Down sendromlu çocuklarda motor geliŞİMİ ve müdahalesi

38
Davis, W.E. & Sinning, W.E. (1987). Muscle stiffness in Down’s 
syndrome and other mentally handicapped subjects: a research 
note. Journal of Motor Behavior, 19, 130-144.
Dyer, S., Gunn, P., Rauh, H. & Berry, P. (1990). Motor 
development in Down’s syndrome children: an analysis of the 
motor scale of the Bayley Scales of Infant Development. In A. 
Vermeer (Ed.), Motor Development, Adapted Physical Activity and 
Mental Retardation) (syf. 7-20). Basel: Karger AG.
 
Groden, G. (1969). Relationships between intelligence and simple 
and complex motor proficiency. American Journal of Mental 
Deficiency, 74, 373-375.
Haley, S.M. (1986). Postural reactions in infants with Down’s 
syndrome. Physical Therapy, 66, 17-22.
Haley, S.M. (1987). Sequence of development of postural 
reactions by infants with Down’s syndrome. Developmental 
Medicine and Child Neurology, 29, 674-679.
Harris, S.R. (1981). Effects of neurodevelopmental therapy on 
motor performance of infants with Down’s syndrome. 
Developmental Medicine and Child Neurology, 23, 477-483.
Hayden, F.J. (1964), Physical fitness for the mentally retarded: A 
manual for teachers and parents. London: Frank Hayden.
Henderson, S.E. (1985). Motor skill development. In D. Lane & 
B. Stratford (Eds.), Current approaches to Down’s syndrome (syf. 
187-218). London: Holt, Rinehart and Winston.
Henderson, S.E., Morris, J. & Ray, S. (1981). Performance of 
Down’s syndrome and other retarded children on the Cratty 
gross-motor test. American Journal of Mental Deficiency, 
85, 416-424.
Lydic, J.S. & Steele, C. (1979). Assessment of the quality of 
sitting and gait patterns in children with Down’s syndrome. 
Physical Therapy,) 59, 1489-1494.
MacNeill-Shea, S.H. & Mezzomo, J.M. (1985). Relationship of 

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39
ankle strength and hypermobility to squatting skills of children with 
Down’s syndrome. Physical Therapy, 65, 1658-1661.
Malpass, L.F. (1963). Motor skills in mental deficiency. In N.R. Ellis 
(Ed.), Handbook of mental deficiency, psychological theory and 
research. New York: McGraw-Hill Inc.
Marin-Padilla, M. (1976). Pyramidal cell abnormalities in the motor 
cortex of a child with Down’s syndrome, a golgi study. Neurology, 
167, 163.
Morris, A.F., Vaughan, S.E. & Vaccaro, P. (1982). Measurements 
of neuromuscular tone and strength in Down’s syndrome children. 
Journal of Mental Deficiency Research, 26, 41-46.
Nakamura, H. (1965). An inquiry into systematic differences in the 
abilities of institutionalized adult mongoloids. American Journal of 
Mental Deficiency, 69, 661-665.
Owens, D., Dawson, J. & Losin, S. (1971). Alzheimer’s disease 
in Down’s syndrome. American Journal of Mental Deficiency, 75, 
606-612.
Paine, R.S., Brazelton, T.B. & Donovan, D.E. (1964). Evolution of 
postural reflexes in normal infants and in the presence of chronic 
brain syndromes. Neurology, 14, 1036-1048.
Parker, A.W., Bronks, R. & Snyder Jr., C.W. (1986). Walking 
patterns in Down’s syndrome. Journal of Mental Deficiency 
Research, 30,317-330.
Rast, M.M. & Harris, S.R. (1985). Motor control in infants with 
Down’s syndrome. Developmental Medicine and Child Neurology, 
27, 682-685.
Shumway-Cook, A. & Woollacott, M.H. (1985). Dynamics of 
postural control in the child with Down’s syndrome. Physical 
Therapy, 65, 1315-1322.
Smith, C.F. & Berg, J.M. (1976) Down’s syndrome. Edinburgh: 
Churchill-Livingstone.

---

40
Smith, D.W. (1988). Recognizable patterns of human 
malformations. Saunders.
Takashima, S., Berker, L.E., Armstrong, D.L. & Chan, F.W. (1981). 
Abnormal neuronal development in the visual cortex of the human 
foetus and infant with Down’s syndrome, a quantitative and 
qualitative golgi study. Brain Research, 225, 1.
Ulrich, B.D., Ulrich, D.A. & Collier, D.H. (1992). Alternating 
stepping patterns: hidden abilities of 11-month-old infants with 
Down’s syndrome. Developmental Medicine and Child Neurology, 
34, 233-239.
Vermeer, A. & Beks, C. (1993). Ontwikkelingsmodellen met 
betrekking tot verstandelijk gehandicapten (models of 
development according to mentally handicapped people). In A. 
Vermeer & C. Brink van den (Eds.) Bewegingsonderwijs aan 
verstandelijk gehandi capten (Movement education to mentally 
handicapped people), (pp. 23-30). Baarn: Bekadidact.

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3 Down Sendromlu çocuklar için 
   motor müdahale: 
   Literatüre genel bir bakış
3.1. Literatür
DS’lu çocukların belirgin motor problemleri, Henderson (1985) 
ve Block’un (1991) genel bakış makalelerinden kolaylıkla 
anlaşılabilir. Çeşitli yazarlar, diğer engellilik çeşitleriyle 
karşılaştırıldığında DS’lu çocukların spesifik motor 
problemleri olduğu konusunda hem fikir olurlar. (Henderson, 
1985: Connolly&Michael, 1986: Lauteslager, 1991, 1995; 
Vermeer, 1993). Bu anlayışta hipotoni, reflekslerin anormal 
gelişimi, instabilite ve aşırı ağırlık önemli bir rol oynuyor gibi 
görünmektedir. Konjenital kalp bozuklukları, duyumsal motor 
problemler ve eklemlerin hipermobilitesi gibi tıbbi durumların 
etkileri de önemli bir rol oynamaktadır. Bununla birlikte, bu 
çocukların yaşadığı bilişsel ve sosyal kısıtlamalar da 
belirgindir (Block, 1991). Belirgin motor geriliğin de bir etkisi 
olduğu görülmüştür (Kugel, 1970; Henderson, 1985; 
Gunn &Berry, 1989). Bu sebeple DS’lu çocuklar, müdahale 
programlarında sıklıkla yer alırlar. Motor davranışlarındaki 
spesifik problemlere dayanarak, bu çocukların hayatlarının ilk 
yıllarındaki motor gelişimleri pediatrik fizyoterapistler tarafından 
artan oranlarda gözetim altına alınmaktadır.  
Bu bölüm, motor müdahale metotlarının çeşitliliğine ve 
uygunluğuna bir anlayış getirecektir. Bu, DS’lu çocukların motor 
gelişiminde erken müdahalenin etkileri üzerine yapılmış 12 adet 
araştırmanın temeli üzerine yapılacaktır. 
Bölüm3 şunları baz alır:
Lauteslager, P.E.M., Vermeer, A. & Helders P.J.M. (1995). 
Theoretische fundering van motorische interventie bij kinderen met het 
syndroom van Down; een literatuur studie (Theoretical foundation of 
motorintervention for children with Down’s syndrome: a review of the literature).
Nederlands tijdschrift voor de zorg aan verstandelijk gehandicapten, 
21,108-122
Lauteslager, P.E.M., Vermeer, A. & Helders P.J.M. (1996). Motorische 
interventie bij kinderen met het syndroom van Down; een literatuur studie. 
Motor intervention for children with Down’s Syndrome: a review of the 
Literature. Nederlands Tijdschrift voor Fysiotherapie, 106, 52-61

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