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    The relationship of the assistive technologies use and the Quality of life of persons with motor disorders: A review of recent research

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    Uvod: Osobe sa motoričkim poremećajima suočavaju se sa teškoćama u obavljanju aktivnosti svakodnevnog života, profesionalnih aktivnosti, aktivnosti slobodnog vremena i socijalnoj participaciji. Sve to značajno narušava kvalitet njihovog života. Uređaji asistivne tehnologije olakšavaju i omogućavaju funkcionisanje osoba sa motoričkim poremećajima s ciljem da se unapredi njihova samostalnost u obavljanju aktivnosti, socijalna participacija i kvalitet života. Cilj: Cilj ovog rada odnosio se na pregled dosadašnjih istraživanja o povezanosti upotrebe asistivne tehnologije i kvaliteta života osoba sa motoričkim poremećajima. Metode: Formulisana su sledeća istraživačka pitanja: koje su vrste asistivnih tehnologija primenjivane u studijama o kvalitetu života osoba sa motoričkim poremećajima, da li korišćenje uređaja asistivne tehnologije ima uticaj na poboljšanje kvalitet života i koje su dodatne koristi upotrebe asistivnih tehnologija za osobe sa motoričkim poremećajima. Identifikacija odgovarajućih radova izvršena je pretraživanjem elektronskih baza podataka PubMed, MEDLINE, ERIC i JSTOR, a odnosila se na period od 1. januara 2012. do 31. decembra 2022. godine. Definisani su kriterijumi za uključivanje i isključivanje radova za razmatranje. Rezultati: Identifikovano je ukupno 478 radova, a sve postavljene kriterijume ispunilo je 14 radova. Većina studija objavljena je u periodu od 2019. do 2020. godine, a ispitivana je povezanost pomagala za kretanje, robota, virtuelne realnosti, alternativnog input sredstva i sistema za kontrolu okruženja sa kvalitetom života osoba sa motoričkim poremećajima. Iako su studije imale izvesna metodološka ograničenja, postoje dokazi da asistivne tehnologije poboljšavaju kvalitet života bez obzira na vrstu motoričkog poremećaja, a posebno u domenima fizičkog i psihičkog zdravlja, kao i funkcionisanja u okruženju. Pojedine studije ukazale su na dodatnu korist upotrebe asistivnih tehnologija u rehabilitacione svrhe, kao i u poboljšanju u pokretljivosti, obavljanju aktivnosti, prilagodljivosti, samopouzdanju i samostalnosti. Zaključak: Dokazi iz odabranih studija ukazuju da asistivne tehnologije unapređuju kvalitet života, a prisutne su i dodatne koristi za osobe sa motoričkim poremećajima. U tom smislu ima više podataka o upotrebi pomagala za kretanje, a manje o novijim, sofisticiranim asistivnim tehnologijama, pa bi buduća istraživanja trebalo usmeriti u tom pravcu.Introduction: Persons with motor disorders face difficulties performing activities of daily living, professional activities, leisure activities, and social participation. All of this significantly impairs their quality of life. Devices of assistive technologies facilitate and enable people with motor disorders to improve their independence in performing activities, social participation, and quality of life. Aim: This article aimed to review previous research on the connection between the use of assistive technologies and the quality of life of people with motor disorders. Methods: The following research questions were formulated: what types of assistive technologies were applied in studies on the quality of life of persons with motor disorders, whether the use of assistive technology devices has an impact on improving the quality of life, and what are the additional benefits of using assistive technologies for persons with motor disorders. The identification of relevant articles was performed by searching the electronic databases PubMed, MEDLINE, ERIC, and JSTOR, and related to the period from January 1, 2012, to December 31, 2022. Inclusion and exclusion criteria were defined. Results: A total of 478 papers were identified, and 14 articles met all the set criteria. Most of the studies were published from 2019 to 2020, and the connection of mobility aids, robots, virtual reality, alternative input devices, and environmental control systems with the quality of life of people with motor disorders was examined. Although the studies had certain methodological limitations, there is evidence that assistive technologies improve the quality of life regardless of the type of motor disorder, especially in the domains of physical and psychological health and functioning in the environment. Certain studies have indicated the additional benefit of using assistive technologies for rehabilitation purposes, as well as in improving mobility, the activities performance, adaptability, self-confidence, and independence. Conclusion: Evidence from selected studies indicates that assistive technologies improve the quality of life, and there are additional benefits for people with motor disorders. In this sense, there is more data on the mobility aids use, and less on new, sophisticated assistive technologies, so future research should be directed in that sense

    Employability support and barriers among individuals with Functional diversity – a systematic review

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    Introduction: Employability refers to the “capability to move self-sufficiently within the labor market to realize potential through sustainable employment”. Some authors analyze employability as an outcome in terms of a person’s subjective or objective chance of a job on the labor market, whereas others focus on employability as a set of individual and contextual antecedents of sustainable employment. In the last few decades, research on employability has blossomed, which resulted in a great volume of literature coupled with the variety of contexts and populations among which employability is studied. Among people with functional diversity, understanding factors that support or impede employability is a key element in promoting social inclusion. Aim: The aim of this study is to provide a systematic review of the individual and contextual factors that relate to employability of individuals with functional diversity. In addition, comparing the findings from multiple primary studies, the study contributes to explaining the current inconsistencies. Methods: We conducted a comprehensive search for relevant publications across different databases (i.e., PsycINFO, Web of Science, Business Source Premier). We used combinations of keywords pertinent to employability and functional diversity in order to perform a qualitative analysis of the key relationships. Results: Preliminary results show inconsistency in theorizing and measurement, as well as a lack of insight into the “how” of the theoretical framework. Moreover, individuals with functional diversity experience a range of barriers to employability, which vary depending on the context where studies are conducted. Finally, the results substantially vary depending on the specific conceptualization of employability, measurement, and functional diversity in question.Conclusion: We unpack the antecedents of employability, increasing insight into the complexity of its promotion among individuals with functional diversity. From a societal standpoint, this is relevant in promoting decent work for all. With the current labor shortage in key societal sectors, societies need workers to develop beyond organizational boundaries

    Kulturalne kompetencije u obrazovanju: rezultati samoprocene nastavnika srednje škole

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    Introduction: Cultural competencies, as a set of values, knowledge, attitudes and skills needed for understanding and respecting culturally different individuals, and establishing positive and constructive relations with them, are considered an important aspect of the professional development of teachers in the framework of intercultural education. Aim: An insight into the level of cultural competencies of high school teachers – in the domains of cultural awareness, knowledge and skills, while looking at the influence of gender and age of respondents on the results of self-assessment. Method: The sample consisted of 254 teachers (78.7% female), aged 23 to 63 (M = 45.7; SD = 9.11), from eight Belgrade high schools. Data were collected with the Cultural Competence Self-Assessment Checklist, which consists of 36 items on a four-point Likert-type scale (α = .95), grouped into three subscales: cultural awareness (α = .77), cultural knowledge (α = .91) and cultural skills (α = .92). Results: High school teachers report a satisfactory level of cultural competence (M = 3.13; SD = .47), whereby they have the most cultural knowledge (M = 3.38; SD = .52), followed by cultural skills (M = 3.10; SD = .59) and, finally, cultural awareness (M = 2.88; SD = .49). Younger and female teachers estimate their own level of overall cultural competence higher than older (r = 0.21, p < 0.01) and male teachers (t(214) = -2.26, p < 0.05). The most significant differences, when it comes to the teacher’s gender, are recorded at the level of cultural skills (t(240) = -3.24, p < 0.01), while in relation to age, the differences are most pronounced in the domain of cultural knowledge (r = 0.23, p < 0.01). Conclusion: Although teachers rate their cultural competence at a relatively high level, there is room for improvement. It would be desirable to implement professional development programs that, through the strengthening of cultural awareness, knowledge and skills of teachers, would contribute to democratic culture, intercultural education and culturally competent practice in educational work.Uvod: Kulturalne kompetencije, kao skup vrednosti, znanja, stavova i veština potrebnih za razumevanje i poštovanje kulturalno različitih pojedinaca, te uspostavljanje pozitivnih i konstruktivnih odnosa sa njima, smatraju se važnim aspektom profesionalnog razvoja nastavnika u okvirima interkulturalnog obrazovanja. Cilj: Uvid u nivo razvijenosti kulturalnih kompetencija nastavnika srednje škole – u domenima kulturalne svesnosti, znanja i veština, uz sagledavanje uticaja pola i starosti ispitanika na rezultate samoprocene. Metode: Uzorak je činilo 254 nastavnika (78,7% ženskog pola), starosti od 23 do 63 godine (M = 45,7; SD = 9,11), iz osam beogradskih srednjih škola. Podaci su prikupljeni Kontrolnom listom za samoprocenu kulturalne kompetencije (Cultural Competence Self-Assessment Checklist), koju čini 36 stavki na četvorostepenoj skali Likertovog tipa (α = .95), grupisanih u tri podskale: kulturalna svesnost (α = .77), kulturalno znanje (α = .91) i kulturalne veštine (α = .92). Rezultati: Nastavnici srednje škole poseduju zadovoljavajući nivo kulturalnih kompetencija (M = 3,13; SD = .47), pri čemu u najvećoj meri raspolažu kulturalnim znanjem (M = 3,38; SD = .52), zatim kulturalnim veštinama (M = 3,10; SD = .59) i, na kraju, kulturalnom svesnošću (M = 2,88; SD = .49). Mlađi i nastavnici ženskog pola procenjuju sopstveni nivo ukupnih kulturalnih kompetencija višim u odnosu na starije (r = 0,21, p < 0.01) i nastavnike muškog pola (t(214) = -2,26, p < 0,05). Najznačajnije razlike, kada je u pitanju pol nastavnika, beleže se na nivou kulturalnih veština (t(240) = -3,24, p < 0,01), dok su u odnosu na starost, razlike najizraženije u domenu kulturalnog znanja (r = 0,23, p < 0,01). Zaključak: Iako nastavnici svoje kulturalne kompetencije ocenjuju na relativno visokom nivou, prostor za njihovo unapređivanje postoji. Opravdano bi bilo implementirati programe stručnog usavršavanja koji bi, kroz jačanje kulturalne svesnosti, znanja i veština nastavnika, doprineli demokratskoj kulturi, interkulturalnom obrazovanju i kulturalno kompetentnoj praksi u obrazovnom radu

    Idiopathic bilateral sudden sensorineural hearing loss and deafness

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    Uvod: Akutna gluvoća je nagli senzorineuralni gubitak sluha od 30 dB ili veći, nastao u periodu od 72 sata na najmanje tri uzastopne frekvencije. Idiopatska obostrana akutna senzorineuralna gluvoća (IOASG) i/ili nagluvost se relativno retko javlju u odnosu na jednostranu u manje od 5% svih slučajeva. Predpostavlja se da je ovo drugačiji, mnogo ozbiljniji klinički entitet od jednostrane. Zapažene su dramatične psihičke, socijalne i emocionalne posledice kod pacijenata sa naglo nastalim obostranim senzornim deficitom zbog potencijalno trajnog oštećenja sluha. Etiološki faktori su još uvek nepoznati. Protokoli lečenja su opisani ali nema konsenzusa o izboru terapijskog modaliteta. Predloženi prognostički faktori oporavka za jednostranu idiopatsku akutnu senzorineuralnu nagluvost u slučaju obostrane nagluvosti ne mogu biti potvrđeni s obzirom na nisku učestalost ovog poremećaja. Cilj: Na osnovu pregleda literature cilj istraživanja je analiza etioloških faktora, dijagnostičkih procedura i mogućnosti lečenja idiopatske obostrane akut- ne senzorineuralne nagluvosti. Metod: Analiza literature izvršena je pregledom elektronskih baza MEDLINE, SCOPUS i Google Scholar. Za pretraživanje je korišćeno nekoliko ključnih reči i njihovih kombinacija: idiopatska akutna senzorineuralna nagluvost, idiopatska obostrana akutna senzorineuralna nagluvost i gluvoća, etiološki faktori, dijagnostika, lečenje. Rezultati: Pacijenti sa IOASG su mlađe starosne dobi. Uočena je veća prevalenca specifičnih parametara za autoimunske bolesti, kao i lošiji oporavak sluha nakon primenjene terapije. Zaključak: Neophodna su dodatna istraživanja na većem broju pacijenata koja bi dala doprinos boljem razumevanju ovog kliničkog entiteta, otkrivanju etioloških faktora, a samim tim i uspešnijem lečenju.ntroduction: Acute deafness is a sudden sensorineural hearing loss of 30 dB or greater, occurring within a 72-hour period in at least three consecutive frequencies. Idiopathic bilateral sudden sensorineural deafness (IBSSD) and/or hearing loss occur relatively rarely compared to unilateral, in less than 5% of all cases. This is assumed to be a different, much more severe clinical entity than unilateral. Dramatic psychological, social, and emotional consequences have been observed in patients with sudden bilateral sensory deficit due to potentially permanent hearing loss. Etiological factors are still unknown. Treatment protocols have been described, but there is no consensus on the choice of therapeutic modality. The proposed prognostic factors of recovery for unilateral idiopathic acute sensorineural hearing loss in bilateral patients cannot be confirmed due to the low frequency of this phenomenon. Aim: The aim of this paper was to point out the etiological factors, diagnosis, and the possibility of treatment of idiopathic bilateral acute sensorineural hearing loss based on the literature review. Methods: The literature was collected performed by reviewing the electronic databases MEDLINE, SCOPUS, and Google Scholar. Several key words and their combinations were used for the search: idiopathic acute sensorineural hearing loss, idiopathic bilateral acute sensorineural hearing loss and deafness, etiological factor, diagnosis, treatment. Results: Patients with IBSSD are yonger. A higher prevalence of specific parameters for autoimmune diseases and worse hearing recovery after treatment was observed. Conclusion: Additional research on a larger number of patients is necessary, which would contribute to a better understanding of this clinical entity, the detection of etiological factors and therefore more successful treatment

    Eco-map in early family-focused interventions – professional consensus regarding its content

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    Еко-мапа представља алат за процену формалне и неформалне подршке којој су изложени појединац или породица. У раним интервенцијама усмереним на породицу уз помоћ еко-мапе професионалци показују своју заинтересованост за породицу у целини, успостављајући пријатељски однос са родитељима или старатељима. Циљ овог рада је да се путем квантитативне анализе провери степен сагласности између четири професионалца у погледу садржаја еко-мапа. Иницијалним узорком обухваћено је 12 професионалаца, полазника Специјалистичких академских студија ране интервенције, који су израдили еко-мапе на основу гледања видео-интервјуа. Случајним избором, издвојене су четири еко-мапе које су подвргнуте даљим анализама. Два независна процењивача анализирала су све четири мапе и пратила: 1) у којој мери постоји сагласност у вези са централним кругом – члановима који чине једну породицу; 2) колико извора формалне и неформалне подршке препознаје сваки професионалац за интервјуисану породицу; 3) да ли професионалци препознају исти број слабих, јаких и стресних веза, као и двосмерних и једносмерних? Добијени резултати показују да су у све четири екомапе идентично приказани чланови породице, да се два професионалца слажу око тога да је породица остварила укупно 23 контакта са различитим пружаоцима подршке, док преостала два долазе до другачијих резултата, као и да нема подударања у односу на број веза различитог интензитета и смера.The eco-map represents a tool for assessing the formal and informal support that individuals or families receive. In early family-focused interventions, professionals demonstrate their interest in the family as a whole, establishing a friendly relationship with parents or caregivers through the use of the eco-map. The aim of this study is to quantitatively analyse the level of consensus among four professionals regarding the content of eco-maps. The initial sample included 12 professionals, participants in Specialist Academic Studies of Early Intervention, who created eco-maps based on watching video interviews. Four eco-maps were randomly selected for further analysis. Two independent evaluators analysed all four maps and observed: 1) the degree of consensus regarding the central circle – the members comprising a family; 2) how many sources of formal and informal support each professional recognized for the interviewed family; 3) whether the professionals recognised the same number of weak, strong, and stressful relationships, as well as bidirectional and unidirectional ones. The results show that all four eco-maps identically depicted family members, with two professionals agreeing that the family had a total of 23 contacts with different support providers, while the remaining two arrived at different results. Additionally, there were no matches concerning the number of relationships of different intensities and directions

    Vestibular dysfunction in deaf and hearing-impaired children

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    Вестибуаларна дисфункција код глуве или наглуве деце, може коегзистирати са примарним стањем и додатно допринети инвалидитету. У поређењу са оштећењем слуха о вестибуларним дисфункцијама у дечијој популацији се далеко мање зна. Преваленција вестибуларне дисфунцкије код глуве и наглуве деце креће се између 20% и 70%. Када је присутна, вестибуларна дисфункција представља важан удружени сензорни дефицит који може угрозити развој моторичних способности и може имати значајан негативан утицај на квалитет живота слушно оштећене деце. С обзиром на анатомску близину чула слуха и чула за равнотежу и развоја технолошких могућности испитивања вестибуларног чула, уз дијагностику и третирање оштећења слуха као примарног сензорног дефицита клинички циљ постаје и процена и третирање вестибуалрнe дисфункцијe. Циљ овога рада је да се прегледом доступне литературе укаже на етиологију, клиничке карактеристике и дијагностичке протоколе вестибуларних дискункција код глуве и наглуве деце. Претрагом електронске базе података Конзорцијума библиотека Србије за обједињену набавку- КоБСОН, као и претрагама преко претраживача Google Scholar, прикупљени су и анализирани радови који се односе на вестибулану дисфункцију код деце са оштећењем слуха. Свест о постојању удруженог вестибуларног дефицита код глуве и наглуве деце може допринети раној дијагнози, интервенцији и бољим исходима лечења.Vestibular dysfunction in deaf or hearing impairment children can coexist with the primary condition and additionally contribute to disability. Compared to hearing loss, vestibular dysfunctions in the pediatric population are far less well known. The prevalence of vestibular dysfunction in deaf and hearing-impaired children ranges between 0.4 and 8%. When present, vestibular dysfunction represents an important associated sensory deficit that can compromise the development of motor skills and can have a significant negative impact on the quality of life of hearing-impaired children. Given the anatomical proximity of the sense of hearing and the sense of balance and the development of technological possibilities for examining the vestibular sense along with the diagnosis and treatment of hearing loss as a primary sensory deficit, the clinical goal becomes the assessment and treatment of any other form of reduced sensory input, including vestibular dysfunction. The aim of this paper was to point out etiology, clinical characteristics and diagnostic protocols of vestibular dysfunction in deaf and hearingimpaired children based on the available literature review. By searching the electronic database of the Serbian Library Consortium for Coordinated Aquisition-KoBSON, as well as, searching through the Google Scholar search engine, papers wew gathered and analyzed, which are related to vestibular dysfunction in children with hearing los. Awareness of the existence of combined vestibular deficit in deaf and hearing-impaired children can contribute to early diagnosis, early intervention and better treatment outcomes

    Specifics of the theory of mind in hearing-impaired children and children with autism spectrum disorder

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    Теорија ума односи се на способност приписивања менталних стања себи и другима у циљу управљања понашањем и његовом предвиђању, које лежи у основи социјалних интеракција. Циљ рада је био да прикаже сличности и разлике теорије ума код деце оштећеног слуха и деце са поремећајем из спектра аутизма. Узимање у обзир наведених карактеристика, веома је значајно за осмишљавање интервенционих програма намењених за превладавање тешкоћа и подстицање развоја теорије ума. Њихово формирање и примена допринело би побољшању свакодневних социјалних интеракција код обе популације деце. Прегледом литературе и анализом резултата постојећих истраживања о развоју теорије ума код деце оштећеног слуха и деце са поремећајем из спектра аутизма, стиче се увид у низ специфичности које указују на измењени и одложени развој теорије ума код обе популације. Резултати указују на делотворност програма намењених подстицању теорије ума обе групе деце, али упркос томе слични програми нису формирани на територији Србије. Закључује се да упркос развојним специфичностима теорије ума, она постоји, задржава развојну тенденцију, те ју је из наведених разлога неопходно подробније испитивати ради могућности формирања сличних програма на нашим просторима намењених популацији деце оштећеног слуха и деци са поремећајем из спектра аутизма ради подстицања социјалних интеракција посредством теорије ума на којој оне почивају.Theory of mind refers to the ability to attribute mental states to oneself and others in order to manage and predict behavior, which underlies social interactions. The aim of this paper was to illustrate the similarities and differences in theory of mind in hearing-impaired children and children with autism spectrum disorders. This was done with the intention of developing a program that, taking into account the mentioned characteristics, would contribute to the improvement of everyday social interactions through the implementation of interventions to overcome difficulties and promote the development of theory of mind in both populations of children, based on the principles of inclusive practices. By reviewing the literature and analyzing the results of existing research on the development of theory of mind in hearing-impaired children and children with autism spectrum disorders, insights were gained into a range of specific features indicating altered and delayed development of theory of mind in both populations. The results indicate the effectiveness of programs designed to promote theory of mind in both groups of children. However, similar programs haven’t been established in Serbia. In conclusion, despite the developmental specificities of theory of mind, it exists and maintains a developmental trend. For this reason, further investigation is necessary to explore the possibility of creating similar programs in our region aimed at the population of hearingimpaired and autism spectrum disorder children to promote social interactions through the foundation of theory of mind

    12. Međunarodni naučni skup specijalna edukacija i rehabilitacija danas Beograd, 27–28. oktobar 2023. godine Zbornik rezimea

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    Квалитет живота деце и младих са церебралном парализом

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    Церебрална парализа је стање настало оштећењем мозга интраутерино, на порођају, или у првим годинама живота. Церебрална парализа (ЦП) представља скуп хетерогених, патолошких симптома који се клинички манифестују у као поремећаји моторике праћени когнитивним, сензорним и емоционалним поремећајима. Квалитет живота представља лично задовољство појединца различитим подручјима живота, као што су здравље, социјални односи, емоционално стање, материјално благостање. Живот деце и младих са церебралном парализом прати висок ризик за развој секундарних стања која компромитују функционалне способности, активности свакодневног живота, као и социјалну партиципацију, самим тим се негативно одражавају на квалитет живота појединца. Циљ рада је да се кроз упоредну анализу и приказ прегледане литературе опише церебрална парализа и укаже на квалитет живота деце и младих са церебралном парализом.Cerebral palsy is a condition caused by brain damage interauterinely, at birth, or in the first years of life. Cerebral palsy (CP) is a set of heterogeneous pathological symptoms that are clinically manifested as motor disorders accompanied by intellectual, sensory and emotional disorders. Quality of life represents personal satisfaction of an individual in different areas of life, such as health, social relations, emotional state, and material well-being. The life of children and young people with cerebral palsy is accompanied by a high risk for the development of secondary conditions that compromise functional abilities, activities of daily life, as well as social participation, thus negatively affecting the quality of life of the individual. The aim of the paper is to describe cerebral palsy through a comparative analysis and presentation of the reviewed literature and to indicate the quality of life of children and young people with cerebral palsy

    Speech and language therapy for children with phonotrauma

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    Introduction. Proper voice production requires coordinated, synchronous and efficient functioning of the larynx, respira tory, resonance and articulation mechanisms. Phonotrauma is trauma to the laryngeal mechanism and includes any behavior that results in injury to the vocal folds. The aim of this research was to identify and describe the characteristics of voice disor ders in children that occur as a result of phonotrauma, approach es and techniques in speech and language therapy of these speech disorders, and the effects of their application. The char acteristics of phonotrauma in children reflect the character istics of hyperfunctional voice disorders, as they usually arise as a result of voice abuse. Speech and language therapy of children with phonotrauma includes identification and reduc tion, i.e. elimination of the vocal behavior that had caused the voice disorder. In addition, treatment focuses on a vocal hygiene program and the use of various direct treatment techniques to achieve appropriate voice production. Effects of applying di rect and indirect treatment techniques is demonstrated by the reduction of the size of the lesion, the degree of dysphonia and voice disorders, hoarseness, breathiness in the voice, the absence of recurrence, and the achievement of optimal values of the acoustic parameters of the voice. Conclusion. In most cases, children can master the correct way of producing speech after a short period of speech and language therapy. However, in order to achieve this goal, it is necessary to actively involve children, their parents, and other people from the immediate and wider social environment.Uvod. Pravilna produkcija glasa zahteva koordinisanu, sinhro nu i efikasnu funkciju larinksa, kao i respiratornog, rezonator nog i artikulatornog mehanizma. Fonotrauma predstavlja traumu laringealnog mehanizma i obuhvata svako ponašanje koje do vodi do povrede glasnica. Cilj ovog rada bio je da se sistemat skim pregledom dostupne i relevantne literature utvrde i opišu karakteristike poremećaja glasa kod dece koji nastaju kao po sledica fonotraume, pristupi i tehnike u logopedskom tretmanu ovih govornih poremećaja, kao i efekti njihove primene. Karak teristike fonotraume kod dece odražavaju osobine hiperfunk cionalnih poremećaja glasa s obzirom na to da oni najčešće nastaju kao posledica zloupotrebe glasa. Logopedski tretman dece sa fonotraumom obuhvata identifikaciju i smanjenje, od nosno, eliminisanje onog vokalnog ponašanja koje je izazvalo poremećaj glasa. Pored toga, tretman je usmeren na program vokalne higijene i primenu različitih direktnih tehnika tretmana u cilju postizanja adekvatnog generisanja glasa. Efikasnost pri mene direktnih i indirektnih tehnika tretmana ogleda se u smanjenju veličine lezije, stepena disfonije i poremećaja glasa, hrapavosti, šumnosti, izostanku recidiva, kao i u postizanju op timalnih vrednosti akustičkih parametara glasa. Zaključak. U većini slučajeva deca nakon kratkog perioda logopedskog tre tmana mogu da savladaju pravilan način govorne produkcije. Međutim, za postizanje ovog cilja neophodno je aktivno uklju čivanje dece, njihovih roditelja, kao i drugih osoba iz neposred nog i šireg socijalnog okruženja

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