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Early therapeutic interventions: The key to optimal development in children

Parents are often surprised that they are not informed about the need for early therapeutic interventions. This article highlights the importance of timely rehabilitation for developmental disorders, illustrated by the stories of Mia and Terezka. Experts from the ADELI Medical Center in Piešťany emphasize the critical role of the first 1000 days in a child's life and appeal to parents to waste no time in ensuring the best chances for their children's future.

Parents are often surprised that practices do not inform them about the need for early therapeutic intervention.

Not all developmental disorders become apparent during pregnancy; many only shock parents later on. Even in children at risk, where developmental delays are to be expected, early intervention is not a matter of course. Parents are often disappointed that they have lost time that their child could have used for development.

Miuška was born with a birth weight of 1800 g. On the 5th day in the incubator, she was diagnosed with sepsis: blood poisoning. She received a lot of help in a specialized clinic, but another problem arose - a blood clot on the retina. The drama continued as the baby made no progress at all over the following months. We would like to emphasize that the mother was not fooled by the doctors' reassuring comments that "the girl was clever". With her trained eye, she noticed that her baby was not moving like the older siblings her age. From the 7th month, they began intensive rehabilitation.

Terezka was diagnosed with Down's syndrome in September 2021. "It was a shock. It wasn't until much later that we realized she couldn't move. That surprised us, because no one had warned us that a child with Down syndrome might not learn to walk or talk," recalls the mother. From the child's perspective, it is excellent if early therapeutic intervention is not delayed. The child's brain is like a sponge in the first year of life, so ACTION must be taken.

The first year is the most sensitive in a child's development

In the first year of a person's life, the brain is the scene of turbulent processes:

The foundations of the neuronal network, synapses, connections between nerve cells form in the child's brain in the first few years of life. Myelination also takes place. Myelin is an insulating layer that surrounds the nerve fibers and increases the speed of signal transmission between the neurons, i.e. the information in the brain. The myelin formation process accelerates in the first year of a baby's life and slows down later. In the first year, the brain's neuroplasticity ensures that this important organ adapts quickly and develops in response to external stimuli and interactions with the environment. Through stimuli in the first year, the child learns to perceive and recognize sounds, shapes, colors and faces, which supports the development of related brain areas. If the child remains lying down and does not assume an upright position, it does not develop through stimuli from the environment, which leads to delayed development of the brain and central nervous system. In the first year, important milestones in motor development are crucial, such as lifting the head, crawling, standing on four feet, sitting, standing and later walking. If motor development stagnates, the child lacks the necessary stimuli for the development of further motor milestones and coordination.

How and why does a developmental risk arise in babies?

The birth methods used in an urgent birth or to protect the mother's life are life-saving, but as with any acute birth, there is a risk of the brain being starved of oxygen. This is an appeal to parents not to wait until immaturity of the nervous system becomes apparent. Developmental deficits must be averted as quickly as possible. The child must be rehabilitated without delay. It is crucial to recognize any deviation in development as early as possible. And to turn to specialists as early as possible.


What is the reason for increased attention?

High-risk development of the child during pregnancy, after a premature birth or complicated birth.
Suspicion or confirmation of a genetic syndrome.
Consequences of oxygen deficiency before, during or after birth, suffocation or encephalitis.

The first 1000 days are crucial

At ADELI Medical Center in Piešťany, top professionals from Slovakia and abroad have been helping not only with diagnosis but also with correct and effective rehabilitation for 20 years. Families from Europe and overseas visit the rehabilitation stays. The reason is the unique ability of ADELI experts to recognize developmental deviations and, based on 20 years of know-how, propose realistic rehabilitation goals that bring results.

Professor Dr. Heinrich Binder, medical advisor to ADELI, calls for increased attention to the child's development: "If a child shows unusual symptoms in the first year of life, such as undeveloped primitive reflexes or high or low muscle tone, asymmetrical posture and preference for one side, this indicates immaturity of the central nervous system. You must then do everything in your power to determine whether or not he is actually developing cerebral palsy."

Experts appeal to parents to observe their children and find therapeutic interventions without hesitation. "Without physiotherapy, nothing works at all. You need a competent therapist. The decisive factor is time and the developmental stage of the brain, which develops in the first 1000 days of life," continues Prof. Binder. "In the first two years, walking, motor skills and the normal human movement sequence develop. This process needs to be encouraged, because if you do nothing, a pathological gait pattern can develop that is very difficult to reverse."

Do not hesitate, but act

The ADELI BabyMed early rehabilitation program


is aimed at children from one month to three years of age. Doctors and physiotherapists work together specifically on the development of the child's motor and cognitive skills, independence in spatial movement, communication and eating.

If you have any doubts about your child's development, click on www.babymed.sk and make an appointment that can have a positive impact on your and your family's life.

And how are Mia and Terezka from the beginning of our article developing?

The BabyMed program at ADELI is a two-week, intensive and relatively strenuous program of early therapeutic intervention. Thanks to this program, the child's motor and mental skills accelerate. "After the rehabilitation at ADELI, we came home and Mia was completely changed. She started making sounds, turning around and trying to crawl spontaneously." - The mother of the little lady from Orava is delighted with the progress that eventually led Mia to walk.

Terezka's parents also see the effect of the intensive BabyMed rehabilitation program at ADELI: "Something incredible happened for us. Thanks to the therapists' coordination techniques, our Terezka was able to stand up." - mom Marika remembers the key moment: "And I almost fell over with happiness." She only adds that this impulse gave Terezka the courage to take the first step and the girl actually gradually began to walk. Today, Terezka is 3 years old and when she hears her favorite songs, she jumps, raises her arms, claps and dances. She runs after her older brother Jurko without any help. She loves playing in the playground and repeating the movements of others, she is lively and agile.

"And that is a true miracle for us. A miracle that was set in motion and de facto accomplished with ADELI," says mom Marika. "It is extremely important to see specialists as early as possible and not wait for the child to be delayed and catch up one day. I would say this to any parent who has even the slightest doubt about their child's development."

You can support both fighters here:



Nataša Haringová, physiotherapist at the BabyMed department, has an opinion on early therapeutic intervention based on experience: "At Adeli, we have a different view on the wait-and-see situation. Our ideology is not to waste a minute and to start therapy at the earliest age. The first year is a key period for the child, on which the child's entire future development depends. The earlier the child starts early therapeutic intervention, the better the prospects for the future. The child's brain and its neuroplasticity are in the

The first few months are like a "sponge" and undergo exponential growth. It learns faster and easier than ever later, so this time must be used and you must practice with full intensity."

The rehabilitation program can be exhausting for a few-month-old baby, as it involves 3-4 hours of therapy every day, 5 days a week. "We adjust the program sensitively so that the child has enough time to rest, eat or play," - says therapist Nataša Harringová about the rehabilitation stay at ADELI. "Through rehabilitation, we try to maximize the functionality of the baby's central nervous system, improve the child's motor skills and normalize muscle tone. We succeed in improving the children's static-dynamic balance and coordination and we know that this increases their chances of development, better learning conditions and an independent life."

You can read the whole article here: https://svetevity.sk/magazin/pr-clanky/96158170-terezke-hrozilo-ze-nebude-chodit-ani-rozpravat-co-zmenilo-jej-osud

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