Category: Uncategorized

Waar kan ik terecht voor zorg?

Posted On by Willemijn Klein Winkel

Wij krijgen van veel mensen de vraag waar zij terecht kunnen voor zorg.

Er is helaas nog weinig expertise op dit gebied. Het kan daarom helaas zo zijn dat (de juiste) zorg krijgen moeilijk is. Maar ook zorgverleners zonder specifieke expertise kunnen toch veel betekenen. Verwijs jouw zorgverlener naar de informatie op onze website. De juiste informatie bij de juiste zorgverlener kan cruciaal zijn voor een proces ongeacht of er expertise is of niet. Veel zorgverleners willen juist leren, maar missen de handvaten en informatie. Bij vragen mogen zorgverleners ook contact met ons opnemen.

Vanwege de vele vragen hebben wij een overzicht* gemaakt van zorgverleners uit verschillende vakgebieden door heel Nederland:

Artsen:
Psychologie:
  • Dolly van de Wint
    Praktijk Andersopvoeden www.andersopvoeden.nl
  • Rianne van der Eijk Psychologieprakijk de Eik www.psychologiepraktijk-eik.nl
  • Jacqueline Janssen Psychotherapie Praktijk Malden https://www.psychotherapiemalden.nl/ Deze praktijk zoekt nog een psycholoog of psychotherapeut die opgeleid zou willen worden in het behandelen van deze methodiek (zie de website voor meer informatie).
  • IMH Nederland (tot 16 jaar) www.imhnederland.nl
Fysiotherapie:

Wij hebben helaas (nog) geen fysiotherapeuten met deze expertise in ons bestand.

Bij longproblemen door vroeggeboorte kan een longfysiotherapeut helpend zijn. Zij zijn opgeleid om diverse longaandoeningen te behandelen.

Bij veel ‘vage’ lichamelijk of psychische klachten kan een psychosomatisch fysio- of oefentherapeut helpend zijn. Zij zijn opgeleid om lichamelijke klachten te behandelen die veroorzaakt of verergerd worden door stress en emoties. Zij hebben geen expertise op vroeggeboorte, maar veel klachten van volwassen prematuren overlappen wel met andere veelvoorkomende stressgerelateerde klachten.

  • In Twente kan je bij het Netwerk Psychosomatiek Twente terecht: https://www.netwerkpsychosomatiektwente.nl/index.php
  • Landelijk is er het NPSN: https://npsn.nl/vind-een-therapeut/

Er kan ook per specialisatie gezocht worden:

Vind een fysiotherapeut
Ergotherapie:

Wij hebben helaas (nog) geen ergotherapeuten met deze expertise in ons bestand.

Een ergotherapeut kan onder andere ondersteunen in het doen van activiteiten door het meekijken naar hulpmiddelen of de activiteit op een andere manier aan te leren.

Je kan hier zoeken naar een ergotherapeut:

Vind een ergotherapeut
Logopedie:

Wij hebben helaas (nog) geen logopedist met deze expertise in ons bestand.

Een logopedist onderzoekt, adviseert en behandelt mensen die problemen ervaren op het gebied van stem, spraak, taal, gehoor en slikken. Wij weten dat er preverbale logopedisten bestaan, echter behandelen zij voor zover wij weten alleen jonge kinderen.

Je kan hier zoeken naar een logopedist:

Vind hier een logopedist
Somatic experiencing

Wij horen veel over Somatic experiencing (SE). Deze methode richt zich op het alsnog afronden van de natuurlijke reacties op ingrijpende gebeurtenissen en het begrijpelijk maken van gevoelens van onmacht en wanhoop. Door onverwerkte traumatische ervaringen raakt het natuurlijke ritme, de regulatie van het zenuwstelsel, verstoord. De veerkracht neemt af. Dit kan leiden tot allerlei fysieke, emotionele en psychische klachten. Door het integreren van die opgeslagen overlevingsenergie herstel je de van oorsprong aanwezige vitaliteit en veerkracht.

Deze methode kan mogelijk helpend zijn, er is binnen deze methode enige kennis en expertise over preverbale gebeurtenissen. Er zijn een paar casussen bekend over vroeggeboorte. Echter is dit per therapeut verschillend of deze kennis aanwezig is of niet. Wij adviseren wel om met een BIG geregistreerde therapeut aan de slag te gaan, bij voorkeur iemand met een fysio- of oefentherapeutische achtergrond.

Je kan hier zoeken naar een SE-therapeut

Vind een SE therapeut

Ben jij een zorgverlener met expertise op het gebied van vroeggeboorte en wil jij in ons overzicht?

Neem dan contact met ons op:

Contact

* Wij hebben zelf geen ervaring met deze therapeuten. Wij adviseren echter wel om bij voorkeur te zoeken naar BIG-geregistreerde zorgverleners. Het is echter aan jou om een zorgverlener uit te zoeken bij wie jij je prettig voelt.

Calculation problems

Posted On by Willemijn Klein Winkel
Adult prematures have a higher risk of math problems.

Early births are relatively specific at academic level (e.g. in language and arithmetic) less strong than those born on time. This is particularly evident in language and calculation problems. (Litt, J. (2005))

Mathematics consists of various mental processes consisting of domain specific skills and general functions. The domain specific skills ensures the understanding of numerical properties, understanding facts and carrying out calculations. The general functions provide the working memory, attention, decision making and that someone can perform consecutive mental tasks.

In the brain itself there are internal networks (intrinsic brain networks) that organize the brain on a large scale. In the case of prematures they are consistently different even at adult age. These networks are also called functional networks because their structure in the space of the brain overlaps with the networks that are usually active in carrying out tasks. Early birth influences these functional networks, which means that the networks work together differently. However, the brain can later partially adapt and thus compensate so that it can still keep the attention to the task and perform it.

In a study, they examined premature infants at the age of 5, 8 and 26 by an IQ test and an MRI scan. It has been investigated whether there is an association between the computing skills and whether the mental skills and internal functional networks of the brain have changed due to early birth in adults. This study has shown that both time-born and premature computing skills can predict mental outcomes and the organisation of the internal functional networks of the brain. (Büml, J.G. (2016))

Which parts of the brain do you speak to when calculating?

According to research (Taylor, G. (2009), there are several parts of the brain that contribute in their unique way to mathematics:

  • An area of the intraparietal sulcus (integrating and coordinating functions such as spatial insight and attention to space)
  • An area in the left gyrus angler (responsible for verbal processing of numbers. Symbols are recognized as letters and words)
  • The posterior superior part of the parietal system (responsible for focusing attention on a specific point in a room)
  • Frontal brain areas are also selectively activated in computing tasks
What problems do prematures experience in calculating?

The problems of arithmetic experienced by many prematures are not yet fully understood. It may be a result of a compromised development of the brain. In addition, a change in the organization of the brain can also be a possible cause of calculation problems.

It is assumed that the calculation problems in prematures are caused by disturbances in the domain specific skills and in general functions.

In dyscalculie (difficulty with calculation) there is mainly a disturbance in the domain specific skills. (Büml, J.G. (2016))

In the field of mathematics, the problems are mainly present when adding, subtracting, multiplying and dividing. There are also problems in visual spatial skills such as estimating space and distances.

Children with calculation problems may be more susceptible to problems with estimation of size, geometry, money or the concept of time. This would have major consequences for the long-term functioning of premature adults. There's been little research on this. However, we do hear stories about adult prematures experiencing such problems.

What are the consequences of calculation problems?

Difficulty with calculation is often accompanied by specific weakness in certain cognitive areas. It may in particular affect the following areas:

  • Visual spatial
  • The ability to use sensory information (hear, see, etc.) to control movements
  • Executive functions such as troubleshooting.
  • Global mental processing (understand general structure of a situation. First the details)
  • Motor skills and coordination
  • naming what's on a picture
  • Perceptual planning (using observation to plan actions or behavior) (for example responding to a ball coming towards you)
  • Verbal memory (temporarily storing verbal information such as words and numbers such as instruction or a telephone number)
Are there things that affect math?

There are many things that affect the computing skills of prematures:

  • Intraventricular bleeding (bleeds in the brain chambers)
  • Chronic pulmonary disorders (with ventilation for at least 36 weeks at the corrected age)
  • Postnatal treatment with steroids
  • Necrotizing enterocolitis (NEC) (infection and inflammation of the intestines)
  • Long hospitalization as a baby
  • Head circumference (a narrower head circumference is associated with low computing)
  • Retinopathy due to early birth (an eye disorder common to prematures)

There have even been several associations of worse motor skills in prematures (<34 weeks) at the age of 4 or 6 and a negative influence on calculation skills at the age of 8 or 12. (Botting et al (1998)) (Mcgrath (2003))

Birth weight also plays a role. There is a relationship between birth weight where the scores of a calculation test between 8 and 12-16 years of age showed a greater decrease with a birth weight of <750 grams. (Siagal et al (2000))

In short, the early identification of problems of calculation is therefore crucial. In order to reduce the long-term effects of computing problems, it is important to identify it in time and to improve the computing skills.

Calculation problems
Bibliography:
  • Litt, J., Taylor, H.G., Klein, N., Hack, M. (2005) Learning disabilities in children with very low birthweight: prevalence, neuropsychological correlations, and educational interventions.
  • Botting, N., Powls, A., Cooke, R.W., Marlow, N. (1998) Cognitive and educational outcome of very-low-birthweight children in early adolescence.  
  • Sullivan, M.C., McGrath, M.M. (2003) Perinatal morbidity, mild engine delay, and later school out comes.
  • Saigal, S., Hoult, L.A., Strainer, D.L., Stoskopf, B.L., Rosenbaum, P.L. (2000) School differences at adolescence in a regional cohort of children who were extremely low birthweight.
  • Taylor, H.G., Espy, K.A., Anderson, P.J. (2009) Mathematics formalities in children with very low birth weight or very preterm birth.
  • Bäuml, J.G., Meng, C., Daamen, M., Baumann, N., Busch, B., Bartmann, P., Wolke, D., Boecker, H., Wohlschläger, A., Sorg, C., Jaekel, J. (2016) The association of children's mathematical abilities with both adult .. . . . . . . . . . . . . .

Early birth clumsyness

Posted On by Willemijn Klein Winkel

Adult prematures notice that they are clumsy. The extent to which different per person and of course not every premature suffers from this. Those who suffer from it notice clear differences between themselves and people who were born on time.

Clumsyness manifests itself in motor skills or even as you move. Science also shows that there is a difference between prematures and non prematures in motor skills. You have the fine motor skills you use to tie and write the exact tasks such as lace. In addition, you have the coarse motor skills you use for the less precise tasks such as running and running. Research has shown that prematures tend to move slightly slower on average and have less good manual skills than those born on time. Among other things, there are problems with the balance. These problems often arise at a young age and remain present at an adult age. *

The cause of the clumsiness is that someone has not been able to develop his or her motor skills properly. This can be due to possible brain damage. On the other hand, it may also have to do with the white matter in the brain.* For example, due to a low birth weight, defects in white matter can occur in various areas of the brain. Furthermore, there may be disturbances in the organization and connections of nerve fibers.** The reduced speed in moving may be due to a less good connection between the networks in the brain that provide the motor skills.

This is why it is important to detect problems when moving early. These problems already arise in young people and continue to be present in adults. Furthermore, it is important to look at, for example, a sport or activity that fits the way someone moves. For example, physiotherapists can support this if necessary.

* Husby I.M., Skranes J., Olsen A., Brubakk A.M., Evensen K.A. (2013). Motor skills at 23 years of age in young adults born preterm with very low birth weight.

** Skranes J., Vangberg T.R., Kulseng S., Indidavik M. S., Evensen K.A., Martinussen M., Dale A.M., Haraldseth O., Brubakk A.M. (2007). Clinical findings and white matter abnormalities seen on diffusion tensor imaging in adolescents with very low birth weight.

Early birth clumsyness