Early Intrvention of High Risk Children for Developmental Motor Disorders

Abstract

U članku se daje prikaz nekoliko teorijskih pristupa i modela rane intervencije koji se provode u Hrvatskoj i svijetu s naglaskom na prikaz učinaka ranih interventnih programa kod djece visokorizične za odstupanja u motoričkom razvoju. Dat je pregled nekih ranih interventnih programa s obzirom na vrijeme započinjanja intervencije (tijekom ili nakon izlaska s odjela neonatalne intenzivne skrbi). Istraživanja su pokazala da se razlikuju modeli intervencije za djecu rođenu u terminu i prijevremeno rođenu djecu. Rezultati primjene interventnih programa na motorički razvoj pokazali su da učinak imaju samo oni programi u koji su, osim djece, uključene i njihove obitelji i koji se provode u domu djeteta. Postoji nedovoljno informacija o učincima rane intervencije na aktivnosti svakodnevnog života i socijalizaciju u školskoj dobi, a kao eventualni rezultat pozitivnog učinka rane intervencije na motorički razvoj. Prilikom provođenja i evaluacije programa rane intrevencije, utvrđena je potreba identificiranja svih posebnosti djeteta, ali istovremeno i korištenja svih raspoloživih potencijala, kako samoga djeteta, tako i ostalih članova obitelji i lokalne zajednice. U članku je dat i prikaz rada Kabineta za ranu psihomotoričku stimulaciju koji djeluje od 1997. godine pri Centru za rehabilitaciju Edukacijsko-rehabilitacijskog fakulteta Sveučilišta u Zagrebu. Kabinet je bio među prvim nemedicinskim (paramedicinskim) odjelima u Hrvatskoj u okviru koji je promovirao potrebu provođenja rane intervencije kod djece s neurorazvojnim rizicima, podrške cijeloj obitelji i nužnost utemeljenja rane intervencije u lokalnoj zajednici.The article presents the overview of few theoretical approaches and early intervention models which are implemented in Croatia and in the world with the emphasis on the early intervention programmes effects on the high-risk children for developmental motor disorders. The overview of some early intervention programmes with regard to beginning of the intervention (during and after the exit from the department for neonatal care) is presented. Researches have shown that there is distinction between intervention models for the children born at term and early-born children. Results of the intervention programmes implementation on the motoric development have shown that the impact have only those programmes into which were included also the families of the children and which were conducted in the child`s home. There in no sufficient information on the effects of the early intervention impact on the day-to-day activities and socialisation in the school age, particularly of the positive effects of early intervention on motoric development. During the conduction and evaluation of the early intervention programme, the need for identification of all child’s specifities, but, at the same time, utilisation of all available potentials of the child and other family members and local community, is determined. The article gives overview of the work of the Cabinet for early psychomotoric stimulation which is established at the Centre for rehabilitation of the Faculty for education and rehabilitation, University of Zagreb. The Cabinet was among first non-medical (paramedical) departments in Croatia which promoted the need for early intervention implementation in children with neurodevelopment risks, support to the whole family and necessity of early intervention implementation in the local community

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