CC BY
26UDC: 616. Р-11
early intervention in the system of rehabilitation of children with speech
delays
Arykpaeva Ch.S., Atykanov A.O. International Higher School of Medicine, Bishkek, Kyrgyz Republic
Abstract
The paper presents the results of early intervention in the rehabilitation of 26 children with speech development delay, conducted at the Specialized Center for the Rehabilitation of Children and the Family. It is shown that the measures taken made it possible to achieve the appearance of speech in 50% of children, and 19.2% of children had words and the exact pronunciation of words, as well as understanding of speech. This made it possible to ensure that 38.4% of children began to attend kindergartens, preschool institutions and 15.4% were socialized in the children's team.
Key words: children, early intervention, speech delay, rehabilitation.
CYrnee кебинин &0P4yycy кечещеген
БАЛДАРДЫ РЕАБИЛИТАЦИЯЛОО СИСТЕМА СЫНА
ЭРТЕ КИЙЛИГИШYY
Арыкпаева Ч.С., Атыканов А.О. Эл аралык Жогорку Медициналык Мектеби, Бишкек, Кыргыз Республикасы
Аннотация
Бул иште Балдарды жана yu-6y^qhy реабилитациялоо боюнча адистештирилген борборунда жYргYЗYлгвн cy^oo кебинин ohyzyycy кечецдеген 26 баланын реабилитациясы боюнча эрте кийлигишYYHYн натыйжалары берилген. КeрYлгeн чаралар балдардын 50%да cy^oo кебинин пайда болушуна жетишYYгв mymky^yk бергени, ал эми 19,2%ында создор жана сoздoрдYн так айтылышы, ошондой эле кепти тYШYHYY бар экендиги корсотYлгон. Бул балдардын 38,4%ын бала бакчаларга, мектепке чейинки мекемелерге барууга жана 15,4% балдар коллективинде социалдаштырууну камсыз кылууга mymky^yk берди.
Ачкыч свздвр: балдар, эрте кийлигишYY, cy^oo кебинин вHYгYYCYHYH кечигYYCY, реабилитация.
Correspondent author - Artykbaeva Cholpon Sartbaevna +996 551165 510
РАННЕЕ ВМЕШАТЕЛЬСТВО В СИСТЕМЕ РЕАБИЛИТАЦИИ ДЕТЕЙ С ЗАДЕРЖКАМИ РЕЧЕВОГО РАЗВИТИЯ
Арыкпаева Ч.С., Атыканов А.О. Международная Высшая Школа Медицины, г. Бишкек, Кыргызская Республика
Аннотация
В работе представлены результаты раннего вмешательства при реабилитации 26 детей с задержкой речевого развития, проведенных в Специализированном центре реабилитации детей и семьи. Показано, что проведенные мероприятия позволили достигнуть появления речи у 50% детей, а у 19,2% появились слова и точное произношение слов, а также, понимание речи. Это позволило добиться того, что 38,4% детей стали посещать детские, дошкольные учреждения и в 15,4% - детей социализировались в детском коллективе.
Ключевые слова: дети, раннее вмешательство, задержка речевого развития, реабилитация..
Introduction
In recent years, an early intervention program for children with developmental disorders, starting from an early age is being actively implemented around the world [3,4]. Early intervention is a system of various measures aimed at the development of young children with development disorders or the risk of such disorders, and activities focused on supporting parents, which also include identifying problems in the development of children and assessing the characteristics of their development and health limitations [5,6]. To implement the early intervention program, an interdisciplinary team was created, consisting of specialists, namely: a pediatrician, a physical therapist, a special teacher, a logopedist, a psychologist, and may also include an occupational specialist, specialists in vision and hearing assessment and other specialists [1,2]. Speech
dysfunction in children is one of the main causes of impaired child development, including both psycho-emotional aspects and social adaptation of children in society [7,8]. Therefore, the restoration of speech function is an important stage in the further development of the child.
Objective. Evaluation of the restoration of speech function in children with early intervention in the rehabilitation system.
Material and methods Examination and rehabilitation of children was carried out on the basis of the Specialized Center for the Rehabilitation of Children and Families in Bishkek, for the period 2019-2021.
The object of the study were 26 children with delayed speech development. The average age of the children was 3.4 ± 1.1 years. Rehabilitation activities were carried out within 3-12 months. When examining
children, laboratory methods (unified hematological and biochemical studies), ultrasound, electroencephalography, magnetic reso nance imaging, and neurosonography were used. Statistical data are presented in absolute and percentage terms.
Outcomes and discussion
From the data presented in Figure 1, it can be seen that of the number of children admitted to the center, 10 (38.4%) had alalia, 6 children (23%) had incorrect pronunciation of words, 6 children (23%) had no speech understanding. Fewer children had such
speech disorders as a delay in the rate of speech - 1 (3.85%), the absence of a link in a sentence - 1 (3.85%) and a delay in the pronunciation of words - 2 (7.7%). It should be noted that among the examined children, 4 had an autism, 5 children had attention deficit and hyperactivity disorder, 2 children had residual encephalopathy and sensory deafness, 1 child had cerebral palsy and 1 child had Down syndrome with congenital heart disease. These pathological conditions undoubtedly influenced the duration of rehabilitation.
1. Alalia;
2. Wrong pronunciation of words;
3. No understanding of speech;
4. Delay in the rate of speech;
5. The absence of a link in the proposal;
6. Delay in the pronunciation of words.
Figure 1. Indicators of speech delay.
The program of early intervention in the rehabilitation of children with delayed speech development was complex and included: classes with a defectologist and a logopedist, articulation massage of tongue, exercise therapy, supervision of a p sychoneurolo gist and specialists physicians. Work was carried out with parents on the proper organization of the child's life at home.
As can be seen from the data in Figure 2, most children showed significant dynamics in the development of speech
function, namely, 13 children (50%) developed speech, 3 children (11.5%) developed words, in 1 child (3.85 %) the exact pronunciation of words appeared, 1 child (3.85%) started understanding speech, in 1 child (3.85%) communication skills appeared, and 4 children (15.4%) integrated in the children's team. At the same time, 3 children (11.5%) did not develop speech. The implementation of the early intervention program made it possible to send 10 children to preschool institutions.
100 %
1 2 3 4 5 6
1. The appearance of speech;
2. The appearance of words;
3. The appearance of the exact pronunciation of words;
4. The appearance of communication skills;
5. Social adjustment to children's team;
6. Lack of speech.
Figure 2. Indicators of rehabilitation of children with delayed speech development.
The implementation of an early intervention program allows to say that the child becomes normal when the barriers that prevent the child from living a normal life and being included in the same activities as peers, are removed.
Conclusions
Early intervention in the rehabilitation of children with speech delay leads to a faster restoration of speech and, consequently, their successful integration and adaptation in family and in society as a whole.
Conflict of Interest: The authors did not have a conflict of interest when writing the article.
Reference:
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