Showing posts with label speech therapy. Show all posts
Showing posts with label speech therapy. Show all posts

Tuesday, October 4, 2011

31 for 21: Vada's Team; Therapists and Friends-Pt.1

You have been introduced to "Team Vada", now let me introduce you to Vada's Team.


Yesterday was Vada's 6 month therapy review. Every six months we meet here in our home with all of Vada's therapist and we go over her progress, possible set backs, future goals and we set our new six month plan into action.

When you have a child who has Down syndrome or any form of special needs it is important to provide that child with every learning opportunity possible in order for them to successfully reach milestones and goals. To ensure this you MUST be willing to work with professionals in the areas where your child may need a little extra support and guidance.

Kim (second lady on the left), Vada's Physical Therapist (PT) has been working with Vada almost from the moment we brought Vada home. It may sound sad but besides Vada's sisters, Kim was Vada's first "friend". I however, do look at this as a sad thing. I am grateful that Kim is the kind and caring person that she is. Vada likes her and the two work well together and get a lot accomplished during their sessions.

The importance of Physical Therapy with infants and children who have Down syndrome is to help the child to learn to move his or hers body approprately. Children born with Down syndrome typically have some form of Hypotonia also known as low muscle tone.  With out Physical Therapy many children with Hypotonia will adjust their movements to compensate for their low muscle tone, which can also lead to the child walking in a way that is not postually correct. Therefore, it is of the utmost importance to have a Physical Therapist who is trained, experienced and knowledgeable in the distinct musculoskeletal differences of a child who has Down syndrome and of a child who does not.

Vada's second therapist, Sara (second lady from the right), is Vada's Feeding and Speech Therapist. Children who have Down syndrome may have smaller mouths making less room in their mouths for their tongue, in combinations with hypotonia a child may have different set backs and struggles when it comes to feeding and speech. Since eating and communication are an important part of everyone's daily lives it is important to work on different skills to make feeding and speaking easier.

When it comes to Speech therapy, people don't only communicate through speaking but also through facial expressions, gestures and sign language. Typically, all infants with and without Down syndrome learn to use one of the alternative methods before speaking. However, when is comes to children who have Down syndrome (typically) they tend to learn to be receptive much quicker than they learn to be expressive. Meaning a child or infant with Down syndrome will learn what you are saying and understand the meaning before they are able to communicate their own wants and needs.

Vada has a few words that she uses verbally but she has learned to do a couple of signs and  gestures, like turning her head away when she doesn't want something. Her receptive skills are amazing, she really seems to understand most of what I am telling her. As of recently I have noticed her getting more frustrated when she is trying to communicate with me. Therefore, I have decided to really focus on signing more. I am hoping to help her learn more signs quicker, so that she can communicate with us easier than she is now.

If you have a child with Down syndrome, more than likely he or she will need some form of speech therapy and that's okay. Its important to get the evaluation early on and to start the therapy as soon as recommended . Speech therapy for individuals with Down syndrome is a bit different than speech therapy for other reasons. For this reason, again, you need to make sure that the therapist you choose is knowledgeable  in "normal" or "typical" speech development patterns as well as speech development that happens in people who have Down syndrome.

On a side note, gross and fine motor skills are the first steps to developing good speech patterns as well as learning vocal language. It is important to have these forms of therapy going in conjunction with the speech therapy.

Feeding difficulties in individuals with Down syndrome may be caused by a number of reasons combined or one specific reason. Some individuals have sensory sensitivity issues, the motor skills may be delayed, there may be other medical issues that are causing the child to have set backs or the physical structure of the mouth may create some difficulties as well.

When I was pregnant I was told that Vada probably wouldn't be able to breastfeed. The doctors just assumed that she would have such poor muscle tone that she would be unable to figure it out. That theory in combination with her weak heart would make it next to impossible for her thrive. I didn't know much about Down syndrome at this point in my pregnancy but even at that moment I thought that they were full of poo! I was appalled that they hadn't even met my daughter and yet they had already wrote her capabilities off. It was complete nonsense to me.

When Vada was born, before she ever had heart surgery as soon as she was able to have "food",  I attempted to nurse her and she latched right on! I breastfed Vada until she was seventeen months old and she nursed like a champ! Maybe its true that not all babies who have Down syndrome will be able to breastfeed but you never know what your child is capable of unless try.

For Vada eating solid foods was an issue mainly because she only wanted to be breastfed. She had all of the skills that she needed to be a good solid food eater, only she wouldn't swallow her food. When I had my tonsillectomy, about two months ago, she had to go without being breastfed and since she would not take a bottle (never really would) she was kind of pushed into eating solid foods. Although she didn't need too much persuasion.

Tomorrow I will share a little about Occupational and developmental therapy. :)







Thursday, September 8, 2011

Speech Therapy

While Vada and I was in Saint Louis I met with the doctor who is the head of Neurology for the Children's Hospital. We discussed a great deal of things but one particular question that he asked me made me realize how wrong my thinking was. He asked me what kinds of therapy Vada was currently getting. I said physical therapy and that was all. He asked why she wasn't getting anything else and I said that I was under the impression that she didn't need it if she was doing as well as she was. Vada had regressed while she was on the ACTH but bounced right back shortly after coming off of it and since then she has done nothing but move forward. He agreed that her social skills were amazing (his words), especially with all that she has gone through but her progress now should not determine the help she receives (not his words). He said that she should be getting all of the therapy that is available to her and that there were two reasons behind his thoughts. The first being that if she were to continue to have seizures or if they got worse and she did regress then the therapies would already be in place and we wouldnt be put on a waiting list. His second reason is what made me question my own throught process. He said that we know because she has Down syndrome that there are and will be delays and by getting her all of the help available we can help her progress more fully and that's all I want for her, a better chance at life. I want her to reach her potential. I want to watch her thrive and succeed and I am so grateful that the doctor gave his opinion. Once we returned from Saint Louis I talked with Kim (Vada's PT) and told her what the doctor recommended.

Yesterday was Vada's first session in speech. Next month she will begin developmental therapy. Speech therapy was one of the most interesting things to watch and be a part of. I learned so much and Miss Vada was incredibly interested in what Sara was teaching her. She lasted a whole forty minutes and for a baby as mobile as Vada that's pretty impressive!

Sara worked on different sounds and where those sounds can be felt. A great example is the "P" sounds. When saying words that have the "puh" sound you push air out from your mouth. Sara tore a piece of paper and placed it on her hand and then on Vada's and made the sound. When she enunciated the "puh" in "pig" she  blew the paper off of their hands. By doing this it helps Vada asscoiate the word with the sound with the action. Make sense? Im not a therapist so putting it into words is not particularly easy for me to do and I may be explaining it incorrectly. I did however take a lot of notes and as I learn more i'll share it.

Another good example of what I am trying to explain with how the sounds can be "felt" was when Sara brought out the bubbles. She enunciated the "buh" in the word while tapping her index under her bottom lip. "Buh, buh, buh..., bubbles.
Other words/sounds that I was impressed with the "S" sound, like Oscar. Sarah pronounced it as "Awh-sssss-ker" while making the "sss" sound she took her index finger and slid it on Vada forearm like a snake would move or slither.

The "K" sound was also interesting. With the word "cookie" Sarah enunciated the "k" sound while touching her throat. "Kuh, kuh, kuh..., cookie."

"O" as in "open" was pronounced with the "O" being the main sound. "Oh, oh, oh..., open" and while saying it Sara took her index finger and circled her mouth.

Im excited for whats to come. I know that sounds odd but I learn from these therapy sessions as well and then I can help Vada in between the sessions. Im really grateful to have these resources available to us/to Vada.