Aplicații ale mobilizării orofaciale în contextul sindromului Down

Aplicații ale mobilizării orofaciale în contextul sindromului Down

Oro-motor therapy- practical aspects in Down syndrome context

Mădălina VAIDA

The current study proposes an intervention of oral-motor techniques, targeting peripheral stimulation with central-level effects, where synaptic densification is expected to allow a more coordinated motor response, with positive outcomes on the speech intelligibility. The intervention techniques belong to quite different fields: myofunctional techniques (posture determination, isotonic exercises for the oral musculature), oro-facial massage according to the C. Morales method, passive stimulation with a vibrating instrument (z-vibe) and repetitions of diadokokinetics. An ABA (single-subject experiment) experimental design was created and implemented. The output evaluation was based on verbal material, structured from simple to complex (syllables, words, narrative structures) and presented either exclusively by auditory way or by auditory and visual ways.

Keywords: inteligibility, oro-motor techniques, Down syndrome, speech therapy

DOI: 10.26744/rrttlc.2020.6.2.04
Published on line: 30/10/2020

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Specificul dezvoltării abilităților de comunicare pragmatică în contextul dizabilității intelectuale

Specificul dezvoltării abilităților de comunicare pragmatică în contextul dizabilității intelectuale

The specific of the development of pragmatic communication skills in the context of intellectual disability


This article presents a case study regarding Down syndrome and the difficulties that appear due to pragmatic communication disorder in the day to day life of persons with Down syndrome. Having difficulties in the area of pragmatic communication suggests the lack of functional communication, with impact on an individuals social life, human interractions, establishing and maintaining significant relationships, along with having difficulties in understanding speech, waiting for one`s turn, listening, starting, maintaining or ending a conversation.
Through specific speech therapy interventions, we can see in this case study how pragmatic communication can be trained by focusing on communication skills, articulation and pronuntiation exercises, with significant impact on the individuals self-esteem issues and the diminuation of dezadaptative behaviours characteristic to Down Syndrom

Keywords: pragmatic communication disorder, Down syndrome, intellectual disability, speech and language therapy, case study

DOI: 10.26744/rrttlc.2018.4.2.05

Published on line: 31/10/2018

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Using ICF-CY in assessing and projecting therapy for children with Down syndrome. Case study

Utilizarea CIF-C în evaluarea și proiectarea intervențiilor specifice sindromului down. Studiu de caz

Using ICF-CY in assessing and projecting therapy for children with Down syndrome. Case study


The aim of this case report is to describe a rehabilitation process based on the International Classification of Functioning, Disability and Health for Children and Youth (ICF CY) framework for a child with Down syndrome to show its applicability to this kind of genetic disorder. ICF CY is a derived version of the International Classification of Functioning, Disability and Health (ICF) for the adult population designed to record characteristics of the developing child and the influence of the surrounding environments. ICF CY belongs to the “family” of international classifications developed by the World Health Organization (WHO) for application to various aspects of health in children and adolescents. It provides a common and standard language and a framework for the description of health and health-related states to facilitate the documentation and measurement of health and disability in child and youth populations.
ICF-CY gives specialists the opportunities to work toghether not only to provide separated intervention with the child, but also to work in partnership with the child`s family, peers, school and society.

Keywords: ICF, ICF CY, Down syndrome, Rehab-Cycle, rehabilitation management

DOI: 10.26744/rrttlc.2016.2.2.05

Published on line: 15/10/2016


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Early intervention strategies

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

This paper focuses on the importance of early intervention as far as language development for children with Down syndrome. Children with Down syndrome have a delay in the development of communication abilities because of the sensory, perceptual, physical and cognitive issues they face and which affect their development path.
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

DOI: 10.26744/rrttlc.2016.2.1.06

Published on line: 15/03/2016


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