Medical Training for Health

Language and Communication
According to Florez in Down syndrome manifests a generalized disturbance of the central nervous system (CNS), because the consequences of trisomy 21. Especially affecting all the neurons and their organization structures and areas of the CNS and interneuronal communication processes. The brain is smaller than other children and variations in size and function of several lobes. Perhaps one of the most important aspects is that it increases the response time of the brain to environmental stimuli.
It is essential to monitor the status hearing of all infants with Down syndrome, and who are at high risk for developing suppurative otitis media (Roberts and Medley). The most recent literature (Gravel and Wallace) have found highly significant relationships between otitis media with effusion, or fluid in the middle ear without signs or symptoms of ear infection, with language development and academic performance in general. Some of the language delays that we see in people with Down syndrome may be related to the presence of these signs.
Imagine that in the first year the baby has presented episodes of otitis media. Obviously hear a distorted speech and auditory-articulatory shape engrams also distorted. Once treated and cured otitis pharmacologically, it is very difficult to restructure these engrams child, according to the parameters given by the environment surrounding linguistic and recorded possibly a delay in language development. We already know how this would impact tentatively in the acquisition of literacy. On the other hand, the presence of a foreign agent within the middle ear could extend the latency between the production of sound by the sound source and the reception of the inner ear, which would unbalance the association visor-auditory speech stream and rhythm perception, which certainly affect the learning of speech in an appropriate manner.

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