Down sendromlu çocuklarda motor geliŞİMİ ve müdahalesi



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Down Sendromlu çocukların motor gelişimi üzerine yapılan 
çalışmada birçok araştırma yer alır. Henderson (1985) ve Block 
(1990) eleştirilerinde, bu çocukların motor gelişimlerini etkileyen 
faktörlerle ilgili kapsamlı ve çeşitli araştırmaların bulunduğunu 
rapor ederler. Spesifik motor problemlerle ilgili yeterli derecede 
kanıt vardır. Hipotoni, anormal reflekslerin gelişimi, instabilite ve 
obezitenin önemli roller oynadığı anlaşılmaktadır. Bununla birlikte 
konjenital kalp anormallikleri, sensori-motor problemleri ve 
eklemlerin hipermobilitesi gibi sağlık durumlarının yanı sıra, bilişsel 
ve sosyal kısıtlamalar da çok önemlidir. Eldeki bilgi kapsamlıdır 
ama birbiriyle birleştirilmemiştir. Hem Henderson (1985) hem de 
Block (1991) mevcut araştırma materyalinin 
sentezine ihtiyaç duyulduğunu belirtirler. Bölüm 3’te gözden 
geçirilen çalışmalar, DS’lu çocukların motor gelişimi üzerindeki 
müdahalenin değerlerinin gösterilmesi için uygun değildir. Bir 
başka önemli faktör ise şudur: Bu araştırma çalışmalarının hiçbiri, 
bu çocukların motor problemlerini gelişimsel perspektiften 
yorumlayacak teorik bir sistem kullanmamıştır. 
Bölüm  4  şunları baz alır:
Lauteslager, P.E.M., Vermeer, A. & Helders, P.J.M. (1994). Houdingsregulatie 
stoornissen bij kinderen met het syndroom van Down; een literatuurstudie 
(Disturbances in the regulation of postural control; a review of the literature). 
Nederlands Tijdschrift voor Fysiotherapie,) 104, 160-169.
Lauteslager, P.E.M., Vermeer, A. & Helders, P.J.M. (1998). Disturbances in the 
motor behaviour of children with Down’s syndrome: the need for a theoretical 
frame work.Physiotherapy, 84, 5-13. 
Lauteslager, P.E.M., Vermeer, A., Helders, P.J.M. (1998). Zaburzenia zachowania 
motorycznego u dzieci z zespotem Downa-potrzeba opracowania teoretycznego 
(Disturbances in the motor behaviour of children with Down’s syndrome: the need 
for a theoretical framework). Rehabilitacja Medyczna, Tom 2, nr 4, 47-55.
4 Down Sendromlu çocukların motor  
 
   davranışlarındaki bozukluklar: 
   Teorik bir sistemin gereksinimi 


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