Utilizarea stimulării orofaciale în cazul diplegiei spastice– studiu de caz

Utilizarea stimulării orofaciale în cazul diplegiei spastice– studiu de caz

Using orofacial stimulation in the context of spastic dyplegia- case study

Fotinica GLIGA
Abstract

The aim of this paper is to present an intervention program for a child with Spastic Diplegia as a form of Cerebral Palsy. This diagnosis is associated with prematurity and low birth weight. Most of the children affected by this disease have periventricular leukoma, which means an impairment of the white matter of the brain. Frequently these children have visual and / or hearing impairment, swallowing and chewing disorders as well as communication and language disorders and 2/3 of them have intellectual delay. Expressive language in children with spastic diplegia, as in other cases of cerebral palsy, is affected by problems of breathing, resonance and the limitation of the possibility of articulation associated with poor motor control and muscle weakness. The case study present an intervention program based on orofacial stimulation (the Morales technique), considering their neuromotor impairment, together with the classic speech therapy intervention, the purpose being the development of phonoarticulation and the verbal communication. There were positive results after one year of intervention. The program has to continue with higher frequency for developing speech and communication

Keywords:spastic diplegia, cerebral palsy, orofacial stimulation, speech and language development
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DOI: 10.26744/rrttlc.2020.6.1.05

Published on line: 15/03/2020

References:
Almasri, N. A., Palisano, R. J., Dunst, C. J., Chiarello, L. A., O’Neil, M. E., & Polansky, M. (2011). Determinants of needs of families of children and youth with cerebral palsy. Children’s Health Care, 40(2), 130-154.
Bailey Jr, D. B., & Blasco, P. M. (1990). Parents’ perspectives on a written survey of family needs. Journal of Early Intervention, 14(3), 196-203.
Hațegan, C. B. (2016). Logopedia: Terapia tulburărilor de limbaj. Structuri deschise. Trei via PublishDrive.
Hendriks, A. H., De Moor, J. M., Oud, J. H., & Franken, W. M. (2000). Service needs of parents with motor or multiply disabled children in Dutch therapeutic toddler classes. Clinical rehabilitation, 14(5), 506-517.
Horadron, I., & Ciobanu, D. Assessment in children with spastic tetraparesis. Physical Education and Sport Fascicle, 22.
Katz, R. T. (2003). Life expectancy for children with cerebral palsy and mental retardation: implications for life care planning. NeuroRehabilitation, 18(3), 261-270.
Nitta, O., Taneda, A., Nakajima, K., & Surya, J. (2005). The relationship between the disabilities of school-aged children with cerebral palsy and their family needs. Journal of Physical Therapy Science, 17(2), 103-107.
Palisano, R. J., Almarsi, N., Chiarello, L. A., Orlin, M. N., Bagley, A., & Maggs, J. (2010). Family needs of parents of children and youth with cerebral palsy. Child: care, health and development, 36(1), 85-92.
Patja, K., Iivanainen, M., Vesala, H., Oksanen, H., & Ruoppila, I. (2000). Life expectancy of people with intellectual disability: a 35‐year follow‐up study. Journal of intellectual disability research, 44(5