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63
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
Dostları ilə paylaş: |