Professional Documents
Culture Documents
My Experience
90% presents with mirror writing q instead of p 5% presents with poor result bcoz of lacking in one subject 3% presents with poor marks in writing and excellent result in oral 2% positive screening for dyslexia
Learning Disabilities
It means deficits in acquiring expected skills in reading (dyslexia), writing (dyagraphia), maths (dyscalculia) It accounts 4-5% of normal school population Not lack of intelligence
Etiology
Biological- Prob with brain arrangement Cognitive- Thinking process Behavioral- how child takes learning Social- environment of learning Biosocial Emotional Acquired- Following brain injury
Presentation
13+ gene identified More then 50% F/H positive Boy>Girls Mild to severe Not till 8ys Part of other disease- Autism, ADHD, Asperger
General scenario
Infants: Motor/general intelligence-WNL FM/Speech/Coordination-Del Toddlers: 50% left handed Recurrent fall Preschool: Poor in sports, poor catching ball
General scenario
School: Confusion- poor in only one subject Dumb/Failure Inattentive/disruptive-ADHD Withdrawn/silent- Autism (Asperger syndrome) Adolescence: Dropout- 35% (business leaders) <4% gets bachelor degree
General scenario
Adult: Left-Right, Off-ON Criminal/hacker Poor relationship Anxiety/depression/suicide Obesity/ Anorexia
Screening test
Diagnosis
1) 2) 3) 4) Screening test: Diagnostic tests: Dyslexia test: Junior/Senior Sensory integration Neurological assessment EQ/SQ
Definitive diagnosis
Neurologist Occupational therapist Child psychologist Counselor Government authority
Management
1. 2. 3. Medical management Non medical management Emotional Sensory integration Educational
Management- Medical
Piracetam: Nootropic agent means smart drug or cognitive/neuro/intelligence enhancer drug Adult: Alzheimer, post stroke cognitive improvement Ped: Breath holding spells, Down, Dyslexia
Piracetam-Mechanism of action
Dyslexia- poor coordination of both hemispheres NMDA glutamate receptor stabilization contributes to learning and memory function Effects: Improves activation of corpus callosm fibers which facilitates active communication of both hemisphere hence improve reasoning (RT) and creative thinking (LT)
Supportive studies
J. clinical pharmacology, J. child neurology, J. psychology 225kids from 6-12yrs having dyslexia given for 36weeks Effect started from 12weeks and lasted for 36week Memory improved- WISC score
Side effects
Mild- Headache, Nausea, insomnia Young kids- Sedation Dose: 10mg/kg/day
Non medical
Emotional Sensory integration Educational
Emotional problems
Lack of confidence Back log of failure Frustration Insensitivity, Bullying, Fatigue Behavior therapy and counseling by trained therapist
Sensory integration
Occupational therapist Tactile Visual Auditory Kinesthetic
SI-Video
Educational Management
Neuro-linguistic system: 1) Visual- 80% Clerical jobs, Artists, visionary, scientist, doctors 2) Auditory/Acoustic- 10% Call centre, RJ, secretary 3) Kinesthetic- 10% Sports, actor
Classroom Mx
Giving more time Listening books Software for dyslexia One to one tuition Sensory and motor skills therapy Reading aloud Phonation/ decoding Relation of letters, words, sounds Each child needs tailor made program
Legal Aspects
Special time in all exams Certification from educational board- Neurologist, Occupational therapist, Child psychologist, Counselor Maharastra dyslexia association Special jobs
ADHD or Naughty???
ADHD
Response to punishment and reward is poor No difference with environment Child will say I tried but I cant control
NAUGHTY
Response to punishment and reward is good More hyperactive in presence of person who pamper child Child can control willing fully
Autism
Triad
1) No social development 2) No speech development 3) Repetitive movements Barfi- Low functioning My Name is Khan- High functioning autism
Spot diagnosis
1) Does your child remains in his/her own world? 2) No response to name 3) No separation anxiety M-CHAT screening test
Children are like flowers, we should be gentle and patience to them Not diagnosed before 8years and requires team to diagnose NLP is basic fundamental learning system gaining popularity
With best compliments from: ASIAN CHILD NEURO CLINIC & CEREBRAL PALSY CENTRE
2nd Floor, Park Avenue Building, Opp. Parimal Garden, Ellisbridge, Ahmedabad. Phone: 079-26400640, 9924181291 E-Mail: darshanaben@gmail.com