The recognition and reinforcement of strengths and resiliences in younger patients may help maximize their professional and personal success as adults.
SUMMARY A comprehensive profile of communicative disorders in patients with Moebius syndrome was attempted. Seven patients were evaluated by the authors and the findings were added to 15 contributed case‐histories. Most patients demonstrated some degree of dysarthria due to congenital paralysis of the facial nerves. Other problems such as cleft palate, hearing loss, mental retardation and delayed development of language were found in a few of the patients. As most of the older children in the sample and in reports in the literature eventually developed intelligible speech, a program of oral language stimulation and compensatory articulatory adjustments would appear to be the procedure of choice. RÉSUMÉ Parole, langage et audition dans le syndrome de Moebius: Etude de 22 malades Un profil étendu des troubles de la communication chez les sujets atteints de syndrome de Moebius a été essayé. Sept malades ont été examinés par les auteurs et les dossiers recueillis se sont ajoutés aux 15 cas de la littérature. La plupart des malades présentaient un certain degré de dysarthrie lié à la paralysie congénitale des nerfs faciaux. Les autres défauts tels que la fente palatine, la perte de l'audition, le retard mental et le retard de langage n'ont été trouvés que chez quelques sujets. Comme la plupart des enfants plus âgés dans l'échantillon et dans les cas rapportés par la littérature développent ultérieurement un langage intelligible, un programme de stimulations du langage oral et d'adaptations compensatrices d'articulations apparait un moyen de correction de choix. ZUSAMMENFASSUNG Sprechen, Sprache und Hören beim Moebius Syndrom: eine Studie an 22 Patienten Es wurde versucht, eine umfassende Studie über kommunikative Störungen bei Patienten mit Moebius Syndrom zu erstellen. Sieben Patienten wurden von den Autoren untersucht und die Befunde wurden mit 15 anderen Fallbeschreibungen ausgewertet. Die meisten Patienten zeigten eine gewisse Dysarthrie, die durch eine angeborene Lähmung des N. facialis hervorgerufen war. Bei einigen Patienten wurden andere Probleme wie Gaumenspalte, Hörverlust, geistige Retardierung und verzögerte Sprachentwicklung gefunden. Da die meisten älteren Kinder dieser Studie und die in Literaturberichten schliesslich eine verständliche Sprache entwickelten, halten die Auroten ein Programm für Sprach‐ und Artikulationsschulung für sinnvoll. RESUMEN Locución, Lenguaje y audición en el síndrome de Moebius: estudio de 22 pacientes Se intentó un perfil de conjunto de alteraciones de la comunicación en pacientes con sindrome de Moebius. Los autores evaluaron siete pacientes y los hallazgos fueron añadidos a otros 15 casos. La mayoria de los pacientes mostraron un cierto grado de disartria debida a una parálisis congénita de los nervios faciales. En unos pocos pacientes fueron hallados otros problemas tales como paladar hendido, pérdida audición, retraso mental y retraso en el desarrollo del lenguaje. Como la mayoría de los niños mayores de la muestra y en los aportados por la literatura, desarrollaron habitu...
Objective: This study asked selected mature individuals with Moebius syndrome to discuss the sources of strength and resiliency that allowed them to achieve professional and personal success. Design: Adults with Moebius syndrome were selected in a nonrandom manner based primarily on their affiliation with the Moebius Syndrome Foundation. Following a letter from the author describing the objective, the subjects were interviewed by telephone and were encouraged to respond at length. Participants: Eighteen adults (aged 29 to 70 years) responded. All were or had been gainfully employed in a variety of professional or vocational positions. Results: The respondents reported the following as major sources of resiliency and success: family support, faith, humor, sense of self, special skills, determination, and networking. Conclusions: The recognition and reinforcement of strengths and resiliences in younger patients may help maximize their professional and personal success as adults.
Age can be estimated fairly accurately by listening to the voice and speech of the individual. The critical processes of communication--respiration, phonation, articulation, language, and hearing--are described in terms of the anticipated biological tissue changes of aging and the effect of these changes on the speaking process. With the exception of the common finding of hearing loss in old age, the processes of communication do not seem to be seriously affected by "normal" aging. Complicating factors and diagnostic and remedial implications are discussed.
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