Multidisciplinary speech and language therapy approach in a child with multiple disabilities including blindness due to retinopathy of prematurity: a case study with a one year follow-up.

Slavica Maksimović, Nina Stanojević, Saška Fatić, Silvana Punišić, Tatjana Adamović, Nenad Petrović, Vanja Nenadović

Journal: Logopedics, phoniatrics, vocology 2023;48(2):98-110

PMID: 34915820

Abstract

This study aims to show speech and language, sensory-motor, and emotional progress after one year of therapy according to the needs of and resources for a child with multiple disabilities and blindness due to retinopathy of prematurity (ROP). A 45-month-old boy was examined by a multidisciplinary team and assessed using the Sensory Profile 2, The Vineland Adaptive Behavior Scale II, The Communication Matrix, and The Scale for Evaluation of Psychophysiological Abilities of Children Aged 0-7. After a year of daily individually adopted speech and language therapy followed by supplementary therapeutics method, based on a multidisciplinary approach, the child was reassessed using the same battery of tests. The obtained results might indicate the importance of factors such as a multidisciplinary approach, individualization, communication pathways, therapist's characteristics, and trust when working with children with multiple disabilities. Taking into account all the features of multiple disabilities during the treatment course, continuous monitoring, modification, and adaptation of applied therapy method proved successful in this case.

Address: Department for Psychophysiological Research, Institute for Research and Development "Life Activities Advancement Centre", Belgrade, Serbia.; Department for Rehabilitation of Children with Developmental Disorders, Institute for Experimental Phonetics and Speech Pathology "Đorđe Kostić", Belgrade, Serbia.; Department for Cognitive Research, Institute for Research and Development "Life Activities Advancement Centre", Belgrade, Serbia.; Department of Ophthalmology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.; Clinic of Ophthalmology, Clinical Center Kragujevac, Kragujevac, Serbia.

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