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Original Contributon and Clinical Investigation

Termination Of Missed Abortion With Intravaginal Misoprostol (Cytotec)
Ziad M Shraideh, Ahmad M Alash, Tareq M Al-momani, Eman A Habashneh, Nancy F Shishani

Efficacy of Local Anesthesia in Carpal Tunnel Syndrome Release
Malek M Ghnaimat, Jamal S Shawabkeh, Mahmoud Alrakad
Prevalence of Metabolic Syndrome Among Healthy Kuwaiti Adults:Primary Health Care Centers Based Study
Hanan E. Badr, Fisal H. Al Orifan, Magdi M. F. Amasha, Khalid E. Khadadah, Hussein H. Younis, M. Abdul Sabour Se'adah
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Medicine and Society

Gene and Genomes: impact on medicine and society - The Human Genome Project and Beyond
Maha Al-Asmakh
The Counterfeit Medicines - A Silent Epidemic
Safaa Bahjat
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Education and Training
The Effects of instruction and audiovisual techniques on behavioral changes of children with Down syndrome
S.J. Sadrossadat, Asghar DadKhah
Iatrogenic Hypoglycemia After Intraarticular Insulin Administration
Fuat Sar, Emel Tatli, Ismail Taylan, Muazzez Sezer Caymaz, Rumeyza Kazancioglu
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Office Based Family Medicine
Glucose monitoring for effective therapy of diabetes in office medical practice
Ali A. Rizvi
Smoking cessation attempts and their outcome among adolescents who ever smoked in Tabuk Area, Saudi Arabia
Badreldin M. Abdulrahman, Abdalla A. Saeed, Abdelshakour M. Abdalla,
Kabba A, Hein Raat
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Herniae
Dr Maurice Brygel

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December 2007 / January 2008 - Volume 5, Issue 8
The Effects of Instruction and Audiovisual Techniques on Behavioral Changes of Children with Down Syndrome
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S.J. Sadrossadat, Ph.D. Asghar DadKhah, Ph.D.

University of Welfare and Rehabilitation
Tehran - Iran

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ABSTRACT

This study examined the behavioral changes of children with Down syndrome through functional training (cognitive tasks and motor tasks). The training materials constituted of two types namely cognitive tasks and motor tasks. The subjects are also to be classified according to their mental level. Thus, the research study constituted 2*2 Factorial design.


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INTRODUCTION

Mental retardation is as an important research area of clinical psychology. Rehabilitation of mentally retarded individuals is one of the major goals of the therapeutic aspect of clinical psychology. Therefore, research in this area is theoretically and practically very much useful and relevant.

Traditionally mental retardation is an incomplete mental development.

What is mental Retardation ?
According to the new definition by the American Association on Mental Retardation (AAMR), an individual is considered to have mental retardation based on the following three criteria:

Intellectual functioning level (IQ) is below 70-75; significant limitations exist in two or more adaptive skill areas; and the condition is present from childhood. (defined as age 18 or less). ( AAMR, 1992). " Mental retardation refers to sub-average general intellectual functioning which originates during the developmental period and is associated with impairment in adaptive behaviour " (Rick Rober, 1961).

Mentally retarded persons cannot adapt themselves adequately to their environment. To summarize mental retardation is an impaired mental ability. The legal definition is easy: " Everybody with an I.Q. lower than 70 or (in the main 75) on the Binet Scale is mentally retarded.

Down syndrome is the most common genetic (chromosomal) cause of mental retardation, caused in almost all cases by a third Chromosome 21. In addition to particular genetic and physical features, most children with Down syndrome display specific problems in linguistic grammar, expressive language, and articulation. For example, most children with Down syndrome do not progress grammatically beyond the 3-year level, and their grammatical abilities almost invariably fall below their overall mental age levels (Fowler, 1990). Similarly, skills in expressive language, as opposed to those in receptive language, are much more delayed. Indeed, by the time children's mental ages reach 24 months, significant delays (6+ months) in expressive language abilities are evident in 83% to 100% of children with Down syndrome (Miller, 1999). Regarding articulation, 95% of parents report that others show at least occasional difficulties understanding the speech of their child with Down syndrome (Kumin, 1994).

For the rehabilitation of mentally retarded persons and for their own self sufficiency and independence, it is very much necessary to train them through various types of tasks and materials. In short, psychology can contribute a lot for the rehabilitation of the mentally retarded.
In the present research, an attempt is made to measure the relative effectiveness of cognitive tasks in producing the behavioural change in mentally retarded individuals. The mentally retarded individuals here are Down syndrome boys and girls with high mental levels and low mental levels.
Over the past decade, a quiet transformation has taken place in behavioral research on persons with mental retardation. In earlier years, researchers compared persons with mild, moderate, severe, and profound levels of mental retardation. Recently, however, increasing numbers of studies have divided research groups by participants' etiology or cause of mental retardation. Comparing the 1980s to the 1990s, the numbers of behavioral studies increased from 10 to 81 for Williams syndrome, from 24 to 86 for Prader-Willi syndrome, and from 60 to 149 for Fragile X syndrome. Even for Down syndrome, the sole disorder with a long-standing tradition of behavioral research, the number of behavioral studies almost doubled, rising from 607 articles during the 1980s to 1,140 articles during the 1990s (Dykens & Hodapp, 2001).

METHOD

In this research study, observational method was used. It was a pre-planned structured observation. This is the primary technique of collecting data.

Observation was taken in a natural environment of the mentally retarded institute. The subjects with High mental level HML and Low mental level LML were taught through two types of task.

(1). Cognitive task
(2). Motor task

Training was done in a semicircle of subjects, then their retention as a measure of behavioural change, was measured.

Sample:
For each type of task, 30 (male subjects) and 30 (female subjects) were selected purposively from the mentally retarded institution, situated in Tehran city. The subjects with HML and LML are distributed equally for both the types of task for training purposes. Thus each group consisted of 15 HML individuals and 15 LML individuals.

Collection of Data:
The present research study was conducted in two parts: Firstly, for 6 days various motor tasks and cognitive tasks were taught to the mentally retarded Down syndrome subjects through verbal instructions and secondly, the retention as a measure of behavioural change was measured on the 7th day, after giving 24 hours rest period for the consolidation of the learnt association.

Design:
The design of the present research study is a separate group design with 2* 2 factorial design as described in Table No: 1.

Table 1.
Types of Task High mental Low mental
  Level B1 Level B2
Cognitive Task A1 15 15
Motor - task A2 15 15

Variables:
Independent variables:
1). Types of task.
a). Cognitive - task.
b). Motor - task.
2). Mental level.
a). High mental level (HML).
b). Low mental level (LML).

Dependent variables:
(1). Behavioural change measured as the retention score of test - score.

Controlled variables:
(1). 6 days training was given for proper exposure.
(2). Rest period of 24 hours was given for the consolidation of the learnt association.
(3). Tasks were selected and modified according to the Persian speaking population.
(4). The number of subjects were equal in each cell.

Tools:
The tools used in this study consist of various cognitive tasks and motor tasks. Each task is defined through five units and until wise one score is given. Thus each task would have a maximum score of five and minimum of zero.

In this way, various types of task were taught to the mentally retarded individuals and after that the retention score for each subject was calculated. The various types of task selected according to the mental level (ML) of M.R are as follows:

For Mildly Retarded.
Cognitive - task. Motor - task.
1). Name body parts 1). Combing hair.
2). Money concept 2). Washes hand and face.
3). Geometrical drawings. 3). Threads a Needle
For Severly Retarded.
Cognitive - task. Motor - task.
1). Self concept. 1). Brushing teeth.
2). Colour concept. 2). Use fingers to animals.
3). Name 5 common pick up objects. 3). Jumping & running.

Theoretical Framework.
Pratap L.(1977) stated that in the education of the mentally retarded children, there are three distinct and important phases which need to do clearly understood: They are home-training, schooling and rehabilitation. The school is the must to bridge the gap between the home and community. The school therefore, is expected to offer a type of education, which prepares the mentally retarded children to move into society. Special education has to be different from normal school education. Teaching the mentally retarded children is a highly challenging task, where some concrete and substantial results are expected to be seen in those taught.

Recently it has been indicated that mentally retarded individuals are passive; they cannot act properly or correctly, (Ferretti & Cavalier, 1991). Despite this inability, training can help them to learn how to use appropriate strategies, (Arthur. J. Baroody. 1996).

But methods of training have an important bearing in this matter.

maximum cognitive development levels of mild mentally retarded children are concrete and to operational level.

So it is evident that using concrete methods on one hand and multi-sensory
methods for overcoming their attention deficit on the other hand, can be very useful.

The researcher also believes that high-level functions without automisation of low-level functions have limitations and have some deficit in automatic processing. The subjects will have problems in performing high level skills, (Edward C. Merill, 19969). But investigations, believe that function can be automised by extensive stimulus and that in which each stimulus has its own response. (Negative or positive).

So automization of processing various tasks can lead to high level of functions in these children. This research, with regard to Piaget's opinion on one hand and the recent approaches to mentally retarded learning characteristics on the other, will consider the effectiveness of two methods in learning tasks.

The researcher plans to understand the change in behavioural patterns in the case of the mentally retarded after a certain period of actuate training.

This way the study is targeted to evaluate the method of training the mentally retarded through two types of task.

(1). Cognitive tasks &
(2). Motor tasks.

Skill training is one of the major areas of training mentally retarded individuals.

REFERENCES
  1. American Journal on mental Retardation. Vol 101, No: 7, July 1996.
  2. Dykens, E. M., & Hodapp, R. M. (2001). Research in mental retardation: Toward an etiologic approach. Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 49-71.
  3. Fowler, A. (1990). Language abilities in children with Down syndrome: Evidence for a specific syntactic delay. In D. Cicchetti & M. Beeghly (Eds.), Children with Down syndrome: A developmental perspective (pp. 302-328). Cambridge, UK: Cambridge University Press.
  4. Kumin, L. (1994). Intelligibility of speech in children with Down syndrome in natural settings:
  5. Parents' perspective. Perceptual and Motor Skills, 78, 307-313.
  6. Manual on mental retardation. 1998. National Institute for mentally Handicapped, second Edition, A monograph of American Journal of mental Deficiency.3-4.
  7. Miller, J. (1999). Profiles of language development in children with Down syndrome. In J. F.
  8. Miller, M. Leddy, & L. A. Leavitt (Eds.), Improving the communication of people with Down syndrome (pp. 11-39). Baltimore: Brookes.
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