Zusammenfassung
Die Untersuchung der mehrfachbehinderten, sehgeschädigten Kinder ist äußerst wichtig, da auch geringe Sehreste die Frühentwicklung des Kindes effektiv stützen. In der Untersuchung muß man mehrere Faktoren beachten: die Entwicklungsstufe des Kindes; die Effekte der Krankheit, speziell die der kurzen Anfälle, der Medikamente und der Körperlage auf die Leistingsfähigkeit des Kindes; die Kommunikationschwierigkeiten und Motivations- und Aufmerksamkeitsprobleme. Die medizinische Untersuchung ist die Grundlage für die spezialpädagogische und physiotherapeutische Frühbetreuung, während deren weitere Observationen des Sehvermögens gemacht werden. Eine genaue Analyse fordert oft mehrere Monate Zeit, viele Observationen und eine gute Zusammenarbeit zwischen den pädagogischen, den therapeutischen und den medizinischen Teilnehmern des Habilitationsteam.
Summary
Since even rudimentary visual functions facilitate early development, the assessment of children with visual and other impairments is of great importance. During clinical examination following factors influence the test results: the developmental level of the child, medications, posture, communication, motivation, ability to attend to visual information, and the disease or disorder, especially minimal seizures that effectively chop visual information. Clinical evaluation is the vasis for early intervention and physiotherapy during which additional observations on visual function are gathered. A thoroughevaluation often requires several months of observation and good team work between special educators, parents, therapists and doctors participating in the habilitation team.
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Literatur
Atkinson J (1984) Human visual development over the first six months of life: A review and a hyptothesis. Hum Neurobiol 3: 61–74
Bronson GW (1974) The postnatal growth of visual capacity. Child Dev 45: 873–890
Dubowitz LMS, Mushin J, De Vries L, Arden GB (1986) Visual function in the newborn infant: is it cortically mediated? Lancet 1986: 1139–1141
Groeveld M, Jan JE, Leader P (1990) Observations on the habilitation of children with cortical visual impairment. J Vis Imp Blindness Jan 1990: 11–15
Hyvärinen L (1983) Measurement of visual acuity in visually imparted children. Transact V Int Ortoptic Congr, 91–95
Hyvärinen L, Laurinen P, Rovamo J (1983) Contrast sensitivity in evaluation of visual impairment due to macular degeneration and optic nerve lesions. Acta Ophthalmol (Copenh) 61: 161–170
Hyvärinen L, Raninen A, Koskela P(1987) Comparison between grating acuity and optotype acuity values. Transact VI Int Ortopt Congr, 78–80
Jan JE, Robinson GC, Scot E (1973) A mutidisciplinary approach to the problems of the multihandicapped blind child. CMA Journal 109: 705–707
Jose RT, Smith AJ, Shane KG (1980) Evaluation and stimulating vision in the multiply impaired. J Vis Imp Blindness Jan: 2–8
Nafstad A, Borchgrevink HM (1989) Toward an interdisciplinary model of functional assessment; a Nordic project. In: Best AB (ed) Papers on the education of the Deaf-Blind, 1: 36–41
Schwartz TL, Dobson V, Sandström DJ, Van Hofvan Duin J (1987) Kinetic perimetry assessment of binocular visual field shape and size in young infants. Vis Res 27: 2163–2175
Sonksen P, Stiff B (1991) Show me what my friends can see. Institute of Child Health, London
Steendam M (1989) Cortical visual impairment. A handbook for parents and professionals. Royal Blind Society of New South Wales
Van Wulfften Palthe T, Van Hof-van Duin J (1991) Behavioural assessment of visual functions in infants and children. Video, presented at the 3 rd Meeting of the Child Vision Research Society in Rotterdam June 1991
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Hyvärinen, L. Untersuchung mehrfachbehinderter Kinder. Spektrum Augenheilkd 6, 285–287 (1992). https://doi.org/10.1007/BF03162698
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DOI: https://doi.org/10.1007/BF03162698