Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland.
Pediatric Research Center, New Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Disabil Rehabil. 2023 Jun;45(12):2057-2072. doi: 10.1080/09638288.2022.2082563. Epub 2022 Jul 2.
Congenital visual impairment and additional disabilities (VIAD) may hamper the development of a child's communication skills and the quality of overall emotional availability between a child and his/her parents. This study investigated the effects of bodily-tactile intervention on a Finnish 26year-old mother's use of the bodily-tactile modality, the gestural and vocal expressions of her oneyear-old child with VIAD, and emotional availability between the dyad.
Mixed methods were used in the video analysis. The child's and his mother's bodily-tactile and gestural expressions were analyzed using a coding procedure. Applied conversation analysis was used to further analyse the child's emerging gestural expressions in their sequential interactive context. Emotional availability scales were used to analyze the emotional quality of the interaction.
The results showed that the mother increased her use of the bodily-tactile modality during the intervention, especially in play and tactile signing. The child imitated new signs and developed new gestural expressions based on his bodily-tactile experiences during the intervention sessions. His vocalizations did not change. Emotional availability remained stable.
The case study approach allowed the in-depth investigation of the components contributing to the emergence of gestural expressions in children with VIAD.Implications for rehabilitationBodily-tactile modality may compensate for the absence of a child's vision in child-parent interactions.Bodily-tactile early intervention may be effective in guiding caregivers to use bodily-tactile modality in interacting with their child with VIAD.Caregivers' use of bodily-tactile modality in interactions may contribute to the development of gestural expressions in a child with VIAD.The use of bodily-tactile modality in interactions may improve the emotional connection between children with VIAD and their caregivers.
先天性视觉障碍和其他残疾（VIAD）可能会阻碍儿童沟通能力的发展以及儿童与其父母之间整体情感联系的质量。本研究调查了身体触觉干预对芬兰 26 岁母亲使用身体触觉模式、她患有 VIAD 的一岁儿童的手势和声音表达以及两者之间情感联系的影响。
视频分析采用混合方法。使用编码程序分析儿童和他母亲的身体触觉和手势表达。应用会话分析进一步分析了孩子在其顺序互动背景下出现的手势表达。情感可用性量表用于分析互动的情感质量。
结果表明，母亲在干预过程中增加了对身体触觉模式的使用，尤其是在游戏和触觉签名中。孩子在干预过程中根据他的身体触觉体验模仿了新的手势并发展了新的手势表达。他的发声没有改变。情感可用性保持稳定。
案例研究方法允许深入调查导致 VIAD 儿童出现手势表达的组成部分。对康复的影响身体触觉模式可以弥补儿童在亲子互动中视力缺失。身体触觉早期干预可能有助于指导照顾者在与患有 VIAD 的儿童互动时使用身体触觉模式。照顾者在互动中使用身体触觉模式可能有助于 VIAD 儿童的手势表达发展。互动中使用身体触觉模式可能会改善 VIAD 儿童与其照顾者之间的情感联系。
