Showing posts with label early intervention. Show all posts
Showing posts with label early intervention. Show all posts

Monday, June 1, 2015

Early Motor Skills May Affect Language Development

Learning to sit up, crawl and walk are all major milestones in a child’s early development – and parents often record these actions in baby diaries, photographs and videos. Developing motor skills allows the child to become more independent. But our research, backing a number of other studies, has shown that it may also say something about the rate of a child’s cognitive development, such as talking.
It makes sense that the ability to move affects how children see, think about and talk about their physical and social environments. Indeed, over recent years, it has become increasingly clear that cognitive development is more closely related to the development of gross motor skills, such as crawling or walking, and fine motor skills, such as grasping and manipulating objects, than many have previously considered.
In fact, it has been suggested that rather than assessing motor and cognitive development separately, they should be viewed as two connected cogs within a large, complex system, each dependent on the other and working together to make small steps forward in development.
It is therefore vital that more research investigates the relationship between motor and cognitive development, rather than focusing on these as separate parts. This will not only be important for understanding typical development, but could also help to explain the difficulties that some children face when the connections in the system are disrupted.

Early links

Learning language is a very long process for infants. They have to go through a period of working out how to use their mouths to make sounds, such as blowing raspberries. Then there’s babbling. Then comes the first word. Finally, children are able to build sentences and, later, to hold conversations.
Research has shown that before each of these language milestones, there is usually a change in motor actions. An example is babbling, where an infant repeats the same sound over and over again (“bababa”). In the few weeks before babbling starts, infants show a lot of arm movements, such as banging, shaking or waving. What is interesting is that after they start babbling, infants stop doing these movements as much.


Look at those arms – he’ll babble any day now.
Paul/FlickrCC BY-SA
Why would these two activities be related? It might be that they are both letting infants see what happens when an action is repeated, so they get used to the sounds and feelings of their bodies. Infants are learning that something they do causes something else to happen. It is like learning that when you press a button, a light comes on.
There are lots of other examples of new motor and language skills appearing around the same time. The fact that the motor action and the language milestone are so close in time suggests that the two parts of the system are developing together.

Motor difficulties

Our own research has focused on what happens when infants have difficulties in developing motor skills in a typical way. One way that we have done this is by looking at the relationship between motor and cognitive skills in autism spectrum disorder (ASD).
Language and communication problems are key to a diagnosis of ASD, but children with ASD also often show some difficulties in motor skills. We carried out a study with 53 infants who had an older sibling with ASD. This increases the risk that they will develop ASD themselves.
Working with the British Autism Study of Infant Siblings (BASIS) at Birkbeck, we found that these infants had generally poorer motor skills at the age of seven months compared to infants who had an older sibling without ASD. Importantly, we showed that motor skills at seven months predicted the rate of language development in the group of infants who went on to develop ASD themselves. This suggests that poor early motor skills could be one factor affecting the development of language difficulties, and that this might be particularly relevant for those at risk of developing ASD.
We are also investigating cognitive skills in children with developmental coordination disorder (DCD), which is diagnosed on the basis of motor difficulties which have an impact on daily living. We hope that these studies will help us to better understand the relationships between motor and cognitive development.
An important point to remember in this discussion is that children naturally develop at different rates. An infant may start crawling at any point between five and 13 months and still be within the age range expected for crawling. Some infants do not crawl on hands and knees at all, but shuffle, creep or just start walking so that they can move around the room.
This means that parents should not be worried that their child is not going to be “clever” or is not developing well if he or she is not crawling early. Crawling is one way of solving a problem, such as reaching a toy on the other side of the room, but it is not the only way. As a child’s body grows and muscles get stronger, better ways of solving these problems develop.
One future question to investigate will be whether there are critical time periods in the development of these skills which cause some children to develop atypically. It will also be important to work out the different paths that motor and language skills can follow. To answer these questions, future research will need to study children over time, and study the two sets of skills together.
Hayley Leonard is Postdoctoral Research Associate at Goldsmiths, University of London.
Elisabeth L Hill is Professor of Neurodevelopmental Disorders at Goldsmiths, University of London.
This article was originally published on The Conversation.
Read the original article.

Sunday, January 9, 2011

Early Intervention Success Stories

Do you ever need to explain to parents the benefits of early intervention? Maybe convince some that early intervention services can make a huge difference in a child's life? Check out these videos from Pathways Awareness. There are video stories of children with varying abilities who have shown great success with pediatric therapy services.

Monday, August 2, 2010

Signs of Autism at 1 Month

The August issue of Pediatrics reports on a retrospective study over 11 years of over 2100 NICU newborns. The researchers discovered that the infants who later received a diagnosis of autism had a higher incidence of persistant neurobehavioral abnormalities such as increased upper extremity muscle tone and asymmetrical visual tracking at one month of age. The children who were identified with autism were 4 times more likely to be male and 2 weeks younger at birth. By the time the infants were 4 months of age, a preference for increased visual stimulation was observed. In addition, by 7 months of age a decrease in motor performance was observed. At 10 months of age, a decrease in cognitive performance was seen.

Reference: Todd Neale. Deficits in Early Infancy May Point to Autism. Retrieved from MedPage Today on 8/2/10 at http://www.medpagetoday.com/Pediatrics/Autism/21474

Friday, July 23, 2010

Measuring Inclusion in Early Childhood

If are a teacher, parent or therapist for children in an early childhood inclusive setting you may want to check out two new resources that can assist you in determining the quality of your inclusion program. The SpeciaLink Early Childhood Inclusion Quality Scale was developed in 2009 to assess inclusion quality in early childhood settings.

The Inclusive Classroom Profile was developed to assess daily classroom practices that support students with disabilities. This tool appears to be a great measurement of adult involvement with the child, social interactions of the child, communication, adapting of activities and more. You can download this assessment tool here.

For more information on these tools visit the Early Childhood Community website.

Friday, May 7, 2010

Mother's Touch Effects on Brain Development

Recent research published in the Journal of Neuroscience, indicates that a mother's touch not only provides security, comfort and love but also cognitive function and stress reduction. This study was performed using rats. The results indicated that "sensory stimuli from maternal care can modify the gene that controls a key messenger of stress called corticotropin-releasing hormone (CRH)" (1). Basically, when a baby senses soothing touch, DNA in the brain cells activate a "silencer" of CRH in the hypothalamus. As a result of decreased CRH, nerual dendrites can fully develop in the hippocampus (2).

This is important information for early intervention therapists to reassure mother's that their touch alone is a positive intervention in their babies brain development.

Would love to see this study done in older rats to find evidence based research that human touch can change the hippocampus' wiring. That would be a great stride for sensory integration therapy techniques.

An additional study of valuable information regarding human touch was published in Nature Neuroscience. This study indicated that people preferred to be touched (soft brush stroking) at a certain speed: 4-5 cm per second. When the touch was pleasurable it activated "C-tactile" nerve fibers which are only present on skin with hair on it (3).


Reference:
1. University of California Irvine. Mother's Touch. Retrieved from the web on 5/6/10 at http://www.uci.edu/features/2010/05/feature_sensory_100503.php

2. Aniko Korosi, Marya Shanabrough, Shawn McClelland, Zhong-Wu Liu, Erzsebet Borok, Xiao-Bing Gao, Tamas L. Horvath, and Tallie Z. Baram Early-Life Experience Reduces Excitation to Stress-Responsive Hypothalamic Neurons and Reprograms the Expression of Corticotropin-Releasing Hormone J. Neurosci. 30: 703-713; doi:10.1523/JNEUROSCI.4214-09.2010

3. Loken, L et al. Coding of Pleasant Touch by Unmyelinated Afferents in Humans. Nature Neuroscience 2009 12, 547-548.

Thursday, December 10, 2009

Calling all Early Intervention Therapists

There is a survey being conducted by Pathways Awareness (www.pathwaysawareness.org), a national nonprofit focused on raising awareness of motor delays and the positive effects of therapy. The survey is amassing the observations of therapists to track trends -- what kinds of conditions are we observing in children? What issues do we think physicians and families need to be aware of?

Ultimately, the goal of the survey is to compile these responses and report therapists' observations to the public, helping parents, teachers and health professionals take action. Last year, a survey by Pathways received nationwide attention in publications such as USA Today, Newsweek and Pediatric News and raised awareness of the importance of tummy time for infants.

The survey is completely anonymous, but participants will be able to leave their contact information if they choose.

A live link is here if you'd like to participate https://www.surveymonkey.com/s/T8KTST8

Thursday, October 1, 2009

Do You Sugar Coat?

An article in a recent issue of Pediatrics brings up an interesting point when dealing with mothers of young children and their child's development. Three focus groups, consisting of mothers of children who received early intervention, mothers of typically developing children and specialists were studied. Most mothers indicated a "non alarmist style of communicating if delays were suspected". Some other mothers indicated that they preferred a "more direct style" so that they were better able to understand. All of the focus groups felt that the following were a priority: developmental timeline of what to expect, suggestions to encourage developmental skills and a follow up evaluation.

What do you do in your daily practice? Are you a "sugar coater or a straight talker"?

Reference: Sices, Laura, Egbert, Lucia, Mercer, Mary Beth Sugar-coaters and Straight Talkers: Communicating About Developmental Delays in Primary Care Pediatrics 2009 124: e705-e713

Monday, June 29, 2009

Moderately Preterm Babies, EI Services and School Age Function

Pediatrics reports in the current issue that children who were born at 32-36 weeks gestational age are at greater risk for special education services than full term children at 8 years of age. Of the 377 children studied who were moderately preterm (with no NICU care or congenital malformations), the special education rate was 7.2% compared to the general Dutch population of 2.8%. The 32-33 week gestational age group were at a significant risk for grade retention when compared to the 34-36 week gestational age group. The preterm children also exhibited more behavioural issues, ADHD characteristics and decreased attention. The researchers concluded that this group of children need to be monitored at a young age.

The June 2009 issue of Pediatrics reported on a study that indicated that preterm children (34-37 weeks gestational age) are two times more likely to be eligible for early intervention programs compared to full term children. Although, many physicians are not recommending services due to unacceptable screening tools. The researchers recommend that physicians lower their threshold for administering an acceptable screening tool such as the Ages and Stages Questionnaire.

Reference:
van Baar, Anneloes L., Vermaas, John, Knots, Edwin, de Kleine, Martin J. K., Soons, Paul Functioning at School Age of Moderately Preterm Children Born at 32 to 36 Weeks' Gestational Age Pediatrics 2009 124: 251-257

Marks, Kevin, Hix-Small, Hollie, Clark, Kathy, Newman, Judy Lowering Developmental Screening Thresholds and Raising Quality Improvement for Preterm Children Pediatrics 2009 123: 1516-1523
Related Posts Plugin for WordPress, Blogger...