Intervenção precoce fonoaudiológica em crianças com Transtorno do Espectro Autista
Early speech therapy intervention in children with Autism Spectrum Disorder
Heloisa Adhmann Ferreira; Paula Mello Pacheco; Thais Helena Ferreira Santos; Daniela Regina Molini-Avejonas
Resumo
Palavras-chave
Abstract
Purpose: To analyze the results of speech therapy intervention based on the principles of the DIR/Floortime model in early childhood in children with Autism Spectrum Disorder. Methods: A longitudinal, quantitative, and prospective manner with direct and indirect intervention, whose target population was children up to three years and eleven months of age, with atypical language development associated with Autism Spectrum Disorder. It led twenty-four speech therapy early intervention sessions based on the DIR Floortime model, in addition to two initial assessment sessions, and two sessions for final assessment. Results: Twenty children completed the research, with an average age of 29 months at the initial assessment and 36 months in the final assessment. Among the children, 90% already had a diagnosis of Infantile Autism (F84.0). Comparing the results of the Pragmatic Profile, There was an average increase of 0.8 communicative acts and 6.66% in the occupation of the communicative space with statistical significance, as well as a decrease in the use of gestures. There was also a positive glow with moderate significance between “Intentional two-way communication” and the number of acts expressed per minute (the greater the capacity for intentional two-way communication, the greater the number of acts per minute). Conclusion: When analyzing the pre- and post-intervention results, a consistent and statistically significant evolution is observed. In social communication, skills are interconnected and need to be worked on in a correlational manner, observing the individual needs of each child.
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Referências
1 APA: American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: APA; 2022. http://doi.org/10.1176/appi.books.9780890425787.
2 Lord C, Brugha TS, Charman T, Cusack J, Dumas G, Frazier T, et al. Autism spectrum disorder. Nat Rev Dis Primers. 2020;6(1):5.
3 Scattolin MAA, Resegue RM, Rosário MCD. The impact of the environment on neurodevelopmental disorders in early childhood. J Pediatr. 2022;98(Suppl 1):S66-72.
4 Styles M, Alsharshani D, Samara M, Alsharshani M, Khattab A, Qoronfleh MW, et al. Risk factors, diagnosis, prognosis and treatment of autism. Front Biosci. 2020;25(9):1682-717.
5 Aquino FSB, Salomão NMR. Habilidades sociocomunicativas de bebês no primeiro ano de vida: um estudo longitudinal. Paidéia. 2011;21(50):335-44.
6 Wetherby AM, Prutting CA. Profiles of communicative and cognitive-social abilities in autistic children. J Speech Hear Res. 1984;27(3):364-77.
7 Silva WM, Coelho ATCB. O processo de aquisição de linguagem para a criança com transtorno do espectro autista: artigo de revisão. Res Soc Dev. 2021;10(1):e15010111584.
8 Miilher LP, Fernandes FDM. Considerando a responsividade: uma proposta de análise pragmática no espectro do autismo. CoDAS. 2013;25(1):70-5.
9 Boshoff K, Bowen H, Paton H, Cameron-Smith S, Graetz S, Young A, et al. Child development outcomes of DIR/Floortime TM-based Programs: a systematic review. Can J Occup Ther. 2020;87(2):153-64.
10 Greenspan SI, Wieder S. Engaging autism: using the floortime approach to help children relate, communicate, and think. Cambridge, MA: Da Capo Lifelong Books; 2007.
11 Fernandes FD, Andrade CRF, Befi-Lopes D, Wertziner HF. ABFW: teste de linguagem infantil nas áreas de Fonologia, Vocabulário, Fluência e Pragmática. Carapicuiba: Pró–Fono; 2000. 90 p.
12 Koly KN, Martin-Herz SP, Islam MS, Sharmin N, Blencowe H, Naheed A. Parent mediated intervention programmes for children and adolescents with neurodevelopmental disorders in South Asia: a systematic review. PLoS One. 2021;16(3):e0247432.
13 Jeong J, Franchett EE, Ramos de Oliveira CV, Rehmani K, Yousafzai AK. Parenting interventions to promote early child development in the first three years of life: a global systematic review and meta-analysis. PLoS Med. 2021;18(5):e1003602.
14 Rojas Torres L, Alonso Esteban Y, Alcantud-Marín F. Revisión de evidencias de las técnicas de DIR/Floortime™ para la intervención en niños y niñas con Trastornos del Espectro del Autismo. Siglo Cero. 2020;51(2):7-32.
15 Miilher LP, Fernandes FDM. Considerando a responsividade: uma prop¬osta de análise pragmática no espectro do autismo. CoDAS. 2013;25(1):70-5.
16 Sungwon K. Fifty years of parental involvement and achievement research: a second-order meta-analysis. Educ Res Rev. 2022;37:100463.
17 Pereira T, Ramalho AM, Valente ARS, Couto PS, Lousada M. The effects of the pragmatic intervention programme in children with autism spectrum disorder and developmental language disorder. Brain Sci. 2022;12(12):1640.
18 Friedman L, Sterling A. A review of language, executive function, and intervention in autism spectrum disorder. Semin Speech Lang. 2019;40(4):291-304.
19 Pereira T, Ramalho AM, Valente ARS, Couto PS, Lousada M. The effects of the pragmatic intervention programme in children with autism spectrum disorder and developmental language disorder. Brain Sci. 2022;12(12):1640.
20 Fernandes FDM, Avejonas DRM, Morato PFS. Perfil funcional da comunicação nos distúrbios do espectro autístico. Rev CEFAC. 2006;8(1):20-6.
21 Greenspan SI, Wieder S. Engaging autism: using the floortime approach to help children relate, communicate, and think. Cambridge, MA: Da Capo Press; 2006.
22 Morawska A, Dittman CK, Rusby JC. Promoting self-regulation in young children: the role of parenting interventions. Clin Child Fam Psychol Rev. 2019;22(1):43-51.
23 Binns AV, Hutchinson LR, Cardy JO. The speech-language pathologist’s role in supporting the development of self-regulation: a review and tutorial. J Commun Disord. 2019;78:1-17.
24 Bottema-Beutel K, Yoder PJ, Hochman JM, Watson LR. The role of supported joint engagement and parent utterances in language and social communication development in children with autism spectrum disorder. J Autism Dev Disord. 2014;44(9):2162-74.
25 Feldman HM. How young children learn language and speech. Pediatr Rev. 2019;40(8):398-411.
Submetido em:
15/08/2024
Aceito em:
20/10/2024


