scholarly journals Evaluation of Child Development Centre Based Intervention for Children with Multiple Disability

2021 ◽  
Vol 7 (1) ◽  
pp. 38-41
Author(s):  
Mustafa Mahbub ◽  
Humaira Rafiqa ◽  
Dilara Begum

Background: Children with multiple disabilities usually have more than one significant disability that may include speech, physical mobility, learning, mental retardation, visual, hearing, and possibly others. Objective: The purpose of the present study was to evaluate the types of multiple disabilities in children with cerebral palsy and epilepsy and their fate after the intervention. Methodology: This retrospective observational study was conducted at Dhaka Shishu hospital from January 2011 to Decemberb2011.Children with multiple disabilities were referred to the child development center of Dhaka Shishu Hospital and were assessed for impairments and appropriate intervention done in special clinics. Result: Out of 540 children 66% were male. 43% of children were age group from 12-23 months. 58% had tetraplegic cerebral palsy (CP) with epilepsy and the second-highest group was diplegic CP with epilepsy 75(14.0%). Among 72 selected children who came in regular follow up, all children had motor disabilities. Cognitive delay, speech delay, vision and hearing impairment were found in 50%, 79%, 58% and 54% respectively. After intervention more improvement was found in motor function (92%). Conclusion: Intervention in specialized clinics improved the quality of life of children with multiple disability. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 38-41

2015 ◽  
Vol 14 (1) ◽  
pp. 11-14
Author(s):  
Md Khairul Bashar ◽  
Shahed Iqbal ◽  
Mahmood Ahmed Chowdhury ◽  
Dhananjoy Das ◽  
Md Iqbal

Background: Cerebral Palsy (CP) is a diagnostic term used to describe a group of permanent disorders of movement & posture causing activity limitation that are attributed to non progressive disturbances in the developing fetal or infant brain. The motor disorders are often accompanied by disturbances of sensation, perception, cognition, communication and behavior as well as by epilepsy, secondary musculoskeletal problem and feeding difficulties. Aims: To see the development of a child with cerebral palsy after comprehensive feeding & seating intervention. To recommend measure for reducing neurodevelopmental problems. To improve mother- child interaction. Methods: This hospital based prospective cross sectional observational study was done in Child Development Center (CDC) of the Department of Pediatrics, Chattagram Maa Shishu-O-Genaeral Hospital (CMSOGH), Chittagong from July 2013 to December 2013. Children with Cerebral palsy aged 1-15 years included in this study. Results: Most of the patients (60%) before intervention were having only liquid food. After intervention most of the patients were having either a combination of semi-solid and solid food (48%) or only semi-solid food (42%). After intervention 80% of patients were sitting during feeds which was only 12% before intervention. After intervention feeding time is reduced to 15 to 30 minutes which was 30 min to one hour. Most of the patients (90%) never ate by themselves before intervention, only 4% were selffed. After intervention 56% were self feeding for some part of the meal & 24% were self feeding at every meal. Conclusion: Feeding problems in children with cerebral palsy are common. Simple home based measure, like feeding and seating intervention, should be carried out under the guidance of Child Development Center run by developmental therapist with assistance from pediatricians & child psychologists in order to improve the development of the child with cerebral palsy as well as the quality of life.DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22872 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 11-14


2021 ◽  
pp. 136749352110147
Author(s):  
Jehanzeb Baldiwala ◽  
Trishala Kanakia

Narrative therapy is a respectful and culturally relevant form of psychotherapy. Internationally, there is an increasing use of narrative therapy with diverse populations; however, there is limited documentation within the Indian context. The intention of the study was to understand experiences of children and their families during their participation in narrative therapy at Ummeed Child Development Center in Mumbai, India. Twelve participants were recruited for individual interviews: four children, who received counseling at Ummeed Child Development Center for a minimum of 6 months, and eight family members. Thematic analysis of data revealed three themes: Working In Partnership reflected the value of therapy being a collaborative process; Practices That Open Up Possibilities highlighted skills of children and their families that became visible through counseling; and Taking Control And Advocacy revealed how families experienced a sense of control over their own lives and an interest in advocating for others with similar lived experiences. The study has brought to light how narrative therapy can make possible change in lives of children and their families and wider society. In an international context, these findings serve to document narrative therapy as a beneficial modality for mental health practitioners to use with children experiencing developmental disabilities and their families.


1977 ◽  
Vol 46 (4) ◽  
pp. 506-511 ◽  
Author(s):  
Richard D. Penn ◽  
Mary Liz Etzel

✓ The changes in motor function in cerebral palsy patients produced by chronic anterior lobe cerebellar stimulation were documented with the Milani-Comparetti developmental scale, which allows comparison between functional gains and reflex patterns. Two patients with marked motor retardation and primitive reflexes were followed serially over several months of stimulation. Using these measures, the efficiency of chronic stimulation can be assessed, although many years will be needed to evaluate its role in treating motor disabilities.


Author(s):  
Giulio E. Lancioni ◽  
Mark F. O’Reilly ◽  
Nirbhay N. Singh ◽  
Jeff Sigafoos ◽  
Adele Boccasini ◽  
...  

AbstractPersons with multiple (intellectual and sensory-motor) disabilities can have serious difficulties managing their independent engagement in leisure activities and communication, particularly with partners not present in their immediate environment.This study assessed two versions of a technology-aided program (involving a computer system to present leisure and communication options and a microswitch to choose among them) with four participants with multiple disabilities. Two participants used the first version of the program, which allowed them to choose among leisure (music) options. The other two participants used the second version of the program, which allowed them to choose among leisure (music and videos) and communication (telephone calls) options. Each program version was implemented according to a non-concurrent multiple baseline design across participants.Data showed that both program versions were successful in helping the participants achieve the objectives pursued, that is, choose and access leisure or leisure and communication options independently.Technology-aided programs can enable persons with multiple disabilities to manage positive occupational engagement and communication.


PEDIATRICS ◽  
1972 ◽  
Vol 50 (2) ◽  
pp. 342-342
Author(s):  
H. E. Thelander

The article "Indices of the Child's Earliest Attachment . . . etc." in the April 1972 issue of Pediatrics calls for comment. During 20 years of work with handicapped, retarded, and emotionally disturbed children at the Child Development Center, it was distressing to find how many of the mothers who had sought help from psychiatrists came in very depressed because the psychiatrist had made them feel that they were the cause of their child's abnormal condition.


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