5th Congress Autism-Europe
Articulos / Proceeding Autism-Spain

USING OF THE METHOD OF GOOD START IN TERAPY OF AUTISTIC CHILDREN

PhD Marta Bogdanowicz
University of Gdansk, Poland
Lucyna Bobkowicz
Therapy Center for Autistic Children Gdansk, Poland

The Method of Good Start (MGS) is modelled on the French Le Bon Depart Method, established by Thea Bugnet. In Poland MGS was developed by Marta Bogdanowicz who has started to use this method as a form of preparation to take up learning of writing and reading. MGS is also applicable as a form of rehabilitation of mentally retarded children and children with disharmony in mental and motor development. Authors of this work made an attempt loo adapt this method for needs of autistic children.

Theoretical bases, structures and organisation of activities.

The Method of Good Start (MGS) is a sensorimotor approach in work with children because three elements are involved here:

  1. the visual element - involving graphic models (the geometrical patterns or letters)
  2. the auditory element - the songs
  3. the motor element - movement during reproducing graphic models or letters, harmonised with the rhythm of a song.

The MGS tries to make the visual auditory and kinaesthetic-motor functions more efficient simultaneously, and to help coordination of these different functions. Other aims of this approach are, too help fix handeness, establish body awareness, spatial concepts, left-right orientation in body schema and space. The main idea of MGS is lo develop the Integration of all psychomotor functions.

The MGS is based on series of exercises which are carried out in a, few stages.

The structure of MGS activities :

  1. entering activities
  2. main activities:
  3. closing activities

Although there is a strict programme of MIDS activities, the content of the exercises may change so as to accommodate them to the needs of individual children or groups. The form of organisation of activities has to be appropriate to their needs; it can be work with an individual person ( a child with brain damage), in pairs: mother - child in groups (autistic, mentally retarded,cerebral palsy children) or it can be group activities.

The course of session

The first stage of the method - entering activities - is an introductory one. Various forms of activities are allowed at this stage. For example many forms of greeting we can use : children shake their hands, touch their legs, elbows (learning of body schema), their right hands "greet" right feet or left ears and so on (left-right orientation).The purpose of these exercises is to focus children's attention on the activities and to gain their interest. The main aim of this stage is to develop body awareness and right left orientation of the body plus space schema. When we work with autistic children we use also some exercises from Developmental Movement, Veronica Sherborne's method.

Then a song is presented, which is to be a "canvas" or "semantic point"; for the ensuing activities. For example, when the folk song, "Cucckoo" is used, pictures of the bird are shown. Alive cat, dog or animals can be presented.

This is very important to show and to offer for manipulation concrete things like an apple or bail while singing a song on such a subject.

The song is also a mean of exercising phonological competence for higher functioning autistic children. During these exercises children are learning and practising analysis and synthesis of words by separating sentences, words, syllabes and phonemes also binding them to construct words, diversifying phonemes, diversifying words with different phoneme structure and so on. These exercises are also designed to develop their attention and auditory memory (for examples children count how many times the consonant "k" occurs in a given word).

The next stage are - the main activities - consisting of the three types of exercises already identified. The first of this the motor activities , are motor play which is related to a song's subject. During this type of play children's motor functions are improved - global movements as well as fine movements of hands and fingers, also relaxation. Each session consist of different exercises which always refer to a song.

In a second type of main activities - the-auditory motor exercises are provided: motor elements 'are combined with sounds to enable simultaneous development of motor functions and auditory perception. During this type of activity hand and fingers exercises are carried out on small sand - filled cylinders to the tunes of songs sung by a teacher or children- From session to session the exercises become more complicated and involve a range of movements using fists, palm in various position, and fingers. The hands may he in parallel or crossed position. Teacher can hold child's hand (passive movements are harmonised with the rhythm of a song).In final exercises children are encouraged to imitate song rhythms in their own ways.

The third type of main activities, the motor-auditory-visual-exercises, forms a substantial part of MGS. The main activities are based on graphical symbols of increasing difficulty.

These are carried out while singing a song. The song's rhythm is illustrating by the graphical symbols or letters - This range of exercises combines three elements: movement, sound and three elements are involved in the activities and this Is the reason that motor, auditory and ,visual functions are developed and integrated.

The stages of motor-auditory-visual-exercises:

The teacher draws the pattern on the blackboard and sings a song which has the rhythm corresponding to the number of elements in the pattern. It is important to combine song rhythm with the movement while drawing the lines- For example, the vertical lines from the top to the bottom, the horizontal lines from left to the right side.

Multisensory learning: the teacher practices the same with a child and then a child draws a pattern singing or listening the song. In these exercises various senses are involved: touch, kinaesthesia, sight and hearing.

Reproducing level: in the exercises at this stage the children

reproduce the pattern or letter. The degree of difficulty gradually increases: the tools used become more complicated and the space where the activities take places becomes smaller. At the beginning only a hand is used. Then simple drawing tool such as chalk or charcoal are introduced, and finally waxpencils, pencils and in the end ballpens are given to the children.

In the same time the exercises become more complicated because of the space in which child works.(The space for children's reproduction of the pattern is reduced ; it is unrestricted at the beginning, then it becomes small and limited by lines, as in a copy book).

Effectiveness of MGS in work with autistic children

Experimental work on adaptation of MGS has been conducted for 2 years in Therapy Centre for Autistic Children la Gdansk. The experimental group was made up of 9 autistic children ; 6 boys and 3 girls (age from 7 to 14 ).In the work we used clinical methods such as observation, interview, analysis of graphic works along with experimental method: Behaviour Observation Scale (BOS).The analysis of the results indicated that MGS influenced the psycho - motor development in a far smaller then expected degree. But the analysis brought also additional unexpected results. We observed that the year - long cycle of activities run with the use of MGS resulted in a considerable social progress of participating children.

Children were more often contacting others, their reactions to grownups were better, they were more active. These results can be explained by the construction of the method which contains constant scheme of exercises. Children can very quickly learn the sequence of the exercises and are able to predict what will happen in a while.


Tab.1. Differences between results achieved in BOS in the experimental group

Develomental Areas X1X2
Cognitive area (C)2,22,6
Emotional area (E)22,1
Social area(S)1,62,25
Motor area(M)2,63,2

Tab.2. The averageprofile in BOS in experimental group before and after exercises.

PATTERNS FOR DRAWINGS

PATTERNS FOR DRAWINGS

(arrow shows direction of movement, letter shows the sequence of moves)

PATTERNS FOR DRAWINGS

(arrow shows direction of movement, letter shows the sequence of moves)
PhD Marta Bogdanowicz
University of Gdansk, Poland
Lucyna Bobkowicz
Therapy Center for Autistic Children Gdansk, Poland