?????? AUTISM.UA ??? ?????? ??? ?????????? ? ???????? ????? ??????????,?????? ????????????? ????????? ????????????????? ?? ??????????? ??????????? ??????????????, ??????? ????? "Holistic Approach to Children with Special Needs." ???? ???? ?????????? ??? ? ?????? ??????????? ?? ???? ?????? ??? ?????? ???????. ?????? ???? ?????????? ? ?????? ????? ???? ?????? ????????? ????????? ?????c?? ????? ?????????? ????????? ? ?????, ????? ?? ??????? ? ??????. ???? ???????? ? ????? ??????? ?????????? ?? ???????? AUTISM.UA. ? ????? ?? ???? ????????? ?????..
"???????? ?????" - ?????? ????????? Patricia Wilbarger, ?? (occupational therapist- ????????????). ???????? ????? - ?? ????????????? ?????????, ????????????? ????????, ?????????, ?????? ?? ??????????, ?? ???????????????? ????? ?? ??????? ?????? ? a??????? (??? ???????? ????????? ???????), ????????? ???????? ??????????/?????????? ??? ???????????? ????????? ???????. ??????, ??? ??????????? ??? ?????? ?? ????, ???????????????? ??? ??????????? ????????x ?????????, ?? ????????? ????????? ?? ????????? ???, ???????? ????, ???????? ???????, ??????????? ? ??????????? ??????, ?????????, ????????? ??????? ?? ??. ???????/?????????? ??????????? ????????????? ??? ?????? ??????, ? ?????????? ??? ?? ?????? ? ????????????, ??? ?????????? ????????????? ? ?????????????? ???????? ???. ???????? ????? ??????????? ?? ?????? ?????? ????????? ?????????? (Dr. Jean Ayres).
???? ?? ?????? ?? ???????? ??? ?? ????????, ?? ????????? ???? ????? ????? ?? ??????????????, ?????? ??? ? ??? ????? ?????, ??? ???????? ????? ??? ?'? ????, ??? ?? ???????. ????? ??? ?????????? ????????? ????, ??? ????????????, ????????????? ????? ? ???????????. ?????????, ???? ????????? ????, ???????? ?? ??????? ? ???????? ?????????? ?????????? ?????????? ??? ?????? ???????? ??????? ? ?????????????? ????????? ?????. ????? ?????? ??? ????????? ???????? ???????, ??? ?????????? ? ?????????? ??? ????????, ????????????? ?????????? ? ???????? ? ????? ???????? ????.
?? ???????, ??????, ? ???? ??????? ??????? ??????? ?????? ?????? ? ????? ??????????? (???????????????), ???????? ??????? ? ????????????? ??????? / ??????????.
A ??????, ??? ???????? ?????? ? ????????? (??????????????), ????????? ???????, ??? ????? ????????????? ?????. ?????????????? ???????? (??-????????????) ???????????? ??????????????, ???????, ??????? ???????? ???????? ???????? ? ?????? ???????, ??? ????????? ?????????? ????????? ?????, ??? ???????? ????????????? ???????? ???.
???????? ?????? ??? ????????? ?'???? ? ?????????? ?????? ??????? ????????? ?????????????? ? ??????? ??????:
1. ???????? ????? ??????? ?? ??????? ?????????,
2. ? ?????? ??? ?????????, ????? ?????, ???????,
3. ?????? ???,
4. ??? ????????? ???????,
5. ??????? ????????????,
6. ?????????????? ??????? ?????????,
7. ??????????????? ??????? ?????????,
8. ????? ??? ? ??? (????, ????????).
???????? ?????? ??????? ????????? ???????? ?????? ????? ?????? ?????????? ???, ??? "?????????" ??????? ?????????, ? ?????????? ?????? ????????????? ?? 2-3 ?????? ????? ???? ? ????? ?????? ?? 5 ?????? 3-4 ???? ? ????. ? ? ????? ??????????????? ??? ?????????, ??? ??????????? ??????????? ???????? ???????.
???????? ?????:
1. ?????????????? NUK ????? (brush). ?????? ????? ???, ????, ????? ? ?????? ?? ????? ??????? (?? ?????? ??? ?????, ??? ?? ????????? ????????? ???????), ??? ?????????. ?????????? 2-3 ??., 3-4 ???? ?? ????. ???? ?????? ??????????? ???????? ?????????? ??????? ?????????. B? ????????, ?? ???? ?? ?????? ????????? ?? ????? ??????? ?????, ?? ??? ????????????? ????????? ? ????? ???????. ?????, ???? ????????? ???? ? ??????? ????, ??? ????????? ? ???? ???????. ???? ?? ????????, ?? ?????? ????? ?? ????? ??????, ?? ??????? ???? ? ????, ???????? ???????? ???? ???? ??????? ????????. ???? ?? ??? ???? ??????, ?? ?????????? ????? ? ????? ???? ??????, ?? ????? ???????? ?????? ??????????? ????????. ?????????? ?? ??????????? ?? ?????? ???????, ???? ?? ???????? ?? ? ? ?????? ??????? ????????.
2. ????? ? ??????? ? ??????????.
3. ??????????? ????? ?????? ?? ????? ?? ????????? ?????? ??????? ?? ????? ????????.
4. ????????? ??????, ???????? ??????, ??????? ?????? ?????????.
5. ?????????????? ?????????? ????? ?????.
6. ????? ???????? ????????, ???????? ????? (??? ????? ???????? ????).
7. ????? ????? ????? ???????? ?? ????????? ?????????? ?'??? ???, ??? ? ???? (?? ??????? ??? ??????? ? ?????????? ????).
8.????? ? ?????? ??? ????????? ?'???? ? ??????????? ???? ???????? ?????? ????, ??????? ??? ???????????? ???????? ??? ???????? ????? (?????, ? ????? ????????) ? ????????? ?????? ?????? ???????? ???????, ????? ???? ???? ???????? ??? ?????? ???? ???? ? ?????. ?????????? ?? ??????? ?? ??? 2 ???? ? ???? ?? 3-5 ??????. ????? ???? ???????? ?? ???? ? ????????, ????????? ???? ??????. ????? ??? ????????.
9. ???????????? ????????? ??????, ?? ????????? ?????? ????? ????????? ????, ???? ? ????, ? ??????????? ???? ???????? ? ?????? ?? ????????? ? ?????? ????. ??? ???????????? ??????????? ??????? ?????????, ?????????? ??? ???????? ????.
10. ????????? ??? ??????? ????????? ??????????, ????????????? ???'????? ? ???????? ????????????. ?????? ?? ??????? ?????? ????? ?????? (???? ???????, ?? ???????), ?? ????????? ????? Wilbarger Brushing Protocol. ?????????????? ????? ???????? ????????? ?????????? ? ????????????? (???????? ???? ? ????????, ?'???? ? ????????).
??????? ???????? (???????? ??????) - ?????? ????????? ?? ???????? ??????????, ???????? ??????? ?????.
????, ???? ????? ?????? ???? ?? ??? ?????, ?????? ???????. ????? ?????? ?????? ???????????, ???? ???????????? ??? ????????? ???????? ??????????????.
? ?????? ?????? ???? ????????, ??? ?????? ??????, ??????? ??? ???????, ?? ???????, ?????????. ?????? ?'??? ???????? ? ??????????, ?? ???????, ?????????.
???????? ???????????? ????????? ??????? ??? ?????????, ???????? ?????? ???????? ?????????? ????????? ?? ??'???? ?? ??????????? ?????? ? ?????????. T???? ?????? ??????? ???????????? ??? ????????? ? ??? ????????.
???????? ???????? ??????? ???????? ???????????? ????? ??????, ??? ??, ?? ?? ?? ????????????? ??? ?? ??? ????? ??????????, ???????? ??? ?????? ????. ???????? ????? ?????? ??????????? ?????? ????????? ?????? ?? ???????? ???????? ?????????? ? ?????? ?? ????? ??????? ?????????? ???? ???.
????? ????????? ????? ???, ???????????? ???????? ??????, ??????, ?????????? ??, ?? ????? ?????? (? ?? ???????). ???????????? ?? ???????? ??? (???? ?????? ???????), ????, ??? ?????? ??, ?? ?????? ???????? ?????? ? ????. ?????? ????? ???? ? ???????? ?? ??????, ?????? ???? ???? ?? ???? ????????? ??, ?? ?? ?? ??????????.
????????? ?? ???????????? ???. ???? ????? ??????? ?????????? ??-??????, ???? ???? ??????????? ?? ????????.
???????????? ?????? ????????? ??? ?????????? ??????, ?????, ??????, ????????? ?????? ??? ???????. ????? ?? ?????????? ???????? ??? ?????? ??? ?????, ?????????? ??? ??????? ????????, ????????? ??? ?????. ????? ?????? ???????? ??? ?????????? ??? ?? ????????, ??? ??? ?? ????????? ?????.
??????? ????????? ????? (???????? ??????, ??? ?? ????????????? ?????????, ???????? ?????????? ????????).
??????:
????? ???, ??? ?? ?????,
??????????????? ?????? (???????? ??? ???????????? ?? ?????? ??????, ??? ???????? ??? ???????????),
???????????????? ?????, ?? ??????,
??????? ??????? ? ???????? ?? ??????? ?? ????????,
???????? ? ?????????? ??? ??????,
??????? ?? ????-??????.
????? ?????:
???/??????? ???? ?? ???????? ?????????? 30 ??,
????????? ??????? ? ?????????? ??? ???????,
???????? ?? ??????-???????? ??? ? ??????,
??? ? ?'?? ??? ? ??????? ??????? ? ????? ??? ??? ????????,
????? ???, ??? ?? ????? ??? ????????????,
????????????, ?????? ?? ???????? ?'???,
?????? ??? ?????????? ???? ????? ????? ?????????, ???????? ???????? ???, ??? ????? ????? ????????????, ??? ????????? ????? ?????/??? ??? ?????? ?? ??????.
??? ??? ?????:
???????? ?? ?????????????, ???????????, ?????????? ????,
???????? ?? ??????????? ?????, ??????????? ????????? ??????? ?? ????? ???????? ???. ?????????????? ??? ????? ?????? ????,
???????? ???????? ??? ?? ?????, ?? ????? ???????.
????? (???????):
???????? ???: ?????, ?????????, ??????, ????? ?????? (????? ???????),
????? ????? ?? ??????????? ?? ?????????????? ???????? ?????? (???? ????? ?????????????),
????? ??? ??? ??????? ?? ???.
???????? ?????? ??? ???????
?????? ?????? ??????????????? ????????? ?????????? ??? ? ?????????? ??? ???? ??????:
??? ?????????? ?? 4 ??????? - ?????? ?????? ??? ?????, ??? 20 ?? 32 ????? (560-900 ????) ? ???? (??? 6 ?? 8 ????????). 1 ????? = 28 ??????
??? 5 ?? 6 ??????? - ?????? ?????? ??? ??????? ??????, ??? 28 ?? 38 ????? ? ???? (??? 4 ?? 6 ????????); ????-3 ???????? ????? ????? ?? ????
??? 7 ?? 8 ??????? - ?????? ?????? ??? ?????, ??? 28 ?? 32 ????? ? ???? (??? 4 ?? 6 ????????); ?????? ????????? 3-4 ??????? ????? ????? ?? ????; ???? ? ???????/?????? ??? 2 ?? 3 ????? ??? ???? ? ????
9 ??????? - ?????? ?????? ??? ?????, ??? 25 ?? 32 ????? ? ????; ?????? ????????? ?? ??? ??????? ?? ????, ???? ? ?????? ?? ??? ??????? ?? 1 ????? ? ????, ???? ? ??? ??????? ?? 1 ????? ? ????; ?????? ?'??? ??? ????, ??????? ??????, ??? ?? 1 ???????? ????? ? ????, ??????? ? ?'??? ?????? ????? ?? ????
??? 10 ?? 12 ??????? - ?????? ?????? ??? ??????? ??????, ??? 24 ?? 32 ????? ? ????, ??? ??????? ??????? ?????????? ?? 1 ????? ? ????; ???? ??? ?????????? ??????? ???????? ?? ???????? ??????? ???????; ???? ??? ???? 1-2 ??????? ????? ? ????; ?????????? ????, ???????? - ???????? ??????? ? ????; ???????? ???-3 ?????????
1 ??? - 1 ??????? ????? ??????????, ??????, ??????? ? ?????? 5 ??? ? ????; ?????? ????????? ??????, ???? ? ?????? ????? ???????. ???? ?, ???????? ??????????????? ????????????? - ?????????, ??????, ????.
2 ???? - 2 ??????? ????? ??????????, ??????, ??????? ? ?????? 5 ??? ? ????.
3 ???? - 2,5 ??????? ????? ??????????, ??????, ??????? ? ?????? 5 ??? ? ????.
4 ???? - 3 ??????? ????? ??????????, ??????, ??????? ? ?????? 5 ??? ? ????.
5 ????? - 3,5 ??????? ????? ??????????, ??????, ??????? ? ?????? 5 ??? ? ????.
6 ????? - 3,5 ??????? ????? ??????????, ??????, ??????? ? ?????? 5 ??? ? ????.
???? ???? ?????? ?? ??????????? ?????, ????????? ????????? ??????????.
????????? ?? ?????????:
NUK brush:https://cutt.ly/swycXoC
Chewy tube:https://cutt.ly/1wycXEB
Sensory spoon:https://cutt.ly/bwycXVn
Wilbarger Protocol- brushing:https://www.youtube.com/watch?v=t9LSbINc-y0
???? ?????:https://cutt.ly/QwycCcL
????? ??? ???????? ????????:https://www.youtube.com/watch?v=JWSzypVs2zA
Author : Dr. Inna Olshansky, OTD OTR/L
Pediatric Occupational Therapist
August 9, 2019