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[部分学习障碍的早期迹象——既往史及诊断策略]

[Early indications for partial learning disorders--anamnestic and diagnostic strategies].

作者信息

Michaelis R, Niemann G, Schöning M

机构信息

Abteilung Neuropädiatrie, Entwicklungsneurologie, Sozialpädiatrie Universitätskinderklinik Tübingen.

出版信息

Gesundheitswesen. 1994 Oct;56(10):534-6.

PMID:7528582
Abstract

A surprisingly small amount of information exists about early symptoms of learning disorders becoming evident during the first years at school. Only one relation seems to carry some degree of reliability: Early language deficits and/or retardation of language acquisition and later learning disorders including dyslexia. Because of these limitations, a more pragmatic approach is recommended. Questionnaires can be used asking for specific and age-related skills, involving the existence and good functioning of strategically working and concept-building central structures. Children with deficits in these structures will develop and experience dysfunctions in their cognitive, social and motor abilities. Consequently, they present behavioural problems. Children whose questionnaires offer suspicion in respect of specific dysfunctions should be tested by means of structured play tests or by appropriate developmental tests, to determine their individual patterns of talents and specific shortcomings. An early therapeutic intervention, aimed at the child's specific and individual deficits, may prevent or reduce learning problems at school.

摘要

关于学习障碍在入学后的头几年中显现出的早期症状,现有信息少得惊人。似乎只有一种关联具有一定程度的可靠性:早期语言缺陷和/或语言习得迟缓与后来包括诵读困难在内的学习障碍。鉴于这些局限性,建议采用一种更务实的方法。可以使用问卷来询问特定的、与年龄相关的技能,包括策略性工作和概念构建核心结构的存在及良好运作情况。这些结构存在缺陷的儿童在认知、社交和运动能力方面会出现发展和功能障碍。因此,他们会出现行为问题。问卷显示可能存在特定功能障碍的儿童应通过结构化游戏测试或适当的发育测试进行评估,以确定其个人的才能模式和具体不足。针对儿童特定的个体缺陷进行早期治疗干预,可能预防或减少学校中的学习问题。

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