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Stimulus overselectivity in learning disabled children.

Stimulus overselectivity, a phenomenon exhibited by autistic and institutionalized retarded individuals, was examined in mildly handicapped and nonhandicapped public school children. Subjects were 16 young, educable mentally retarded, 16 learning disabled, 15 nonhandicapped first- and second-graders, and 16 older, educable retarded students. The children were trained on a 3-component visual discrimination task and then tested on individual elements to determine which element or elements were controlling subject responses. Nine of the young educable mentally retarded children and eight of the learning disabled students showed some overselectivity. The majority of overselective retarded children were controlled by only one of the three components of the training cue, whereas the majority of the overselective learning disabled children responded to the discrimination task on the basis of two of the three components. No overselectivity was exhibited by the nonhandicapped students. All three cue components were also functional in controlling the responding of 14 of the 16 older retarded students, but two children were under the control of only one cue. The research indicated that in terms of overselectivity, learning disabled children respond more like young, mildly retarded children than they do like nonhandicapped ones. The demonstration of stimulus overselectivity in a sizable portion of a learning disabled sample may have implications for a more empirically based approach to this handicapped population.

Attention↗

A community-based rehabilitation programme for pre-school disabled children in Guyana.

The limitation of the traditional Institutionally-Based model of rehabilitation and the competing rationale for introducing a Community-Based model of services are examined. Problems with the World Health evaluation of CBR are discussed. The results of a CBR programme with 53 pre-school disabled children in rural areas of Guyana are presented. Quantitative and qualitative methods are combined to analyse the results. Portage and Griffiths pre/post test results showed significant improvement as a result of the training programme. Noticeable changes in the attitudes of the parents toward the child, the community and towards themselves are presented. The effective involvement of the community is analysed.

Child↗

Differences between normal and developmentally disabled children in a first dental visit.

Twenty-eight three- and four-year-old normal children participated in a study where they were exposed to a tape-slide series before a first dental examination. The audiovisual product gives an explanation about a first examination, the children having no previous dental experience. The purposes of the study were to evaluate the behavior modification that took place and to see whether differences could be found with the results of the same study performed four years before, with developmentally disabled children. The results obtained with normal children were the opposite of those obtained with special children. The normal population subjected to the audiovisual technique behaved better and had a lower heart rate throughout the appointment.

Audiovisual Aids↗

Effect of bench height on sit-to-stand in children without disabilities and children with cerebral palsy.

OBJECTIVE: To evaluate the effect of seat height on sit-to-stand (STS) in children with cerebral palsy (CP) and in children without disabilities. DESIGN: A mixed design (subject type by seat height) with repeated measures for seat height. SETTING: Motion analysis laboratory. PARTICIPANTS: Ten children with mild CP (mean age, 10.9+/-2.7 y) and 10 children without disabilities (mean age, 8.7+/-2.4 y). INTERVENTIONS: Kinematic and force measurements of STS were completed with 6 infrared cameras and 2 forceplates. MAIN OUTCOME MEASURES: Phase duration of the STS movement, amplitude and timing of ground reaction forces, and maximum head velocity during the movement. RESULTS: Children with CP took significantly longer to rise to standing (1.71 s) than children without disabilities (1.24 s) (F(1,18)=16.97). The extension phase of STS was also significantly longer for children with CP (.85 s) than for children without disabilities (.45 s) (F(1,18)=18.73). Seat height did not affect time to stand for either children with CP or children without disabilities (F(1,18)=2.82, P>.05). The duration of the extension phase, maximum horizontal and vertical velocity of the head, and maximum vertical ground reaction force were all significantly greater when children stood from the low bench height than from the higher bench height, although we found no significant differences by subject type for maximum horizontal and vertical head velocity or for maximum vertical ground reaction force. CONCLUSIONS: Although children with CP were able to modify their motor programs for STS to accommodate changes in seat height as readily as nondisabled children, the speed with which they extended against gravity was slower; therefore, the total STS movement took longer for them to complete than for children without disabilities. Because the time to complete STS from the low and high bench did not differ, it would appear that time to ascend from sitting may be invariant and therefore be a motor control parameter for the STS movement.

Adolescent↗

Accidental asphyxia in bed in severely disabled children.

OBJECTIVE: To determine whether there are specific situations which may increase the risk of accidental asphyxia during sleep in children with physical and mental disabilities. METHODOLOGY: Review of all cases where death was attributed to accidental asphyxia caused by unsafe sleeping situations in children listed in the Department of Histopathology database over a 10-year period from March 1989 to February 1999. RESULTS: A total of 26 cases were found (M:F, 19:7; age range, 1-48 months; average age, 7.4 months). Of those cases, two involved children with significant mental and physical impairment. Case 1: A 4-year-old boy with Klippel-Trenaunay-Weber syndrome, macrocephaly and severe developmental delay, was found dead with his head hanging over a wooden board attached to the side of his bed. Case 2: A 4-year-old boy with lissencephaly and severe developmental delay was found dead wedged between a retractable mesh cot side and the side of his bed. In both cases the devices resulting in death had been put in place to prevent the boys from falling out of bed. CONCLUSIONS: Accidental asphyxia in physically and mentally impaired children may be caused by devices that have been used to prevent injury from falling out of bed. Careful assessment of the specific developmental problems that children suffer should be undertaken before their beds are modified. It may be safer for these children either to have no barrier, or to have drop-sided cots/beds that meet recognized safety standards.

Accidents, Home↗

Comprehension of nonverbal communication: a reexamination of the social competencies of learning-disabled children.

This study was designed to determine whether learning-disabled (LD) children differed from nondisabled (NLD) children in their ability to comprehend nonverbal communication when potential attentional differences between the groups were controlled. In addition, the relationship between nonverbal comprehension and social competence was assessed. Thirty LD and 30 NLD boys between 9 and 12 years of age were administered a short form of the Profile of Nonverbal Sensitivity (PONS) to assess nonverbal comprehension; social competence measures included teachers' ratings of aggressive and withdrawn behaviors using the Behavior Problem Checklist, and "blind" judges' ratings of performance on a role-play of friendship-making skills. Under attention-incentive conditions, no performance differences between LD and NLD children were found on the PONS; however, LD children were judged to be more withdrawn and less socially skilled. While PONS scores were not related to other social competence measures, they were associated with academic achievement and IQ. Results emphasize the importance of considering the presence of attentional problems in LD children that may interfere with an accurate assessment of their skills.

Achievement↗

Percutaneous endoscopic gastrostomy without an antireflux procedure in neurologically disabled children.

In children with major neurologic impairment, gastrostomies are often used to alleviate malnutrition and feeding difficulties. There has been a trend toward performing "protective" antireflux surgery in these children. Nineteen children with major neurologic impairment and feeding failure were prospectively evaluated and followed up after placement of a percutaneous endoscopic gastrostomy (PEG) without any antireflux procedure. Mean age at PEG placement was 34 months with mean follow-up of 20.7 months. All parents would recommend PEG to families with disabled children, and if given the chance, 95% would elect PEG again for their child. No child developed choking, gagging, or retching postoperatively. At the time of follow-up, postoperative gastroesophageal reflux did not appear to be a major clinical problem.

Adolescent↗

The effect of reinforcement and verbal rehearsal on selective attention in learning-disabled children.

A central-incidental task of selective attention was administered to 100 learning-disabled boys--48 younger children (8 1/2-10 1/2 years) and 52 older children (10 1/2-12 1/2 years). Subjects at both age levels were assigned to one of four conditions: (a) a standard condition; (b) a rehearsal condition, in which subjects were taught a verbal rehearsal strategy; (c) a reinforcement condition, in which correct responses were rewarded; and (d) a combined rehearsal-reinforcement condition. Older subjects recalled more central task but not more incidental task information than younger subjects. A measure of selective attention efficiency was also greater for older than for younger subjects. Central recall in the rehearsal-reinforcement condition was greater than in any other condition. Central recall was greater in the rehearsal condition than in the standard and reinforcement conditions. Selective attention efficiency was greater for both rehearsal conditions than for both nonrehearsal conditions. Incidental recall was higher for reinforcement subjects than for rehearsal subjects. Results suggest that induced verbal rehearsal improves central recall and selective attention in learning-disabled children. Reinforcement alone does not improve central recall but may when paired with rehearsal.

Attention↗

Cognitive abilities in reading-disabled children: a longitudinal study.

Longitudinal psychometric test data collected at two different ages (9.4 +/- 1.3 and 14.8 +/- 1.2 years) were utilized to compare the developmental rates of 69 pairs of reading-disabled and matched control children. Results of a two-factor (GROUP X TIME), mixed-model, multivariate analysis of variance indicated that reading-disabled children manifested deficits on measures of academic achievement, symbolic processing speed and spatial reasoning abilities at both ages. Although both reading-disabled and control children were found to improve significantly between the two testing sessions, the lack of a significant GROUP X TIME interaction on measures of academic achievement and spatial reasoning abilities indicated that the rate of development was similar for the two groups. For measures of symbolic processing speed, however, differences between reading-disabled and control children were somewhat greater at the later age.

Achievement↗

Robotic arm use by very young motorically disabled children.

This paper reports on a study carried out to determine if very young children would interact with a small computer-controlled robotic arm. Six disabled and three normal children were used in the study. All children were less than 38 months in age. The arm was trained to carry out movements on activation of a single switch by the child. Fifty percent of the disabled children and 100% of the normal children did interact with the arm and use it as a tool to obtain objects out of reach. Possible relationships between the use of the arm and developmental levels in various areas are discussed.

Child, Preschool↗

Psychometric properties of the Mid-Range Expanded Trail Making Test. An examination of learning-disabled and non-learning-disabled children.

By systematically varying the stimuli within the Mid-Range Trail Making Test (MTMT), it may eventually be possible to isolate the cognitive demands of this test. Toward this end, the Mid-Range Expanded TMT (METMT) was developed by adding five new forms to the original forms A and B. To insure its appropriateness for clinical and experimental use, the current study sought to quantify the psychometric properties of this new test. The results indicate that the METMT is reliable and has adequate construct, criterion, and factoral validity. The results also cross-validated the findings of Davis et al. [J. Clin. Psychol. 45 (1989) 423.], suggesting that brief neuropsychological evaluations can effectively differentiate normal learners from learning-disabled children. The present study suggests that the MTMT is robust to alterations of its stimulus dimensions. Preliminary METMT normative data are presented.

Adolescent↗

Narrative discourse productions in older language impaired learning disabled children: employing stricter reliability measures.

This study aimed to describe narrative discourse productions of older language impaired learning disabled (LILD) children, using stringent reliability measures. Coherence and cohesion were the measures of analysis employed. Content and clarity ratings provided a subjective analysis of narrative productions. Interrater and intrarater reliability measures were calculated and testing for stability of scores across three testing sessions were undertaken. The results indicated subtle differences in the coherence and cohesion of narrative productions in the LILD compared with controls. The findings of this study support past literature, which calls for greater research in this area using stricter reliability measures.

Adolescent↗

Program for developmentally disabled children.

Children who are developmentally disabled are more often handicapped by a lack of social skills than by intellectual limitations. The pilot program described here improved the psychosocial functioning of such children by involving them in one-to-one relationships with caring adults.

Adolescent↗

Experiencing Pleasure in Working with Severely Disabled Children.

This qualitative research study examines the author's experience of pleasure in working as a music therapist with children with severe, multiple disabilities. The impetus for the study came when she experienced great pleasure in working with these children, and sought to better understand what made the experience so enjoyable. Videotapes of music therapy sessions were studied from several angles, and the following categories into which enjoyable experiences fit were formulated: Intentionality (allowing assistance, continuing on own after assisted initiation, initiation upon request, spontaneous initiation); emotionality (smiling, physical closeness); communication (humming, specific sounds or words); and mutuality (with another child, with therapist, upon request, with physical cues, spontaneous). Themes of responsiveness and expectations were found to run throughout the author's experience of pleasure, and she relates these themes to other areas of her life. Possible applicability to others, both in ways in which the findings might be used directly, and ways in which themes (such as her themes of responsiveness and expectations) might be used to increase others' understanding of themselves as therapists, are discussed. It is suggested that when music therapists make connections between their personal lives and clinical enjoyment, it can help them to find more pleasure in their work and thus better serve their clients.

Journal Article↗

The journey to accepting support: how parents of profoundly disabled children experience support in their lives.

Advances in medical knowledge and care have extended the lives of children with profound and multiple disabilities. In most cases it is the parents who meet the often complex and continual needs of their child with disabilities in their own home. This study explored the experience of support in the lives of such parents. The interpretive, hermeneutic phenomenology of Heidegger was employed to create a detailed and authentic account of the parents' experiences of support. Five interrelated themes emerged from data from in-depth interviews with six parents randomly selected from a purposive sample in a special school setting. The themes were: parents' feelings about support, the journey to accepting support, support as a loss, disability and the parent and the supportive relationship. Understanding the experience of support from the parent's perspective may lead to a consideration of flexible systems that challenge practice to ensure that supporters listen, learn, develop and deliver support in ways that are helpful.

Adaptation, Psychological↗

A cluster analysis of learning disabled children.

Cluster analysis was employed with the intent of describing more homogeneous subgroups of learning disabled (LD) children. The parents and teachers of 29 children placed in special education as learning disabled completed questionnaires concerning demographic information regarding the families; birth, medical, and developmental histories regarding the children were also included. Variables for the analysis were those found, by means of discriminant analysis in an earlier study, to be significantly related to LD as opposed to regular education children. The presence of developmental delays (speaking or walking later than expected), birth order, and sex of the children were influential in the definition of the clusters.

Birth Order↗

Current advances in bone health of disabled children.

PURPOSE OF REVIEW: Bone health is now recognized to contribute to overall lifetime management of children, adolescents, and adults with disabling conditions including physical and intellectual disability and with many chronic disease processes. Such disorders have multiple components, with aspects of care covering a wide number of specialist practices. This review will highlight advances in understanding the nature of bone mass accumulation through childhood and adolescence, the impingement of a spectrum of chronic and disabling diseases and their treatments on bone, and will address current approaches to interpretation of bone mass in the growing skeleton and interventional strategies for improving outcomes for this group. RECENT FINDINGS: Increased skeletal fragility in the disabled child is well recognized. Insights into the contributions of skeletal size and bone strength in males and females have altered interpretation of data, allowing a new focus on determinants of future bone health, particularly with regard to the contributions of growth and puberty. Strategies to address bone health including public and medical education concerning consumption of calcium, appropriate selection of vitamin D preparations, pubertal contribution to phases of growth and possible specialist use of newer drugs, such as bisphosphonates where indicated, are changing the outlook for this large group. SUMMARY: Implications of these changed understandings provide a new focus on maximizing bone mass accumulation by the end of adolescence within the constraints of what is possible to achieve for an individual and for provision of an holistic approach to bone health.

Adrenal Cortex Hormones↗

Comparison of normal and learning disabled children on a nonverbal short-term memory serial position task.

A serial recall task was used to compare performance of 15 normal and 15 learning disabled elementary school children matched on CA, IQ, and sex with two and three dimensional representations of nonverbal eight-point shapes. Two a priori assumptions were not supported: (a) no differences in recall were found between groups and (b) no differences in recall were found for either group using two or three dimensional stimuli. Three dimensional stimuli did facilitate visual rehearsal at the primacy position for both groups. Learning disabled children's performance was consistent with the mediation deficiency hypothesis found with normal children.

Child↗