. Special attention should be paid to the issue of the minimum use of drugs in children with perinatal pathology. In this regard, an important task is to develop and scientifically substantiate new non-drug technologies for medical rehabilitation, especially in children under 1 year of age. Medical rehabilitation has the following aims: stimulation of blood circulation in the tissues of the brain, improvement of muscle tone by acting on the central nervous system and the peripheral nervous system, activation of the processes of neuromuscular transmission and improvement of the psychomotor development of a child with perinatal pathology of the central nervous system. Medical rehabilitation of children with perinatal lesions of the central nervous system begins at the earliest possible date and is carried out by specialists of a multidisciplinary rehabilitation team based on an individual medical rehabilitation program. At present, a wide range of non-drug technologies for medical rehabilitation of children with the consequences of perinatal damage to the central nervous system is used: therapeutic gymnastics, massage, kinesitherapy with a neuroreflex component according to the V. Vojta’s method, Bobath therapy. The analysis of publications presented in the review has shown that the inclusion of modern technologies of kinesitherapy and massage in the complex of rehabilitation measures in children with perinatal lesions can increase the effectiveness of rehabilitation measures, reduce the severity of movement disorders, and decrease the incidence of cerebral palsy.


2000 ◽  
Vol 57 (6) ◽  
pp. 459-461 ◽  
Author(s):  
Paola Cerruti Mainardi ◽  
Andrea Guala ◽  
Guido Pastore ◽  
Gloria Pozzo ◽  
Franca Dagna Bricarelli ◽  
...  

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