RESUMO
The present study assessed the effects of gross motor activities on the self-injurious tantrums of three multihandicapped subjects. The tantrums did not seem related to specific environmental events and were rather infrequent, yet very severe. The study was carried out according to a withdrawal (ABAB) design. During baseline, the subjects executed routine activities that required minimal physical effort. During treatment, they performed gross motor activities that required considerable physical effort. These activities were designed to provide a wide variety of sensory (e.g., tactile, proprioceptive) input, but without tiring the subjects excessively. They were implemented when the subjects were in a quiet state. The results showed that concomitant with treatment, all subjects had a definite decline in the rate of self-injurious tantrums. Two subjects also exhibited a reduction in the duration of the tantrums.
Assuntos
Pessoas com Deficiência/psicologia , Deficiência Intelectual/psicologia , Atividade Motora , Automutilação/terapia , Adolescente , Terapia Comportamental/métodos , Cegueira/psicologia , Criança , Surdez/psicologia , Feminino , Humanos , Institucionalização , Destreza Motora , Esforço Físico , Automutilação/psicologiaRESUMO
The frequency of consanguineous marriages up to second-cousin degree has been carefully established in the past for each of the 95 Italian provinces using the Archive of about 500,000 dispensations given by the Catholic church for such marriages over a 55-year period. It has therefore been possible to compare the frequency of consanguineous marriages observed among 83 couples of parents of Friedreich patients with the frequency of consanguineous marriages of the same degree in the different Italian provinces during the same years. From these data, an estimate of the incidence of the disease has been obtained for the whole nation (between 1/22,000 and 1/25,000). In Southern Italy, where 16 out of the 18 consanguineous marriages among Friedreich parents are concentrated, the incidence of the disease is similar (between 1/25,000 and 1/28,000). This study indicates that the Archive of consanguinity existing in Italy allows a reliable comparison of the frequency of consanguineous marriages among parents of patients with that of the general population. The same method can therefore be applied to the study of incidence of other autosomal recessive disorders in Italy.