Abstract Speech therapy for autistic children by TEACCH

Document Sample
Abstract Speech therapy for autistic children by TEACCH Powered By Docstoc
					                                                                                       Thai Pediatric Journal
                                                                                   Vo1.12 No.1 Jan.-Apr. 2005




                                                                                             Original Article




Abstract: 	 Speech therapy for autistic children by TEACCH
               Benjamas Prathanee MA.*, Amornrat Pongjunyakul M Ed.**
               * Department of Otolaryngology,Faculty of Medicine, 

               ** D e p m e n r of Nursing, Srinagarind Hospilal, Khon Kaen University, Khon Kaen, Thailand. 


TEACCH (Treatment and Education of Autistic and Related Communication Handicapped Children) is a
popular program for stimulation the speech and language in autistic children. This program has principle
for therapy following these: 1 ) Visual structure concept, 2) schedule of work 3) work system and a) Visual
structure, organigeration and clarity. The purpose of this paper was to find the effectiveness of TEACCH
program for speech and language stimulation in autistic child. Our study w s retrospective and descriptive
                                                                               a
study that reviewed the record charts of SQ autistic children who had enrolled speech therapy program by
TEACCH from June 2000 - December 2001 ( 1 year and 7 months). Thirty boys nine girls aged 1 year 11
months - 12 years (average age s year 7 months), Speech Clinic, Srinagarind Hospital, Faculty of Medicine,
Khon Kaen University and private clinic were subjects. Researchers used TEACCH program for speech and
language stimulation by developing the skills following these: I) visual or nonverbal thinking skill; 2) play
skill; 3) imitation; a) communication. The results showed that all autistic children had significantly
improvement of speech and language both reception and expression (t = 11.03, p < o.001, mean difference
= 2.07 95 % CI =2.18-3.18; t = 0.90, p < 0.001, mean difference = 2.59, Q 5 % CI = 2.06-3.12 ). Autistic children

who developed speech and language a t approximately normal level, were the group receiving approxinding
nerveal level frequent session of therapy and enrolled TEACCH program for a long time, while autistic
children, who developed less speech and language were the group with uncontrolled behavior. Pearson
correlation shows speech and language level improvement in reception and expression with high correlation
(r = 0.81). Factors influencing speech and language development in autistic children including frequency of
speech and language stimulation, medication, behavior modification, parental supplementary care were
discussed.
Key word: Speech therapy, Autism, Autistic children, TEACCH

uwgmeie
      ni.ssrsplqna8naa5a5nGauTJ~~1n~u?a(TEACCH : Treatment and Education of Autistic and Related
                                                                                                  Tnuiinblu
Communication Handicapped Children) d u l d s ~ ~ n s r r d i i u u l ~ u n ~ ~ ~ 1 ~ ~ 1 n " n ~ o ~ ~ 1 ~ n 1 d ~
                   dd 

onaou l e 1) 	
             ~nln~munnaela&1Buou~wm11w:a"w~nl~:a~6~~n1~          z ) hnumiianssuoQ~stlou3) 6a.nulw'
                                                                                                  Thai Pediatric Journal
                                                                                              Vo1.12 No.1 Jan.-Apr. 2005

                         ' d                                                 t gau                              d 4 . e
              ~
I ~ u ~ = Y Y 4) ~ ~ z  S ~ ~ B D U B ~ $ ~ ~ ~ ~ U D ~ O ~ ~ I ~ ~ Ga ~ L ~ U ~ ~ I ~ i*~~u$u~a'wB~JnWl '
                                                                        ~u?~~~~-
                                                                           (TEACCH) J ~ ~ ~ n ~ ~ ~
d ~ : h % w a u a s ~ w . a s f i ~ ~ a o ~ ~ n ~ f i n a ~ i ~ ~ n n " a p ~ b' I m s ~ i n 1 ~ ~ n u ~ ~ ~ u n ~ ~ 1 u
(retrospective and descriptive study) ~ 4 l d ! ~ n l ~ ~ l $ 3 1 ~ i h~ ~i 1 ~ 1 t .W.R.2543 ~ ~ ~ ~ ~ D u ~ Y U ? I R U1111
                                                                               1> ~i ~ 3 1 111                         2544
-b=er=I-,al17 7 I ~ B Un ~ u ~ ~ a d i s f l ~ : n a u G ~ e r ~ ~ n s s ~ a G n39 i p d a p l 30 RU ~ $ 9 W M 81; 1 ?I 11 I#BU
                                                                                 d FIU '11-1~             9

- 12 9 ((e~ylaau3 Q 7 lG4au) ~ i n ~ a u n d n 'ia~rn~iuiafi%r~Suw4
                4                                -a 4
                                                                !~                                          ~w
                                                                                              nms~~wnera~ami - i ~ n e r ~ ~ ~ u a u
      94  dl
                                                                               r1 t di x u~u
ttarnaundnv~nlanruI ~ t l ~ l l ~ i 1 n 1 ~ ~ e u l y n 6 a n I d ~ n u n ~n ' 1 3 ~ ~ ~ o u k dn n w " ~ ~ u ~ n ' n ~ z ~ - a ~
                                                                                                       I)
                                                                                                            d
                                       2) n                                   p n ~ ~ ~ a i u ttaz
sauaaaw~sfii~1~1nni~ua~1Gpd ~ ~ ~ w ~ i w " n ~ ~ I 3) dni~ri?er~lltunr 4 ) n i % a m a ~ u ~ u ierat-11~                 er
                                                                                                    da
~nuiwvi~~~noo~n~n~~~f1~~~w"~~~n~~s)1~-i~1~~n1~~a~~n'~~~a1
                                                     (t=
11.03,   p <   0.001,   mean difference = 2.67, 06% CI = 2.18-3.16; t = s.00, p < 0.001, mean difference = 2.59,
                                          dd   w
05% CI = 2 . 0 ~ - 3 . 1 1 ) ~ i / n ~ ~ i i ~ i i n n u w m w 1 n 1 ~ n - i ~ ~ ~ ~ a ~ f i 1 ~ ~ m ~ ~ ~ 1 ~ d m a ~ u ~ v * 1 1
nYus~q~% ~ ~ u ~ n " n h 6 ~ u m ~ ~ n Q n ~ ~ u ~ ~ ~ : ~ l~ m ~ m ~ ~ nu u h~ ~l n a~ ~ a a n d
                                                                                           ua ~ u         ' i ul ~ e n 4 ~
                                                                                   d   24
                                                                       9ur : n 1 l ~ ~ i " ~ 1 d ~             ~~~~
~ m u i n 1 s m u 1 ~ ~ a - n 1 ~ ~ ~ ~ ~ n " 1 ~ d n ~ i ~ ~ u " i ~~~ ~ 1 ~ n n u i~ ~ n -n n 1 r~w q ~ n1~~1~ ~ n f
          4 4                                                d
18 Jo~erw~nerai~sn'Pr ~ " B M P ~ I ~ I U I ~ I ~ : ~ Imaiorn.uasn1~8ny n-islQeri ni%d?uwq6+i n u nis
                       ~I%                              ~~R~GII~~                                      n
                                      s
daom3aa2nuio~iJ~ n G 1 u i o 8 d ~ i~ude'iim~-n'iisnaip~$~~w"ui   (Pearson Correlation) ~e.rs:&~wuitnsmw
                                       du8
i ~ a ~ n ~ a p n n " 1 u n ~ i o r a 4 1 t ~ 1 1 a ~ n ' i ~ n i ~ p ~ m ~ w ~u~ ,!- ~ 1 ~ n M ~~aulla:Zwn$nniuw"ui i
                                                                                  a           a Ww ~ ~ n 1 ~ a ' a ~ ~
                                                                                                  G
= 0.81 (r = 0.81, n = 3s, p value < 0.001)