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

Aylward, E.H., Li Q., Honeycutt, N.A., Warren, A.C., Pulsifier, M.B., Barta, P.E., Chan, M.D., Smith, P.D., Jerram, M., Pearlson, G.D., (1999). „MRI volumes of the hippocampus and amygdala in adults with Down’s syndrome with and without dementia”. The American Journal of Psychiatry 156:564–568
Anca M., (2002). „Logopedie”. Presa Universitară Clujeană, Cluj-Napoca
Bahr, D., (2008). „The oral motor debate: where do we go from here?”, ASHA Convention Chicago, Illinos poster session 2054; poster board 368
Bodea Hațegan, C., (2016). „Logopedia. Terapia tulburărilor de limbaj. Structuri deschise”. București, Ed. Trei
Bodea-Hategan, C., (2014), “Abordări terapeutice ale limbajului: perspective actuale”, vol. I. Presa Universitară Clujeană, Cluj-Napoca
Connolly, K.J., (1970). „Skill development: problems and plan”. In: Connolly, K.J, (1972). „Mechanisms of motor skill development”. London: Academic Press
Dunst, C.J., (1990). „Sensorimotor development of infants with Down syndrome”. In: Cicchetti, D., Beeghly, M., (eds). „Children with Down Syndrome: A Developmental Perspective”. Cambridge, New York, pp. 180–230
Fletcher, S. G., (1972). “Time-by-Count Measurement of Diadochokinetic Syllable Rate”. Journal of Speech and Hearing Research, 15 (4): 763-770, doi = {10.1044/jshr.1504.763}
Hammer, D.W. (2007). „Childhood apraxia of speech: New perspectives on assessment and treatment” [Workshop]. Las Vegas, NV: The Childhood Apraxia of Speech Association.
Hodapp, R.M., Zigler, E., (1990). „ Applying the developmental perspective to individuals with Down syndrome”. In: Cicchetti, D., Beeghly, M., (eds). „Children with Down syndrome: A Developmental Perspective”. Cambridge, New York, pp 1–28
Jarrold, C., & Baddeley, A., (2001). „Short-term memory in Down syndrome: Applying the working memory model”, în Down Syndrome Research and Practice, 7: 17–23.
Kent, R.D., (2016). „Nonspeech Oral Movements and Oral Motor Disorders: A Narrative Review”. American Journal of Speech-Language Pathology, 24(4):763-89.
DOI: 10.1044/2015_AJSLP-14-0179, Source: PubMe
Kesslag, J.P., Nagata, S.F., Lott, I., Nalcioglu, O., (1994). „Magnetic resonance imaging analysis of age-related changes in the brains of individuals with Down’s syndrome”. Neurology, 44: 1039-1045
Kumin L., (1999). „Resource Guide to Oral Motor Skill Difficulties in Children with Down Syndrome”, https://www.ndsccenter.org/wp-content/uploads/OralMotor.pdf
Kumin, L., (2006). „Speech intelligibility and childhood verbal apraxia in children with Down syndrome”. Down Syndrome Research and Practice 10(1): 10-22
Lopes, J.B.P., Grecco, L.A.C., Moura, R.C.F.de, et al., (2017). „Protocol study for a randomised, controlled, double-blind, clinical trial involving virtual reality and anodal transcranial direct current stimulation for the improvement of upper limb motor function in children with Down syndrome”. BMJ Open 2017;7:e016260. Doi:10.1136/ bmjopen-2017-016260
Miller, J. F., & Leddy, M. (1999). „Verbal fluency, speech intelligibility, and communicative effectiveness”, în Miller, J. F., Leddy, M., & Leavitt, L. A. (Eds.), Improving the communication of people with Down syndrome (pp. 81–91). Baltimore, MD: Brookes.
Nadel, L., (1999). „Down syndrome in cognitive neuroscience perspective”. In H. Tager-Flusberg (Ed.), Neurodevelopmental disorders, pp. 197-221, Cambridge MA: MIT, Press
Pinter, J.D., Eliez, S., Schmitt, J.E., Capone, G.T., Reiss, A.L., (2001). „Neuroanatomy of Down’s syndrome: a high-resolution MRI study”. Am J Psychiatry 158: 1659–1665, [PubMed: 11578999]
Telcean M.M., Bene A-R., Sandu C., (2016). „Direcții de intervenție timpurie în contextul dezvoltării abilităților de comunicare în sindromul Down”, în RRTTL 2(1), DOI: 10.26744/rrttlc.2016.2.1.06