In some ways, the MSDD is
considered different from Autism. First, children who experience MSDD tend to
give a better response compared to children with Autism. Delay in mental
abilities as well as conduct rituals of repetitive/shown by the children of
MSDD tend to be milder compared to children with autism disorders. But behold,
this is quite difficult to diagnose MSDD distinguished given the age between
childhood autism and MSDD showed similar behaviour problems.
Multisystem Developmental
Disorder (MSDD) is a term that has recently often used to explain some of the
child who has problems of communication, social, as well as problems in sensory
processing which is not classified as a whole in several categories of autism
is. Diagnose MSDD is often given during early childhood.
Not settled as MSDD disorders disorders
of the Autistis Spectrum Disorders, but it is very likely to occur.
Understanding sensory disorders include multiple MSDD and interaction knowledge
motor. Symptoms of MSDD include: disruption in social and emotional contact
with their parents or caregivers, disturbance in maintaining and developing
communication, a disruption in the process auditory and interruptions in the
process of a variety of other knowledge or motor coordination.
Some child development experts
use clarification are referred to as Zero to three's Diagnostic Classification
of Mental Health and Development Disorders of Infacy and early Childhood.
DC-0-3 uses the concept that the process of diagnosis is sustainable and
continuous process, so that the treating physician in the increase of the age
can be steeped in signs, symptoms and diagnosis in children. The diagnosis
cannot be established quickly, but has to go through careful observation and
repeated over and over. In upholding the diagnosis must be partners with
parents to observe the progression of the relationship of the child with the
parents and the environment.
Concept of DC 0-3 are used
because of the difficulty in diagnosing Autism experience under 3 years,
especially having symptoms that are not yet clear. This factor makes it
difficult when a child is diagnosed with autism too early in its development,
but it may just be development of disorders there is a tendency to improve or
disappear. So when his son was diagnosed with Autism is something heavy for
parents, as if already not hope for the child.
MSDD is diagnosis in terms of
developmental disorders his ability connect, communicate, play and learn. Not
settled as MSDD disorders disorders of the Autistis Spectrum Disorders, but it
is very likely to occur. Understanding sensory disorders include multiple MSDD
and interaction knowledge motor.
MSDD symptoms include:
• Interference in the process of
a variety of other knowledge or motor coordination
• Disturbance of social and
emotional in dealing with a parent or caregiver.
• Interference in the process
auditory
• Disorders in maintaining and
developing comunication
The problems experienced by the children of MSDD :
• Decline in the development of
communication
• This child looks normal in the
relative doing communication and interact socially despite the fact they did
not react to neighbours around
• Nuisance behaviour that has
more to do with unpleasant experiences than lack of interest in the environment
• Abnormal Reaction on stimulus
in the form of sound, a particular texture, movement, temperature, as well as
matters related to the sensation of the body (body sensations) other.
• Experience a variety of
problems gained in organizing
• A reaction not common when
experiencing pain
• Experiencing sleep disorders
• Avoid or even less pleased when
touched, embraced or adopted
• Refuse when her hair washed,
cut, or touched when combed, etc
• Having problems in doing
coordination and he looks 'awkward'
• Experience a variety of
problems sleeping, appetite and also activity
• Conduct what is quite visible
on children MSDD?
• Explosiveness or emotional
"meltdowns"
• Refuse some types of certain
foods
• Force a certain type of
clothing in determining, or even don't like at all
• Give an excessive reaction when
reacting to the sound/movement
• Avoid certain sensory experiences
or even rooting (explore redundant) to get a specific sensory experience
None of the medical checkup that
can ensure a diagnosis of Autism in children. But there are a few checks that
can support the diagnosis that can be used as a basis for intervention and
treatment strategies.
Hearing: when there is
hearing loss has to do some checks Audio grams and Typanogram.
Elektroensefalogram(EEG): an EEG to check the brain waves show
disorders seizures, tumors and abnormalities indicated on disorders of the
brain..
Metabolic Screening: Checks done are blood and urine to see food
metabolism in the body and its influence on the growing flower child. Some of
the spectrum of autism can be cured with a special diet.
Magnetic Resonance Imaging (MRI) and Computer Assited Axial
Tomography (Cat Scan): MRI or CAT Scan helpful to diagnose abnormalities of
brain structure, because it can see the structure of the brain in more detail
Genetic Screening: Screening blood for genetic abnormalities, which
can lead to impaired development. Some research shows that people with autism
have a DNA pattern can be found in his body.
OBSERVATION DIRECTLY
Direct Observation, Interview And
Assessment Of Interactions:
Infoemasi about children's
emotional, social, cognitive ability, communication of Information about a
child's emotional, social, communication, and cognitive abilities is gathered
through child directed interactions, observations in various situations, and
interviews of parents and care givers. Parents and family members should be
actively involved throughout these assessments. What actually occurs during a
specific assessment depends on what information parents and evaluators want to
know.
FUNCTIONAL ASSESSMENT:
The purpose to find out how to
get behavior change occurs (such as an odd motor behavior). Based on the
consideration that change behavior is a way to communicate with the
environment. Functional assessment included interviews, direct observation and
interaction directly to find out if the child suffers from autism or related
disabilities in communication through the child's behavior. Functionally, this
assessment will assist in planning occupational therapy or intervention that
should be given.
BASIC ASSESSMENT OF PLAY:
Involving parents, teachers,
caregivers or other family members to observe situation of the game that can
provide information on social relations, emotional, cognitive development and
communication. By knowing the child's learning habits and patterns of
interactions through assessment of the game, the treatment can be planned on an
individual basis.
TREATMENT FOR MSDD
Sensory Integration (SI) is the
primary treatment that can be used to help them. The target of the therapy is
to overcome problems related to things related to sensory sensation. Included
therein is the problem related to the touch, body position, movement, sounds,
textures, and other foods. The technique used is to involve a child
experiencing particular pressure (eg: with a textured ball touched right on her
skin), playing swing. Speech therapy is a treatment that is equally important.
It is intended that the child can face a lot of problems with regard to social
skills.
Specialist therapy behavior
(behavior therapists) can also greatly assist the parents in determining the
goal and learn techniques that can be used to make a particular behavior can be
achieved as well as eliminate unexpected behaviour.
Drugs can also be used in some
cases, however, this approach is not very advisable considering the side
effects that may arise from certain types of drugs.
Reference from:
Zero to Three Diagnostic Classification Task Force. (1994). Diagnostic
Classification of Mental Health and Developmental Disorders of Infancy and
Early Childhood (DC: 0-3) ™. Zero to Three. ISBN: 0943-657-32-6 [282]
Medical Professionals "Children Grow Up Clinic Information
Education Network."2012. Dr. Widodo Judarwanto SpA, Pediatrician, Clinical
– Editor in Chief
