Direcții de intervenție timpurie în contextul dezvoltării abilităților de comunicare în sindromul Down
Early intervention strategies for developing communication abilities in Down syndrome
Mihaela Maria TELCEAN, Anamaria-Rada BENE, Cristina SANDU
Abstract
The anatomical and physiologic characteristics frequently met among children with Down syndrome are represented by differences of the muscles and facial structure, which lead to language disorders such as: hypotonia, poor lips, tongue and oral cavity coordination. The physical features of these children (tongue protusion, predominantly oral breathing, irregular dentition, ogival palate) highlight difficulties for small and precise movements of the mouth which limits tongue movements when speaking. The problems mentioned above affect the children’s intelligibility of speech for with Down syndrome in the following areas: articulation, rhythm and fluency, resonance, phonation.
This paper proposes an approach which focuses on the development of the suprasegmental aspects of speech, the development of immediate imitation abilities, the development of focused attention, establishing eye contact, the development of phonoarticulation using orofacial stimulation (the Morales technique and using special instruments – Sensory Therapy instruments, Z-vibe – an instrument with vibrations).
Keywords: speech and language development, early intervention, Down syndrome, orofacial stimulation, motor development
pdf
DOI: 10.26744/rrttlc.2016.2.1.06
Published on line: 15/03/2016
References:
Lowsky, D. C. (2011). Tips & Tehniques for the Z-vibe, DnZ-vibe, & Z-Grabber, USA: ArkTherapeutik.
Hațegan, C. Talaș, D. (2013). Scala Communication Matrix, Varianta tradusă și adaptată în limba română pentru profesioniști, https://www.communicationmatrix.org/uploads/COMMUNICATION%20MATRIX_RO.pdf.
Hațegan, C. (2011). Abordări structuralist-integrate în terapia tulburărilor de limbaj și comunicare, Cluj-Napoca: Presa Universitară Clujeană.
Lambert, J. L., Rondal, J. A. (1980). Le mongolisme. Bruxelles: Mardaga
Rowland, C., Stremel Campbell, K. (1987). Share and share ailike:convetional gestures to emergent language for learners with sensory impairments. In L. Goetz, D. Guess, K.Stremel Campbell, Innovative Program Design for individuals with dual sensory impairments. Baltimore: Paul Brookes;
Roșan, A. (2015). Psihopedagogie specială. Modele de evaluare și intervenție, Polirom: Cluj-Napoca.
Smith, B., Oller, D.K. (1981). A comparative study of premeaningful vocalizations by normally developing and Down Syndrome infants. Journal of speech and hearing disorders, 46, 46-51.
Tair, D., (2015). Tehnici de integrare senzorială, Suport de curs, Cluj-Napoca: Fundația Doctrina.