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

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
DOI: 10.26744/rrttlc.2020.6.1.05

Published on line: 15/03/2020

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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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