Success Stories
Priyanshu Mangesh Bavdane
Introduction
Priyanshu was referred to AWMH with complaints of delayed physical and speech developmental milestone as evidenced by not standing and walking without support. He did not crawl and speak. Poor interaction with others.The child likes to be surrounded by kids. He plays with them. He likes to see nursery rhymes on mobile.On evaluation Priyanshu was identified with congenital B/L hearing loss, and suggested for use of adaptive device / Aids by his doctor. On the basis of evaluation goals were set and intervention started.
Occupational Therapist :
Used Neuro developmental and Sensory integration approaches including therapeutic exercises clubbed with playful activities, to achieve gross motor skills like crawling and walking. Core muscles groups are activated through various functional activities in antigravity postures. Biomechanical Approach to Use orthotics to aid in standing and walking was implemented. Functional Activities like rings transfer, ball catching and throwing was given to improve B/L use of hands. Use of sensory stimulation to improve body awareness is being done. Home bound program was explained to the parents for continuing therapy at home. Special Educator used multisensory approach to help Priyanshu improve in coordination, cognition and perceptual skills. Different activities using play way method were used to improve grasp pattern and hand function skills. Group sessions were organized to facilitate social skills of greeting others, sharing toys and reciprocity. Speech Therapist used Child and clinician-oriented approach, to help him develop pragmatic skills like attention and cognition. Different sounds in different direction were used to increase localization with Hearing aid on using ling’s six sounds.Priyanshu has shown good improvement in his areas of concern, he now walks with min. support, holding one hand of mother. He has developed Hand functions and Fine Motor skills were strengthened, as he can put beads, coins and small pegs with respective prehension pattern. He Assist his mother in ADL like eating, dressing, undressing, bathing and toileting. He Communicate using hearing Aid and speaks monosyllabic words like Mama, Papa. He Started going to Playgroup, and participates in every task given by his teacher.
As a result of holistic approach Priyanshu is making remarkable improvement in his all-developmental domains.
Madhura Praveen Sawant
Introduction
Madhura had delay in all his developmental domains and hence referred to AWMH, Early intervention center by one of old parents in the center. Her mother contacted therapist with complaints of being stubborn, doesn’t sit at one place, short attention span and doesn’t listen to parents. She shows self-absorbed behavior sometimes. She gives poor response to name call. She doesn’t maintain eye contact. She bites others and pulls hair. She laughs inappropriately and does rocking. Drooling is present. She has sensory issues. Madhura is also a known case of epilepsy. She started having seizures at one and half years of age. Medications are going on. Regression is observed.
She stays with her parents and grandparents. She shares cordial bond with them. Her father is in service and mother is home-maker. Madhura was evaluated by special educator and occupational therapists, speech therapist in AWMH and on the basis of assessment therapeutic goals were set and intervention started.
Intervention:
Special Educator is using multisensory input approach to help Madhura improve in different areas. Different Activities were done to facilitate grasp pattern like transfer of objects in container, putting small pegs in respective holes to improve depth perception and eye hand coordination. Activities using 2 hands together like ball catching and throwing were done to improve bilateral hand use. For improving cognitive and perceptual skill activities such as discriminating and matching objects based on color, shape and size is being done. Group therapy is organized to improve social skills. The Occupational therapist used Neurodevelopmental Therapy Approach, sensory integrative therapy approach and Cognitive perceptual approach. Proprioceptive stimulations are given to improve muscle tone on therapy ball. Different activities to improve balance and postural control on vestibular board and different moving surfaces were given to stimulate vestibular senses. Cognitive-perceptual training was given using different puzzle activities like blocks, pattern beads etc. The Speech therapist helps Madhura to improve communication and language skills. Oro motor exercise for lip, tongue, cheeks like make big smile. Relax and repeat, moving jaw up and down, cheeks massage and tapping.
Madhura is showing good improvement in her areas of concern. Her walking has improved considerably, as she looks for an obstacle on her way, her posture has improved relatively erect. She has improved cognitive skills, he recognizes toys used daily in sessions and express her likes and dislikes to play, she likes to play with ring stand most. She has improved communication skills, and express her needs through gesture.
Jitesh Sandeep Harad
Introduction
Jitesh is 2year, 10 months old boy child referred to AWMH with complaints of delayed physical and speech developmental milestone as evidenced by not standing and walking without support. He did not speak.
Jitesh stays with his parents, grandparents, uncles and aunts. He shares cordial bond with them. His father is in business and mother is home-maker. He likes to be surrounded by kids. He can mix up with children of his age. He sometimes hits other children.
Jitesh was evaluated by Occupational Therapist, Special Educator and speech therapist in AWMH to address Motor, cognitive, social, communication and self -care development. On the basis of evaluation goals were set and intervention started.
Occupational Therapist :
used different approaches including therapeutic exercises clubbed with playful activities, to achieve gross motor skills like walking. Core muscles groups are activated through various functional activities in antigravity postures. Use of sensory stimulation to improve body awareness is being done. Special Educator used multisensory approach to help Jitesh improve in co-ordination, cognition and perceptual skills. Different activities using play way method were used to improve hand function and Fine motor skills. Group sessions were organized to facilitate social skills of greeting others, sharing toys and reciprocity. Speech Therapist used child and clinician-based approach. Oro-motor exercises of lips like Lip protrusion, retraction and closure were taught. Tongue exercises were done in front of mirror with jaw movements taught. Cheeks massage and tapping on cheeks were done to increase tone of facial musculature. Flash cards were used to increase vocabulary and sounds.
Jitesh is showing good improvement in his areas of concern, he now walks without support with fair balance.Babbling has improved and he started speaking monosyllabic kinship words like mama, papa, dada, didi, aji etc. He also started speaking interactive words like De(give),Ghe(take) in meaningful manner. He imitates animal and vehicle sounds. He enjoys plying rhymes. His interaction with other people and children in center has increased and he likes to play in the room and with other children in group sessions.