SENSORY INTEGRATION THERAPY
Sensory integration, It is a neurological process that enables a person to use their body in an environmentally friendly manner. In other words, sensory from one's body and environment, that is, the ability to organize sensory information..
Sensory integration, focuses on brain and behavioral relationships. So there is a link between sensory integration and learning.. Individuals with sensory integration disorder, learning and behavior, shows an unusual course of development. For this reason, it is very important to determine whether the cause of the problem in children is due to senses or emotions.. And in this determination phase, the biggest task falls to the experts..
The senses, which are the basis of learning and are the most problematic among sensory integration disorders; vestibular sense, which is the center of balance of our body, The proprioceptive sense, which is our muscular joint system and can also be called self-sense, and the interoceptive sensation that sends the stimuli we receive from our internal organs from our body to our brain., that is the inner sense.
Genetic factors, changing living conditions, Increasing urbanization and preventing socialization from urbanization, The lack of parks and streets is one of the most important factors in the increase of children who have this problem in recent years.. Sensory integration problems may also be observed in children with mentally normal development.. More indoor growing at home, It is more common in children who are introduced to technological devices at an early age and do not play interactive games.
Treatment areas of Sensory Integration Therapy; attention deficit and hyperactivity disorder, language and speech problems, learning impairment, abnormal development, developmental coordination disorder, autism, down syndrome, cerebral palsy, eating problems, problems sleeping and socializing.
Sensory Integration Therapy is one of the pediatric physiotherapy and occupational therapy services.. With the determination of the appropriate treatment, generally positive results are obtained..
SENSORY AND ENGINE DEVELOPMENT MONITORING
It is a follow-up program that includes determining the sensory development and motor skills that should be supported in children with normal development and determining the appropriate physical activity program.. We evaluate and follow the development levels of children in the following areas:
0-1 age sense development (Sensory exploration)
1-3 age sensory-motor development (Self-care skills and daily life skills)
3-5 age perception-motor development (Engine planning and event sequencing)
5 + cognitive-intellectual development (Behavior and learning)
In our institution, also for premature babies, We make physiotherapy evaluations for low birth weight babies and babies born with multiple births and we prepare a therapy program according to the needs..
TREATMENT OF NEURORELDELECTIVE PROBLEMS
Includes therapy programs developed for children with neurological background with abnormal development.. Cerebral Palsy problem, Physiotherapy and occupational therapy are applied to children with abnormal development due to genetic syndrome and neuromotor disorders.. In these treatments; motor skills, Organizing daily living spaces, including home and school environments, development of daily living skills, A support program is provided in areas such as communication and social skills development..
By Vaclav Vojta, Child Neurologist from Czechoslovakia, 1954 Some of the warnings he tried on a child with Spastic Diparesis, It is a treatment method initiated by observing the change in the child's spasticity..
0-1 Neurologist Vaclav Vojta, who studies age-old development, detected developmental reflexes and movements in this process, thus introduced an early diagnosis method that helps to diagnose delays in the movement system.. As a result of his kinesiology examinations, he determined the following developmental stages for a baby: 1. Double-sided rotation in the sixth month 2. Crawling in the eighth month 3. Beginning of standing from the eleventh month (verticalization).
Neurologist Vaclav Vojta, thus 1 pioneered in diagnosing under age. With the diagnosis of Central Coordination Disorder, reporting the possibility of future motor delay and movement disorders in children from mild to severe, suggested Vojta method as early treatment. Treatment, It is based on the principle of inducing some reflex reactions in the body as a result of the activation of sensory stimuli..
Neurologist Vaclav Vojta, revealed some muscle manipulations in school and preschool children in the following years, Later, he continued his studies in Germany..
Areas where Vojta Treatment is applied
1. Simple motor retardation,
2. Cerebral palsy,
3. Asymmetrical body growth,
4. Congenital arm paralysis,
5. Congenital neck curvatures,
6. Chromosomal disorders (Down syndrome, other syndromes),
7. Spinal opening (Plug bfida),
8. Post-accident paralysis,
9. Adult hemiplegia (Hemiplegia).
10. Congenital muscle diseases and body disorders (Skolyoz, drop foot deformity etc)
It is the most widely used neurodevelopmental treatment approach with scientifically proven validity.. 1940This therapy method started to be applied by Physiotherapist Berta Bobath and his wife Neuropsychiatrist Karel Bobath in the 1980s., is an approach that is still open to improvement. Bertha Bobath, "We don't teach movement, We make the action possible ”summarized the treatment approaches.. It is stated that Bobath Therapy is the closest treatment method to the nature of the child, with the encouragement of movement and the provision of correct holding positions..
Bobath Therapist, Focuses on the central nervous system, which is the source of the problem in children with Cerebral Palsy.. Child's central nervous system, determines the needs of the child by comparing with the normal motor development stages. Muscle tone as well as normal motor development for the Bobath Therapist, reflexes, abnormal movement patterns, sensory issues, parameters such as perception and memory are also very important. The use of orthoses and adaptive assistive devices is very important in this therapy.. In this way, possible muscle problems are reduced..
Teamwork including the family, very important and effective in this therapy. Family, The education that the child needs for the developmental stages should definitely continue at home..
Treatment in the advanced stage of Bobath Therapy; pool therapy, sensory integration therapy, skip therapy, supported by methods such as kinesiotape and theratogs.
Bobath Therapy in Our Institution, Applied by experienced physiotherapists who have received the title of Bobath Therapist..
Floor time; autism spectrum disorder, down syndrome, language and speech impairment, attention deficit and hyperactivity, developmental retardation, It is a program developed for children with emotional and impulsive problems and their families..
Child Psychiatrist Dr. The main goal of this approach that Stanley Greenspan calls "play on the ground"; To enable parents to get to know their children and to communicate with them correctly and to make it easier for them to cope with the limitations they encounter in daily life.
The most effective technique in treatment: DIR MODEL
DIR model, One of the building blocks of the Floortime technique. The main goal is to, to lay the foundations of emotional and intellectual skills. With the DIR model, the following three detailed assessment and intervention programs are developed for the child.:
1 Developmental Section (Development)
There are six functional emotional development steps in the developmental part.. The child is evaluated according to these steps and allows the specialist to see which stage he is in developmentally.. These six digits; regulation and attention, coexistence, providing two-way communication, solving complex social problems and organization of behavior, representation of thoughts and abstract thinking.
2 Individual Differences Section (Individual Differences)
It is different for every child to emotionally process the stimuli they receive from their environment.. A child may be hypersensitive or insensitive to sounds. This section looks at how the child responds / responds sensually to his environment and prepares a study program taking these into account..
3 Relationship-Based Section (Relationship Based)
The child's mood of educators and parents, communicating with the child according to his developmental level and individual differences.. With this interaction, the child, begins to progress in functional and emotional development over time.
Theraplay connecting, self respect, It is a method of child and family therapy used to build and develop trust and joyful devotion to others.. Theraplay; adults in their lives to children, Used to support when they find it difficult to connect with other children and their own emotions, It is a play therapy with proven validity and effectiveness.. Situations that may cause problems in children's lives and family problems, as diverse as the number of children in the world. Good news, there is a method to apply and support you in these difficult situations..
Theraplay therapist in the treatment process; fun games, developmentally challenging activities, guides parent and child through compassionate and emotionally nurturing work. Theraplay therapist parents, helps them embody specific developmental goals for their children. Also to the therapist parents, supports them in being active participants in this process and transferring the session experiences they share with their children to their home life..
Parent and child bonding in this way, the parent's regulation of the child's behavior and affection, helps convey feelings of joy and security. On the other hand, the child feels safe and cared for., contributes to the development of feelings of commitment and worthiness.
Clinical Pilates, It is applied on a special bed or floor called reformer. The way to get the highest efficiency from Clinical Pilates, To continue the exercise program regularly and to adopt the pilates culture mentioned in the definition of pilates..
Clinical Pilates program, It is planned by physiotherapists completely specific to the health problem of the client..
special education; It is an education program that supports the development and learning of a child or young person who is found to be significantly different from their peers.. In special education; cognitive, emotional, A program is followed to meet the needs of children and young people with physical and social differences.. By applying special education methods together with normal education techniques, it is ensured that children reach their own potential.. Specialist providing special education support, parents in line with the needs of the clients, caregivers, medical professionals, collaborate with teachers and education professionals in other fields.
Treatment areas of special education; autism, down syndrome, other syndrome diseases, attention deficit and hyperactivity disorder, problems in cognitive development, problems in the emotional sphere, language and communication problems, traumatic brain injury, reading difficulty (dislection), writing difficulty (disgrafi), difficulty with math (dyscalculia), traumatic brain injury, all difficulties experienced in the field of learning, traumatic brain injury and orthopedic disorders.
With special education; developmentally different children, It is aimed to meet the needs related to daily life and to gain skills related to learning..
Purpose in special education, to ensure that the child benefits from the development and learning stages at the highest rate.. Adequate and effective special education for children who need special education, in future education life, Provides positive contributions to business life and other social areas.
People who have graduated from undergraduate and graduate special education departments of universities can provide special education support..
CHILD AND ADOLESCENT PSYCHIATRY TREATMENTS
Child and adolescent psychiatry, is one of the specialties of medical schools. 0-18 developmental development of children and adolescents between the ages, spiritual, cognitive, deals with academic and social challenges. Generally speaking, a psychiatrist is consulted when there is a problem., however, in fact, a child does not have to have a problem for a child psychiatry assessment.. How important it is for pediatricians to monitor children in terms of their physical development, It is very important for child psychiatrists to monitor mental development.. In terms of early diagnosis of disease and genetic syndromes, clinical psychologists, pedagogues and psychological counselors should also work with child psychiatrists.
The working areas of child psychiatrists are as follows:
Mental retardation, autism, down syndrome, other genetic syndromes, attention deficit and hyperactivity disorder, speech disorders, reactive attachment disorder of infancy and childhood, developmental learning disorder, math disorder, reading disorder (dislection), written expression disorder, coordination disorder, tic disorders, obsessive compulsive disorder, bipolar disorder in children and teenagers, conduct disorder, atypical eating disorders, gender identity disorders, anoreksiya nevroza, excretory disorders such as enuresis and encopresis, childhood-onset schizophrenia, anxiety disorder in children and teenagers.
Problems with posture, evaluated under the name of posture disorder. Incorrect posture habits, problems in the body as a result of mental conditions (somatization) and anomalies in the body can cause posture disorder. Scoliosis, known as spinal curvature, is also a posture disorder.. The most common symptoms in posture disorders; shoulder pain, arm aches, lower back pain, muscle fatigue and weakness, leg aches, knee or ankle pain, nerve compression, stretching of muscles and connective tissues.
Lordosis, which is one of the major posture disorders in our institution (waist arch), posterior pelvic tilt (Burying the hip) ve kifoz (kamburluk) treatments are made.
Skolyoz, It is the curvature caused by the change of the spine. Trauma, Although it is stated that it is due to various reasons such as muscular diseases and congenital developmental disorders, the reason for the majority of scoliosis problems is unknown.. Spinal curvature may progress in scoliosis, can stay the same or improve. Non-surgical treatments are conservative methods in the treatment of scoliosis..
In the treatment of scoliosis; Vojta treatment in infancy, Physiotherapy approaches such as acupuncture and schroth treatments can be applied. In our institution, the following therapy applications are carried out by certified physiotherapists along with Vojta Treatment as scoliosis treatments.:
3 Dimensional Schroth Scoliosis Therapy
Scoliosis of the spine anteroposterior, from the side and the top 3 It is a deformity problem in which it changes in the plane. So this is also in the treatments. 3 corrective exercises should be applied on the plane. Request 3 in dimensional treatment approach, this is your spine 3 Corrective effect on the plane is targeted. 3 the basis of dimensional exercises, 1920It creates the Schroth method developed in the years.. Schroth Terapisi, It is an effective scoliosis treatment method that has been studied the most.. Schroth method developed in Germany, It is an accepted treatment in America and Europe.. Breathing exercises among the exercises applied with the Schroth method, proprioceptive warnings, learning and maintaining the correct posture, correcting the curvature side with different balance and movement exercises, There are exercises to give balance and normal movement. In addition, it is aimed to maintain the correct posture in daily activities together with posture correction in the treatment.. Cooperation with the family, is of great importance in treatment. In our institution 3 Barcelona Schroth Therapy, which is among the dimensional scoliosis treatments (BSPTS) and Lyon Concept are also applied.
Barcelona Schroth Terapisi (BSPTS)
Cognitive, is a treatment that aims to correct the curvature of the spine with sensory motor and kinesthetic studies.. In this therapy, After the treatment of the posture, both the patient and the family are made aware of protection and the awareness about daily life is ensured..
It is the oldest method in the world. 3 It is an exercise technique in which corset is included in dimensional scoliosis therapy..
CLINIC PILATES PROGRAMS
Pilates beautiful, back, pool, It is an exercise method that helps to tighten the muscles in the hip and leg area.. By Hubertus Joseph Pilates to overcome his own health problems (1912 in the year) is an enhanced physical activity. To benefit from Pilates, Correct breathing and focus are essential during exercise. In addition, the person who does pilates; body, proper nutrition in order to balance the mind and soul, Regular sleep, adopt a holistic approach where a lifestyle such as plenty of movement in clean and sunny weather is practiced.. To all of these considerations, actually it can be called pilates culture.
The first person to integrate the Pilates concept, which has become one of the most popular exercise methods in the world today, into physical therapy and physiotherapy is Orthopedic Specialist Dr.. Henry Jordan (1940 and after).
Clinical pilates used as a preventive exercise in physiotherapy rehabilitation; to posture disorders, joint pain, chronic waist, helps neck and back pain. Used as complementary therapy after standard physical therapy. It is also an effective treatment method for individuals with obesity disease or soft tissue rheumatism.. It is also used to prevent health risks associated with bone health and osteoporosis.. Clinical pilates, the back that spends the whole day at a desk and therefore due to misuse of the spine, Also recommended for office workers with back and neck pain. Individuals who do not have any health problems and who will start pilates for the first time can also be applied personalized clinical pilates after the examination..
WOMEN'S HEALTH PHYSIOTHERAPY
It is one of the physiotherapy fields that covers the treatment and education of women in various periods throughout their life. The treatment topics related to this field in our institution are as follows::
– Pregnancy in women, prevention of musculoskeletal functions associated with the birth and postpartum period,
– Pregnancy, birth, Evaluation and treatment of musculoskeletal and orthopedic pain during breastfeeding and baby care,
– Care with support and ergonomics in breastfeeding related problems,
– Postpartum rehabilitation by cesarean,
– Prevention and treatment of chronic pelvic pain,
– Treatment of pelvic floor muscle problems associated with endometriosis disease,
– Urinary incontinence, bladder pain and urethral pain treatments,
– Physical strategies to improve mental health in stress-related diseases (relaxation techniques),
– Fibromyalgia treatment,
– Preparation and treatment for changes in the menopause process,
– Healthy aging support.