9/11/2023 0 Comments Charge syndrome and cognition![]() The children’s level of alertness or fatigue appears to show itself in their posture and movement patterns and attention levels, and people involved with them need to familiarize themselves with these indicators and know how to adapt each situation so that the child is supported and does not become too tired or too stressed. ![]() Consequently it is a good idea to try to ensure that activities are simplified and made as easy as possible for each child so that the essential teaching point is clear and accessible and the child is not having to think about and prioritize other considerations (e.g., dealing with background noise, or challenging physical positions, or visual clutter or glare, or other kinds of sensory overloading, or anxiety about unknown future plans, and so on). This is possibly the situation even at times when the children seem quite relaxed and confident and the activities seem well within their various competencies. I think of most children with CHARGE syndrome as a people who, for much of the school day, are probably operating at the very thresholds of their sensory abilities, which is a challenging and potentially stressful level at which to be functioning for more than short periods of time. CHARGE syndrome is a multiple malformation syndrome involving ocular coloboma, heart defects, choanal atresia, retardation of growth and\or development, genital anomalies and\or urinary and ear abnormalities which leads to visual-auditory disabilities, cognitive impairment and behavioral abnormalities. But cognitive ability/potential is only one of the things needed to learn and function in this kind of way, and in fact the child might have a range of disabilities, and especially sensory difficulties, that are likely to present big obstacles to managing these (for them) lengthy periods of immobile desk-learning. Because a child seems to have a good level of cognitive ability and potential there might be an assumption that they should therefore be able to sit for 20 or 30 or more minutes at a time and attend and learn in quite structured ways, rather like most other students of their age with a hearing loss or a visual impairment. Prominent among these mutations, haploinsufficiency of the. Although a child might ‘perform’ well with an adult in quite structured activities, these activities could sometimes impose significant levels of stress if they continue for too long a period of time, or if the child’s positioning becomes uncomfortable or insecure. Accordingly, mutations of several CHD family proteins have been implicated in neurodevelopmental disorders of cognition 6, 7, 8, 9. For children with CHARGE it is particularly important to think carefully about ways that the curriculum is being delivered.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |