Showing posts with label Learning disability. Show all posts
Showing posts with label Learning disability. Show all posts

TV the idiot box...

Most of the times parents of children with language or communication delay complaint or have concern about their children watching television for longer time. Recently a parent approached me and had a concern that child talked very less and whatever he talked was monotonus or like parrot talking. During assessment it was found that both the parents were on full time work and they left the child at home alone. A nanny took care of him and most of the time child was kept in front of cartoon channel and there was very less human communication with child.

Other child of 6 years was indulged in watching a DVD. She had almost memorize the whole DVD and she could repeat the whole DVD without mistake. most of the time, child was preoccupied with the self talking and it was all about the DVD content.

Researches have proven that excess TV watching is associated with delayed language development. Research on early brain development shows that babies and toddlers have a critical period for speech and communication development and that needs direct interactions with parents and other significant care givers for healthy brain growth and the development of appropriate social, emotional, and cognitive skills. Children who watched television alone were 8.47 times more likely to have language delay when compared to children who interacted with their caregivers during television viewing. As recommended by the American Academy of Pediatrics (AAP), children under the age of 2 should watch no television at all, and after age 2 watch no more than one to two hours of quality programming a day. Therefore, exposing such young children to television programs should be discouraged. Parents should engage children in more conversational activities to avoid television-related delays to their children language development, which could impair their intellectual performance.

Posted byNeeti at 10:01 PM 2 comments  

Taare Zameen Par...

Most of us here must have seen Taare Zameen Par, a story of a dyslexic child and an art teacher. If the art teacher role played by Aamir Khan, would have not realised the problem of dyslexia in his student, the child would have never done something special and hence, accepted by the society. The teacher has recognised the child so well and soon not because, he was teacher, but because he himself claims that he was dyslexic too. That’s all about a movie which always has to have a happy ending and that’s why called as a beginning. But like this special need child, there are thousands of children who are having some or other (personal/family) issues that continuously bother them. However, we can understand the problem better if we have been anytime in our life, have came across with it.

The regular school teachers should know or understand a little about the early sign or so called ‘Red Flag Sign’ of conditions like Autism, Dyslexia and other learning disabilities and Mental Retardation especially the borderline cases or mild to moderate cases. It is not to blame teachers, but I think it is the system that has always trained them for the regular students only.

In our country given the paucity of trained resources in the rehabilitation field, it is impractical to think replicating developed world model of health care. So, we need to develop resources locally, which can be available by training and developing skills to enhance care level. Empowering teachers, educate them with the basic child development and psychology can help in identifying the problem areas earliest. Any ignorance or lack of knowledge can aggravate the problem. In India, majority of population is educated from the school run by Govt where in total they just get the basic education. Since, funds and resources are limited there are a few schools that can afford a child psychologist or a counselor.

Conditions like ASD (Autism spectrum Disorder), learning Disability, ADHD (Attention Deficit hyperactivity Disorder), mild/ moderate Mental Retardation; Family issues etc generally don’t attract attention early as the child grows physically normally. However, to handle the special need children the school may need the special staff if the child gets into inclusive education. Besides, family the teachers are the care takers and are considered to be the builder of a person. So, if the teachers are aware and educated about the above problems, they can help them by referring earliest. Hence, the child can get the benefits of Early Intervention. However most of teachers might feel uncomfortable to handle special needs children as they require more attention and effort.

Teachers can play an important role because:

Ø The parents think always optimistically and not ready to accept the problem or can easily be misguided by the surroundings. So, teachers should always be alert to notice the signs and then refer to further assessment and evaluation.

Ø Now days most parents are working so, they have little time to spare with their children. Maximum time of the children goes in their Pre schools with primary teachers. So, teachers need to be more prompt to realise the problems.

Ø Since, every parent wants their child to get proper education so they send them to the best schools as per their affordability. So, if teachers are aware that something is different with the child, they can inform parents and ask them to take professionals help.

The child development is flexible and its potential may vary with the environment. Every child is different and hence, special. The distribution curve shows that most children resemble with the average in many traits, but there are few children who deviate from the generally accepted norms in any one of many ways. These deviations may give rise to multifactorial problems of adjustment at home, school and social setting and thus, leads to addition of problems in deviation. Deviation can be in terms of physical, social, emotional and mental characteristics.

According to PWD ACT 1995, the differently abled children are to be integrated in regular school. Integration in regular school promotes personal, emotional and physical adjustment to establish healthy interpersonal relationship.

As very well said for teachers, "I touch the future. I teach." (Christa McAuliffe)

Teachers are one who polishes the child to diamond; otherwise no body can recognise the capacity of child. If the teachers are cooperative and encouraging, the slow learners and mild to moderate MR can learn in control and stimulated environment. However, the teachers have to bear the extra load of arranging the different curriculum and have to be creative. For these special need children, the teacher has to play a role of designer, instructor, motivator and trainer.


Posted byNeeti at 10:52 PM 4 comments  

Primitive reflexes and their inhibition with therapy

Every one is born with the set of some primitive reflexes which are known for the survival of the child. These primitive reflexes help the child to protect, to assist feeding and for survival. During a developmental screening the child is checked for these primitive reflexes. Presence of primitive reflex indicates the functioning of Central Nervous System before 1 yr of development. After first year of development these reflexes should be integrated to develop more sophisticated set of reflexes called Postural reflexes. Hence the primitive reflexes form the platform for more specific and sophisticated functions like speech, intelligence and cognition.

Absence of primitive reflexes before one year or prolonged persistence indicates the problem with the nervous system or brain functioning. It not only affects the motor, speech and social functions but also affects overall learning. Inhibition of primitive reflexes leads to lateralisation of brain which as physically be seen as hand dominance, speech, interest in maths or music, writing and reading.

Some times due to some reasons the child behaves odd. Inspite of average intelligent and normal physical development he struggles to pass the exams, poor hand writing, aggressive, hyperactivity, inability to concentrate, poor listening skills, clumsy are few common features.

According to the theory of Neurodevelopment, any missed developmental sequence may develop a physical, psychological and behaviourally problem. The treatment is recapitulation, which means the child has to go through all the developmental stages which guide the normal development. Abnormal reflexes are to be inhibited with special skills and physical exercises to guide the normal development. Most common reflexes which are to be integrated, ATNR, STNR, Moro’s, Grasp reflex and TLR.

Children with Autism, Cerebral Palsy, ADHD, Developmental Delay and other behaviour and psychological like emotional unstable, poor handwriting and confusion, dyslexia and poor reading habits may need reflex inhibition therapy.

Posted byNeeti at 6:29 PM 2 comments