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31 October 2021 | Story Elsabé Brits | Photo Supplied
Dr Monique De Milander
Dr Monique de Milander, Lecturer in Exercise and Sport Sciences at the UFS, is leading research on attention-deficit hyperactivity disorder (ADHD) and visual and motor control difficulties.

 

Research done by the University of the Free State (UFS) has shown that Grade 1 learners not only experience visual problems, but also developmental coordination disorder. Teachers and parents can help to identify this.

In the first study published in the South African Journal of Child Health (https://doi.org/10.7196/SAJCH.2021.v15i1.1705), Dr Monique de Milander, Lecturer in Exercise and Sport Sciences at the UFS, led research on attention-deficit hyperactivity disorder (ADHD) and visual and motor control difficulties.

“Visual problems are often overlooked and are seen as a hidden disability. Thus, children are labelled as ADD/ADHD, but in fact, they have learning-related visual problems. Our eyes connect the world with the brain, and we receive 80-90% of information from our eyes. Consequently, visual problems lead to poor vision, and these visual problems will interfere with children’s ability to learn in the classroom,” she explains.

During the study, ADHD symptoms were found to be significantly associated with half of the visual functioning difficulties. These skills include fixation – the ability to fixate on a stationary object with both eyes – in addition to fixating with the eyes independently. 

Ocular alignment of the right eye was indicated as a problem – the ability of the two eyes to work together in order to view an object clearly. Therefore, the eyes must move in a coordinated manner. Visual tracking was the skill that the children struggled with the most in both screening tests; thus, to follow a moving object. This was found for both eyes – the right eye on an X shape, and the left eye on a circle. 

She added that science suggests that although children at the age of five or six can perform a variety of manipulative skills such as catching, throwing, kicking, and hitting, the manipulative skills that require visual tracking or the ability to intercept moving objects, develop somewhat later (eight years) due to the sophisticated visual-motor requirements. 

Furthermore, although maturation plays a role in achieving these skills, children need opportunities to practise the skills in a variety of settings. Parents and teachers should encourage children to take part in physical activities and sports, in addition to proper instruction on how to perform the manipulative skills.

How will these visual difficulties be identified?

It is important to note that children can fixate, visually pursue objects, and reach accurate decisions about the size and shape of an object; however, some refining still has to take place. In other words, the perceptual abilities of the young child are not yet complete. Some examples of visual perception problems in a young child, as indicated by perceptual motor skills involving the eyes, are as follows: 
    
1. Using control to intercept a ball 
2. Interchanging letters and numbers
3. Poor perception of moving objects
4. Poor figure-ground perceptual abilities
5. Distance perception
6. Anticipating timing

What is the next step after identifying visual difficulties?

The first aspect to take into consideration is the age of the child since we now know that their perceptual abilities need to be refined. If the problem continues, screening tests can be done. If the child is at risk, it is recommended that the parent see an optometrist who specialises in visual problems.

How does one assist a child with ADHD in the classroom?

Five tips for teaching students with ADHD:
1. Change activities frequently to accommodate short attention span
2. Use a positive behaviour modification programme to keep student focused on task
3. Incorporate 3-5 min of conscious relaxation at the end of the physical education period
4. Give brief instructions
5. Use activities that promote cooperation among all students

In another study led by Dr De Milander and published in the South African Journal of Childhood Education (https://sajce.co.za/index.php/sajce/article/view/930), the early identification of learners with developmental coordination disorder was researched.


In children experiencing poor motor skills (fine and gross motor coordination difficulties), without evidence of a neurological disorder and which cannot be linked to a general medical difficulty such as cerebral palsy or a pervasive development disorder, the low motor skills are significant – to such an extent that it interferes with their social competence, academic performance, and physical development, leading to problems with completing daily activities, Dr De Milander explains.

The characteristics of developmental coordination disorder are:

• Experiencing problems getting dressed and tying shoelaces
• Finding it difficult to run, skip, or jump
• Experiencing problems with visual perception 
• Poor pencil grip
• Slow and hesitant movement
• Poor spatial concepts about in front, behind, next to, below, and above 
• Unable to catch or kick a ball
• Finding it difficult to work in group context

She gives the following advice: Children should be motivated and challenged to participate in simple, yet enjoyable and relaxing physical activities. The focus should be on the child's strengths and not his/her weaknesses. Allow the child to play regularly in sandboxes and with clay. Improve the child’s ball skills by catching and throwing. Motor skills must be learnt through simple mastery steps. Improve the child's movement skills and make participation in movement activities enjoyable and challenging. Concentrate on reaction skills and play in which the child can participate. In extreme cases, specialised treatment by an occupational therapist and a kinderkineticist is important.

It is important to know that children do not outgrow these disorders as previously believed; therefore, many children still experience these difficulties as adolescents. Thus, if your child is experiencing any problems, take cognisance of the problem and address it as soon as possible. Professionals such as kinderkineticists are available in private practice and at various schools to assist your child in improving a variety of deviations. The kinderkineticist can evaluate your child through a standardised test to determine the problem, and then suggest an intervention to address the specific problem, as well as to prevent secondary problems such as low self-esteem, physical inactivity, overweight and obesity, etc., which are associated with these disorders.

For help, visit the website of the South African Professional Institute for Kinderkinetics (https://kinderkinetics.co.za/) where you will be able to find a kinderkineticist in your area.

Kinderkinetics is a profession aimed at promoting and optimising the neuromotor development of young children (0-13 years) through science-based physical activity.  All programmes within this profession have a preventative, stimulating, developing, and rehabilitative nature. In summary, it has the following goals:

• Promoting functional growth and proper motor development in young children.
• Focusing on certain movement activities to promote/facilitate sport-specific skills.
• Implementing appropriate rehabilitation programmes for children with growth and/or developmental disabilities in order to maintain an active, healthy lifestyle.

News Archive

#Women’sMonth: A career in Sign Language interpreting proves to be full of rewards for Natasha Parkins-Maliko
2017-08-03

 Description: Natasha Parkins-Maliko new Tags: Natasha Parkins-Maliko new 

Natasha Parkins-Maliko. She
was recently awarded the Pansalb
Multilingual Award in the category:
Translation and Interpreting 2016/2017,
as recognition for her achievements
in a sixteen-year career.
Photo: Supplied

Natasha Parkins-Maliko is an alumna of the University of the Free State who graduated with a master’s in Linguistics. She is a well-rounded interpreter with a language combination of South African Sign Language-English-Afrikaans. She continued her studies and achieved an international master’s in Sign Language interpreting at the Humak University of Applied Sciences in Finland.  Natasha was recently presented with the Pansalb Multilingual Award in the category: Translation and Interpreting 2016/2017, as recognition for her achievements in a sixteen-year career.

“Winning the Pansalb Translation and Interpreting Award for 2016/2017, was for me as Kovsie a pat on the back in the true sense of the word.  The university is where I started my journey in South African Sign Language interpreting, and from then on, I never looked back,” she said.

Her interpreting career has provided many challenges, and was accompanied by great achievements along the way.

A career of fulfilment in Sign Language

“The foundation of my success was laid by my lecturers and mentors, such as Dr Philemon Akach and Emily Matabane, where I trained in the Department of South African Sign Language (SASL) at the university.”

“My determination and success is grounded in the motto, ‘Inspiring Excellence, Transforming Lives’ – a continued journey in excellence gives a renewed sense of pride for all language practitioners in South Africa,” she said.

Natasha went on to work in the deaf community for most of her career. She started as a grassroots interpreter, and is now a professional interpreter registered with SATI (South African Translators Institute). She is also a Sign Language television interpreter on SABC for content such as SABC 3 news bulletins, the budget speech, opening of Parliament, Youth Day broadcasts, January 8th statement broadcasts, MPC Reserve Bank speeches, and many more. Natasha is not only concerned with growing her career – despite her mover and shaker persona, she still takes time to volunteer her services for deaf people who do not have the financial ability to pay for interpreting.

“Winning the Pansalb Translation and
Interpreting Award for 2016/2017, was
for me as Kovsie a pat on the back in
the true sense of the word.”

The journey to excellence never stops
Over and above lecturing in Interpreting and Translation at Wits University, Natasha is still in pursuit of excellence. She is a PhD candidate in the SASL Interpreting programme at Wits University, the first of its kind in the country, and is pursuing an AIIC (International Association of Conference Interpreters) accreditation. Her aim is to put South African Sign Language interpretation on the global map.

As a role model and icon in her field, Natasha is the chairperson of the National Association of South African Sign Language Interpreters (NASASLI), the regional coordinator for the African Federation of Sign Language Interpreters (AFSLI), and the Africa regional representative on the board of the World Association of Sign Language Interpreters (WASLI).  The award presented to her is no doubt a fitting accolade and something all UFS alumni takes pride in.

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