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By: Hina Khalid
 Neurodevelopmental dysfunctions
 Reflect disruption of neuroanatomic structure or
 Psychophysiologic function
 May be associated with academic
underachievement, behavioral difficulties and
problems with social adjustment
 Genetic (turner synd, Fragile X synd)
 Medical (prenatal, perinatal)
 Environmental (toxins, infections, brain
injury)
 Sociocultural influences (deprivation)
 Children with neurodevelopmental
dysfunction present with varied clinical
symptoms
 Their specific patterns of academic
performance and behavior represents final
common pathways, convergence of many
factors
 Interacting cognitive strengths and deficits
 Environmental or cultural factors
 Temperament
 Educational experience
 Intrinsic resilience
• Attention
• Memory
• Language
• Visual-spatial ordering
• Temporal-sequential ordering
• Neuromotor function
• Higher order cognition
• Social cognition
• Academics
 Attention refers to a series of control
mechanisms through which the brain
regulates behavior and learning
 Children with attentional dysfunction show
various patterns of impairment
 Arousal problems
 They have diminished alertness
 Exhibit fatigue in classroom (yawn, stretch, fidget,
daydream)
 Difficulty falling asleep and awakening on time
 Difficulty sustaining concentration
 Effort at work is erratic with extreme performance
inconsistency
 Processing of incoming stimuli
 Difficulty in discriminating b/w important and
unimportant
 Focus on wrong stimuli at home and school
 Impede ability to take notes, summarize
information, or know what to study for test
 Distractibility
 Output of work, behavior and social activity
 Perform without previewing the outcome
 Impulsivity leads to careless mistakes in academic
work and misbehavior
 Have difficulty in doing tasks at appropriate speed
 Get into trouble without realizing it
 Under-responsive to punishment and reward
 With school progression, demand for
efficient use of memory progressively
increases
 Students are expected to be selective,
systematic, and strategic in entering new
procedures and factual data in memory.
 Proficiency required in long and short term
memory
 Short term memory
 Trouble condensing new information to fit into
short term memory
 Some deficient in visual spatial data registration in
memory and others in registration of language
 Problems with active working memory
 Helps to keep in mind all steps of a task
 Long term memory
 Ineffective when filing data for later access
 Requires
▪ Pairing of bits of information (gp of letters)
▪ Storing procedures
▪ Classifying data into categories
▪ Linking new information to established rules, patterns
or systems of organization
 Spatial ordering constitutes
 Awareness of shape and position
 Perception of relative size
 Foreground and background relationships
 Form consistency
 Have initial problems with letter and word
recognition
 Spellings is a problem as they have trouble
recalling the precise visual configuration of
words
 In maths, they have difficulty lining up digits
in columns and mastering geometric patterns
 Late in discriminating right and left
 May show signs of gross motor clumsiness
due to poor programming caused by visual
spatial disordering
 Difficulty in drawing or craft abilities
 Delayed in learning to tell time
 Difficulty in following multistep commands
 Performing acts that necessitate a sequence
of steps in proper order
 Mastering the months of year
 Organizing narrative work
 May have trouble managing time
 Get frustrated by
 Adhering to schedules
 Learning the order of their classes
 Meeting deadlines
 Fine motor dexterity
 Affects a child's ability to excel in artistic and
crafts activities
 Problems in learning a musical instrument
 Learning to use a computer key board
 Eye-hand incoordination is prominent
 Trouble with rapid and precise integration of
visual inputs with specific motor plans for hand
movements
 Difficulty in remembering fine motor procedures,
like tying shoe laces or playing a musical
instrument
 Graphomotor function
 Refers to specific motor aspects of written output
 Some harbor weaknesses of visualization during
writing
 Trouble picturing the configurations of letters and
words as they write
 Poorly legible writing with inconsistent spacing
between words
 Others have weaknesses in graphomotor
memory
 Inability to recall no. and letter forms rapidly and
accurately
 Labor over individual letters
 Prefer printed manuscripts over writing
 Some have difficulty in graphomotor feed
back
 Trouble localizing their fingers while writing
 They need to keep their eyes very close to the
page
 Tend to apply excessive pressure to the pencil
 Some have graphomotor production deficits
 Have trouble producing the highly coordinated
motor sequences needed for writing
 Difficulty assigning writing roles to specific muscle
groups in their hands
 Dyspraxic dysgraphia
 May show excellent fine motor dexterity
 Gross motor incoordination
 Have problems in processing outer spatial
information to guide gross motor actions
 Inept at catching or throwing a ball b/c cannot
form accurate judgements about trajectories in
space
 Others demonstrate diminished body
position sense
 Do not efficiently receive or interpret
proprioceptive and kinesthetic feedback from
peripheral joints and muscles
 Impaired in activities that demand balance and
ongoing tracking of body movements
 Others are unable to satisfy the motor praxis
demands of certain gross motor activities
 They cannot recall or plan complex motor
procedures- dancing, swimming, gymnastics
 They incur embarrassment in physical
education classes
 Can lead to social rejection, withdrawal and
feelings of inadequacy
 This series of functions consists of various
sophisticated thinking skills
 Information of concepts
 Critical thinking
 Problem solving skills
 Understanding and formulation of rules
 Brainstorming and creativity
 Metacognition
 Problem solving skills
 Required for almost every subject
 Required for estimating answers, meet
challenges, selecting techniques, monitoring own
self and use alternative strategies
 Poor problem solvers are rigid or impulsive, fail to
undertake challenges
 Difficulties in methodical strategy development
and flexible problem solving
 Brain storming skills
 Cannot generate original ideas
 Prefer to be told exactly what to do
 Difficulty in devising a topic, use imagination,
develop an argument or think freely and
independently
 Critical thinking skills
 Inability to evaluate statements, products and
people using objective criteria
 Difficulty in overcoming personal biases and
appreciate other’s viewpoints
 Metacognitive ability
 It is the capacity to think about thinking
 Tend to perform intellectual tasks the hard way
 Cannot appropriate effective techniques to study.
Write a report, or meet other academic challenges
 This includes
 Ability to enter into new relationships
 Capacity to time and stage interactions effectively
 Sensitivity to social feedback cues
 Knowledge of how to resolve social conflicts
without aggression
 Adaptive use of language in social context
 Ability to establish reciprocal relationships with
others
 Ability to overcome egocentrism to nurture others
 Marketing themselves to peers
 Social maladaptation exerts a negative effect on
behavioral adjustment, mental health and
ultimately success in career
Learning disability

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Learning disability

  • 2.  Neurodevelopmental dysfunctions  Reflect disruption of neuroanatomic structure or  Psychophysiologic function  May be associated with academic underachievement, behavioral difficulties and problems with social adjustment
  • 3.  Genetic (turner synd, Fragile X synd)  Medical (prenatal, perinatal)  Environmental (toxins, infections, brain injury)  Sociocultural influences (deprivation)
  • 4.  Children with neurodevelopmental dysfunction present with varied clinical symptoms
  • 5.  Their specific patterns of academic performance and behavior represents final common pathways, convergence of many factors  Interacting cognitive strengths and deficits  Environmental or cultural factors  Temperament  Educational experience  Intrinsic resilience
  • 6. • Attention • Memory • Language • Visual-spatial ordering • Temporal-sequential ordering • Neuromotor function • Higher order cognition • Social cognition • Academics
  • 7.  Attention refers to a series of control mechanisms through which the brain regulates behavior and learning  Children with attentional dysfunction show various patterns of impairment
  • 8.  Arousal problems  They have diminished alertness  Exhibit fatigue in classroom (yawn, stretch, fidget, daydream)  Difficulty falling asleep and awakening on time  Difficulty sustaining concentration  Effort at work is erratic with extreme performance inconsistency
  • 9.  Processing of incoming stimuli  Difficulty in discriminating b/w important and unimportant  Focus on wrong stimuli at home and school  Impede ability to take notes, summarize information, or know what to study for test  Distractibility
  • 10.  Output of work, behavior and social activity  Perform without previewing the outcome  Impulsivity leads to careless mistakes in academic work and misbehavior  Have difficulty in doing tasks at appropriate speed  Get into trouble without realizing it  Under-responsive to punishment and reward
  • 11.  With school progression, demand for efficient use of memory progressively increases  Students are expected to be selective, systematic, and strategic in entering new procedures and factual data in memory.  Proficiency required in long and short term memory
  • 12.  Short term memory  Trouble condensing new information to fit into short term memory  Some deficient in visual spatial data registration in memory and others in registration of language
  • 13.  Problems with active working memory  Helps to keep in mind all steps of a task
  • 14.  Long term memory  Ineffective when filing data for later access  Requires ▪ Pairing of bits of information (gp of letters) ▪ Storing procedures ▪ Classifying data into categories ▪ Linking new information to established rules, patterns or systems of organization
  • 15.  Spatial ordering constitutes  Awareness of shape and position  Perception of relative size  Foreground and background relationships  Form consistency
  • 16.  Have initial problems with letter and word recognition  Spellings is a problem as they have trouble recalling the precise visual configuration of words  In maths, they have difficulty lining up digits in columns and mastering geometric patterns
  • 17.  Late in discriminating right and left  May show signs of gross motor clumsiness due to poor programming caused by visual spatial disordering  Difficulty in drawing or craft abilities
  • 18.  Delayed in learning to tell time  Difficulty in following multistep commands  Performing acts that necessitate a sequence of steps in proper order  Mastering the months of year  Organizing narrative work  May have trouble managing time
  • 19.  Get frustrated by  Adhering to schedules  Learning the order of their classes  Meeting deadlines
  • 20.  Fine motor dexterity  Affects a child's ability to excel in artistic and crafts activities  Problems in learning a musical instrument  Learning to use a computer key board
  • 21.  Eye-hand incoordination is prominent  Trouble with rapid and precise integration of visual inputs with specific motor plans for hand movements  Difficulty in remembering fine motor procedures, like tying shoe laces or playing a musical instrument
  • 22.  Graphomotor function  Refers to specific motor aspects of written output  Some harbor weaknesses of visualization during writing  Trouble picturing the configurations of letters and words as they write  Poorly legible writing with inconsistent spacing between words
  • 23.  Others have weaknesses in graphomotor memory  Inability to recall no. and letter forms rapidly and accurately  Labor over individual letters  Prefer printed manuscripts over writing
  • 24.  Some have difficulty in graphomotor feed back  Trouble localizing their fingers while writing  They need to keep their eyes very close to the page  Tend to apply excessive pressure to the pencil
  • 25.  Some have graphomotor production deficits  Have trouble producing the highly coordinated motor sequences needed for writing  Difficulty assigning writing roles to specific muscle groups in their hands  Dyspraxic dysgraphia  May show excellent fine motor dexterity
  • 26.  Gross motor incoordination  Have problems in processing outer spatial information to guide gross motor actions  Inept at catching or throwing a ball b/c cannot form accurate judgements about trajectories in space
  • 27.  Others demonstrate diminished body position sense  Do not efficiently receive or interpret proprioceptive and kinesthetic feedback from peripheral joints and muscles  Impaired in activities that demand balance and ongoing tracking of body movements
  • 28.  Others are unable to satisfy the motor praxis demands of certain gross motor activities  They cannot recall or plan complex motor procedures- dancing, swimming, gymnastics
  • 29.  They incur embarrassment in physical education classes  Can lead to social rejection, withdrawal and feelings of inadequacy
  • 30.  This series of functions consists of various sophisticated thinking skills  Information of concepts  Critical thinking  Problem solving skills  Understanding and formulation of rules  Brainstorming and creativity  Metacognition
  • 31.  Problem solving skills  Required for almost every subject  Required for estimating answers, meet challenges, selecting techniques, monitoring own self and use alternative strategies
  • 32.  Poor problem solvers are rigid or impulsive, fail to undertake challenges  Difficulties in methodical strategy development and flexible problem solving
  • 33.  Brain storming skills  Cannot generate original ideas  Prefer to be told exactly what to do  Difficulty in devising a topic, use imagination, develop an argument or think freely and independently
  • 34.  Critical thinking skills  Inability to evaluate statements, products and people using objective criteria  Difficulty in overcoming personal biases and appreciate other’s viewpoints
  • 35.  Metacognitive ability  It is the capacity to think about thinking  Tend to perform intellectual tasks the hard way  Cannot appropriate effective techniques to study. Write a report, or meet other academic challenges
  • 36.  This includes  Ability to enter into new relationships  Capacity to time and stage interactions effectively  Sensitivity to social feedback cues  Knowledge of how to resolve social conflicts without aggression  Adaptive use of language in social context  Ability to establish reciprocal relationships with others
  • 37.  Ability to overcome egocentrism to nurture others  Marketing themselves to peers  Social maladaptation exerts a negative effect on behavioral adjustment, mental health and ultimately success in career