Discourse Language Pathology Down Syndrome

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Presentation. Allie, Amy and MaloryTonight\'s topicsOral engine and feedingHearingSpeech and LanguageSLP\'s RoleAugmentative Alternative Communication (AAC)Parent\'s Role. Oral-Motor and Feeding. Babies, little children and kids with Down disorder have anatomical (auxiliary) and physiological (practical) contrasts in the mouth and throat making it hard to make exact developments required for

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Discourse Language Pathology & Down Syndrome

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Introduction Allie, Amy and Malory Tonight's subjects Oral engine and encouraging Hearing Speech and Language SLP's Role Augmentative Alternative Communication (AAC) Parent's Role

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Oral-Motor and Feeding Infants, babies and youngsters with Down disorder have anatomical (basic) and physiological (utilitarian) contrasts in the mouth and throat making it hard to make exact developments required for oral engine control and nourishing. Ranges influenced may include: Breast nourishing Bottle encouraging Cup drinking Chewing strong sustenances Swallowing *Oral engine will likewise influence discourse

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Anatomical and physiological contrasts… Some anatomical contrasts that may be seen include: Small and tight upper jaw Highly curved, contract sense of taste Causes tongue to jut Some physiological contrasts that may be seen include: Low muscle tone Weak oral facial muscles

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Oral cavity examination…

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Other contributing components… Some youngsters with Down disorder have overly sensitive (high) or hyposensitive (low) responses to touch around the mouth. Trouble with tangible input will influence oral engine and gulping. Kumin, L., Resource Guide to Oral Motor Skill Difficulties in Children with Down Syndrome. http://www.ndsccenter.org/assets/archives/discourse/OralMotor.pd f

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Hearing Surveys propose that upwards of 80% of individuals with Down disorder will have some issue with hearing. (Shott, S.R. (2000). Down disorder: Common pediatric ear, nose and throat issues. Down Syndrome Quarterly , 5(2), 1-6.) Conductive misfortune : regular alongside Chronic ear diseases Children with Down disorder have an expanded occurrence of upper respiratory tract contaminations, which inclines endless ear diseases. The facial life structures of Down disorder likewise inclines ceaseless ear malady. (ndss.org) Some youngsters may require rehashed arrangement of weight evening out (PE) tubes to dispose of interminable diseases. Balkany recommends that center ear issues represent 83% of hearing misfortune in kids with Down disorder. Balkany, T.J., Mischke, R.E., Downs, M.P. & Jafek, B.W. (1979). Ossicular variations from the norm in Down's disorder. Otolaryngology: Head and Neck Surgery , 87, 372-384.

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Hearing Continued… Stenotic ear trenches (contract ear channels) can happen in up to 40-50 percent of babies with Down disorder. Limit ear trenches can make the determination of center ear sickness troublesome. Ear trenches develop with age, and may never again be of worry after age 3. On the off chance that a tyke with Down disorder has stenotic ear trenches, he ought to see an ENT expert at regular intervals to dodge undiscovered and untreated ear infections. www.ndss.org

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Speech and Language Characteristics Individuals with Down disorder show a general deferral in the rate of discourse procurement. Youngsters with Down disorder don't seem to learn dialect at a consistent rate. They have more grounded visual than verbal aptitudes, responsive vocabulary more grounded than expressive dialect and syntactic abilities, and regularly qualities in perusing capacities. They have great social intuitive aptitudes and utilize signals and outward appearances adequately to help them impart. They by and large want to impart and interface with individuals

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Language Skills Continued… Most youngsters with Down disorder will enter school at 5 years with a talked vocabulary of around 300 words and likely a bigger open vocabulary of around 400 words. Because of the failure to precisely deliver phonemes kids with Down disorder regularly need discourse understandability. Not all individuals with Down disorder are the same. They all don't show similar attributes or to a similar degree.

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SLP's part Therapy may happen at Early Intervention, school administrations with an IEP, people group organizations, private specialists, college facilities, medicinal focuses and different sources. Treatment ought to augment on the kid's qualities May include a mix of: Sound incitement Language incitement with play Feeding and gulping Oral engine practices Includes the family

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Early Language Intervention Early Intervention is basic Birth-Three years of age Speech Services are a piece of a general treatment group and plan Includes the family and directed at home Every people group in the U.S. ought to have an Early Intervention program Today, with early intercession projects and restorative advances, the conceivable outcomes for people with Down disorder are practically boundless.

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Using AAC It is NOT an issue of picking between AAC or common discourse AAC includes the utilization of methodologies & procedures to upgrade correspondence when discourse is deficient AAC offers a potential intends to improve: Functional correspondence Social advancement Language improvement Learning/psychological advancement Literacy advancement Quality of life

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Types of AAC frameworks include: Low tech techniques, for example, signs, signals, correspondence sheets or books Picture Exchange System (PECs) Pragmatically sorted out element show (PODD) High tech methodologies: Speech producing frameworks (SGDs) AAC is utilized as a part of conjunction with intercession to expand discourse improvement http://www.youtube.com/watch?v=IGKS95G4ynM

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The Parent's Role There are a few basic things that guardians and parental figures can do at home to advance discourse and dialect improvement for kids! Play Matching and demonstrating Reducing questions Create a correspondence require Sign dialect Speech sounds

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Expanding Language Through Play! Play is a Child's Work! Play empowers turn taking, advances joint consideration, coordinates the faculties, includes reiterations, creates social aptitudes and engine abilities. Step by step instructions to Play in your Child's World: Follow your tyke's lead: Be adaptable permitting tyke to alter the course of any movement Get down to your youngster's physical level Play for entertainment only: Think doing not completing Be unconstrained: Have fun and take the path of least resistance

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Modeling and Matching Utterances Modeling is a method for educating by "doing and saying" for instance for your kid. Show activities, signals, sounds, words, phrases Match your kid's expressions Stay at the tyke's dialect level by: Using fitting vocabulary-short, natural words Using a slower rate of discourse Using short, straightforward sentences Why… Child has a superior comprehension of the talked message Reduces tyke's talking requests

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Questions are great, yet abstain from utilizing excessively numerous Use open-finished inquiries, as opposed to constraining yes/no inquiries Provide a lot of hold up time (5-10 seconds) for the kid. Kids require time to gather their contemplations and choose how to react Waiting for the youngster demonstrates them we are keen on what they need to state Instead of inquiries, utilize remarks

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Creating a Communication Need Children who have constrained relational abilities require motivation to impart To improve the probability of correspondence it is useful to make a circumstance in which the kid must convey needs/needs Examples Interrupt and pleasant action and sit tight for kid to react Use prompts and signs, for example, " I ceased the melody. Should we sing all the more?" During routine "overlook" a stage While putting shoes on, "overlook" to put socks on.

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Speech Sounds Why did my kid say that sound first? A few sounds are simpler to see (p,b,m) Some sounds are less demanding to make and mirror since they require less coordination and development of the mouth Help your kid learn discourse sounds Slowly display the sounds for your tyke Emphasize the objective sound by making it longer Have your youngster watch your mouth Play with sounds amid associations

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Sign Language Purpose Children need to convey, yet frequently do not have the capacity to do as such Sign can help them express their message and close the hole between their need to impart and their capacity. Benefits Hand-eye coordination grows sooner than verbal aptitudes Gives youngster the capacity to express needs, needs and considerations Enhances sound and word improvement. It is essential to match sign with sound! Diminished dissatisfactions of net having the capacity to express needs and needs Teaches tyke how to start and take an interest in discussion

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Words from Self Advocates I have dreams and in the event that I buckle down my fantasies can work out as expected. Elaine Fickenscher, self-advocate, Maryland Please never prejudge the breaking points of my capacities, since I happen to have a handicap. Ann Forts, self-advocate, New Hampshire ...every one of us have capacities and inabilities. A few of us have incapacities that you can see like Down disorder. Individuals with inabilities are glad for themselves;they can represent themselves.Katie Maly, self-advocate, Ohio

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Any Questions???

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Resources Handout Website assets www.dynavoxtech.com www.prentrom.com http://www.mayer-johnson.com/downloads/trials/to trial Boardmaker to make low-tech correspondence sheets

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References Bray, M. (2008, July 15). Social and open working . Recovered from http://www.down- syndrome.org/audits/2073 Bray, M. (2008, July 15). Discourse generation in individuals with down disorder . Recovered from http://www.down-syndrome.org/surveys/2075/Buckley, S. (2008, July 18). Discourse, dialect and correspondence for people with down disorder an overview . Recovered from http://www.down-syndrome.org/data/dialect/diagram/Buckley, S. , & Bird, G. (2009, March 27). Discourse and dialect improvement for kids with down syndrome (5-11 years) . Recovered from http://www.down- syndrome.org/data/dialect/youth/Doman, R. (n.d.). Dialect obtaining in youngsters with down disorder. diary of the national association for tyke improvement , 12(1), Retrieved from http://do