{"id":14971,"date":"2023-04-13T14:33:31","date_gmt":"2023-04-13T11:33:31","guid":{"rendered":"https:\/\/isitmeklinik.com\/?p=14971"},"modified":"2023-04-13T14:33:31","modified_gmt":"2023-04-13T11:33:31","slug":"pediatrik-grupta-isitme-testleri","status":"publish","type":"post","link":"https:\/\/isitmeklinik.com\/blog\/pediatrik-grupta-isitme-testleri\/","title":{"rendered":"Pediatrik Grupta \u0130\u015fitme Testleri"},"content":{"rendered":"\n<p>Pediatrik grupta i\u015fitme testleri yap\u0131l\u0131rken alan\u0131nda uzman ki\u015filerden destek al\u0131nmal\u0131d\u0131r. Yeti\u015fkin gruba uygulanan objektif i\u015fitme testleri (saf ses odyometri testi), \u00e7ocuklara ne yaz\u0131k ki objektif bir \u015fekilde uygulanamamaktad\u0131r. Bunun nedeni \u00e7ocuklar\u0131n be\u015f ya\u015f\u0131na kadar testi anlayamamas\u0131, teste koordine olamamas\u0131 veya teste do\u011fru bir \u015fekilde yan\u0131t verememesidir yani k\u0131saca bunun i\u00e7in yeterli olmamalar\u0131d\u0131r. Bu y\u00fczden de \u00e7ocu\u011fun ya\u015f\u0131na ve geli\u015fim basamaklar\u0131na uygun olacak \u015fekilde, i\u015fitmenin g\u00f6zlemlenip tahmin edilebilece\u011fi testler bulunmaktad\u0131r. Ancak \u00e7ocu\u011fun ya\u015f\u0131 g\u00f6z \u00f6n\u00fcne al\u0131n\u0131rken takvim ya\u015f\u0131 de\u011fil; bili\u015fsel ya\u015f\u0131 dikkate al\u0131n\u0131r. Uygulanan testler <a href=\"https:\/\/isitmeklinik.com\/blog\/cocuklarda-isitme-kaybi\/\">\u00e7ocuklarda i\u015fitme kayb\u0131<\/a> olup olmad\u0131\u011f\u0131n\u0131 \u00f6l\u00e7en subjektif testlerdir.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>G\u00f6zlem Odyometrisi (0-5\/6 Ayl\u0131k)<\/li>\n<li>G\u00f6rsel Peki\u015ftire\u00e7 Odyometrisi (VRA) (5\/6 Ay-2 Ya\u015f)<\/li>\n<li>Oyun Odyometrisi (2\/2,5 Ya\u015f-4 Ya\u015f)<\/li>\n<li>Saf Ses Odyometri (5 Ya\u015f<sup>+<\/sup>)<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14976\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_pediatrikisitme-1024x509.png\" alt=\"\" width=\"624\" height=\"309\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>G\u00f6zlem Odyometrisi<\/strong><\/h2>\n\n\n\n<p>G\u00f6zlem yapmam\u0131zdaki temel ama\u00e7 bebekte i\u015fitme e\u015fi\u011fi bulmak de\u011fildir; i\u015fitme kayb\u0131 varsa bunu fark etmek. Bu y\u00fczden uzman bebekteki minimum davran\u0131mlar\u0131 g\u00f6zlemler (minimum davran\u0131m e\u015fi\u011fi bulunur). 0-6 ayl\u0131k bebeklerde i\u015fitsel cevaplar iki \u015fekilde elde edilmektedir.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Refleksif Davran\u0131\u015flar: Emme, moro refleksi (irkilme), el ve bacak sarsmak, auropalpebral refleks gibi.<\/li>\n<li>Dikkat Davran\u0131mlar\u0131: Sessizle\u015fme, a\u011flamaya ba\u015flama ya da durdurma, g\u00fclme, etrafta bir \u015fey arama, nefes al\u0131p veri\u015finin de\u011fi\u015fmesi, ba\u015f ile sese y\u00f6nelme gibi.<\/li>\n<\/ul>\n\n\n\n<p>Bebekler, yap\u0131lan testlere h\u0131zl\u0131 al\u0131\u015fkanl\u0131k g\u00f6sterir. Bu y\u00fczden uzman teste y\u00fcksek ses vererek ba\u015flamaz. Deneyimli ki\u015filerin bebek al\u0131\u015fmadan \u00f6nce testi bitirmesi gerekmektedir. Bebek hafif uykudayken ve ailesinden biri kesinlikle yan\u0131ndayken test yap\u0131lmal\u0131d\u0131r. Sinyale ilk 4 saniyede tepki al\u0131n\u0131rsa odyolog bunu bir tepki olarak kabul eder. Ayr\u0131ca bebekten al\u0131nan cevaplar\u0131n s\u00fcreleri de tutarl\u0131 olmal\u0131d\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14978\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_davranimodyometrisi-1024x576.png\" alt=\"\" width=\"632\" height=\"355\" \/><\/figure>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>G\u00f6rsel Peki\u015ftire\u00e7 Odyometrisi (VRA)<\/strong><\/h2>\n\n\n\n<p>5\/6 ay-2\/2,5 ya\u015f \u00e7ocuklarda uygulanmaktad\u0131r. \u00c7ocuklar\u0131n lokalizasyon becerisi \u00f6n plandad\u0131r. Test yap\u0131l\u0131rken \u00e7ocu\u011fun i\u015fitsel uyarana cevab\u0131n\u0131 g\u00fc\u00e7lendirmek i\u00e7in pozitif g\u00f6rsel bir peki\u015ftire\u00e7 kullan\u0131lmaktad\u0131r. \u00c7ocu\u011fun verdi\u011fi her tepkide g\u00f6rsel peki\u015ftirecin tam zamanl\u0131 g\u00f6nderilmesi laz\u0131md\u0131r.<\/p>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<p><strong>Peki\u015ftire\u00e7ler iki \u015fekilde g\u00f6nderil<\/strong>i<strong>r;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u00fcrekli Peki\u015ftire\u00e7: \u00c7ocuk, davran\u0131m\u0131 daha h\u0131zl\u0131 \u00f6\u011frenir ancak davran\u0131m\u0131n \u00e7ocuktaki etkisi h\u0131zl\u0131 kaybolur, doyumu h\u0131zl\u0131 olu\u015fur.<\/li>\n<li>Aral\u0131kl\u0131 Peki\u015ftire\u00e7: \u00c7ocuk, davran\u0131m\u0131 daha yava\u015f \u00f6\u011frenir, davran\u0131m\u0131n \u00e7ocuktaki etkisi yava\u015f kaybolur ve doyumu daha ge\u00e7 olu\u015fur.<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<p><strong>\u00dc\u00e7 peki\u015ftire\u00e7 \u00e7e\u015fidi vard\u0131r;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Basit g\u00f6rsel Peki\u015ftire\u00e7 (sadece \u0131\u015f\u0131k)<\/li>\n<li>Kompleks Peki\u015ftire\u00e7 (\u0131\u015f\u0131k ve hareketli oyuncak)<\/li>\n<li>Sosyal Peki\u015ftire\u00e7 (s\u00f6zl\u00fc\/el hareketleriyle)<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14979\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_pediatrikisitme_vra-1024x576.png\" alt=\"\" width=\"614\" height=\"344\" \/><\/figure>\n\n\n\n<p>Testi yapan odyolog serbest alanda, hoparl\u00f6rlerin g\u00f6rsel peki\u015ftirece biti\u015fik oldu\u011fu durumda, \u00e7ocuk k\u00fc\u00e7\u00fckse ve velisinin kuca\u011f\u0131nda de\u011filse iki hoparl\u00f6r aras\u0131nda al\u00e7ak bir sandalyeye ba\u015f\u0131 ve kulaklar\u0131 hoparl\u00f6rlere 90<sup>0<\/sup> ve 1 metre uzakl\u0131kta olacak \u015fekilde oturtur. Test odas\u0131nda deneyimli bir odyolog ve sesleri g\u00f6ndermek \u00fczere kabin d\u0131\u015f\u0131nda bir odyolog daha bulunmal\u0131d\u0131r. Kabin i\u00e7indeki odyolog \u00e7ocu\u011fa \u00e7apraz bir \u015fekilde oturmal\u0131 ve \u00e7ocu\u011fun dikkatini devaml\u0131 bir \u015fekilde orta hatta (bir oyuncak yard\u0131m\u0131yla) tutmal\u0131d\u0131r. Kabin d\u0131\u015f\u0131ndaki odyolog da \u00e7ocu\u011fu, peki\u015ftireci ve hoparl\u00f6r\u00fc tam g\u00f6r\u00fcr konumda oturur.<\/p>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>VRA\u2019y\u0131 Etkileyen Fakt\u00f6rler<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Geli\u015fimsel ya\u015f<\/li>\n<li>Fiziksel ihtiya\u00e7lar<\/li>\n<li>Dikkat da\u011f\u0131t\u0131c\u0131lar\u0131n varl\u0131\u011f\u0131<\/li>\n<li>Aile davran\u0131m\u0131<\/li>\n<li>N\u00f6rolojik durum<\/li>\n<li>Pozisyon<\/li>\n<li>Peki\u015ftirecin ilgi \u00e7ekici olmamas\u0131<\/li>\n<li>Sunum zamanlamas\u0131<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>(Ko\u015fulland\u0131r\u0131lm\u0131\u015f) Oyun Odyometrisi (CPA)<\/strong><\/h2>\n\n\n\n<p>Bili\u015fsel ya\u015f\u0131 3 ya\u015f\u0131ndan b\u00fcy\u00fck olan \u00e7ocuklarda kolayca uygulanan oyun odyometrisi, \u00e7ocu\u011fa sesi duydu\u011funda oyunca\u011f\u0131n\u0131 sepete\/kovaya atmas\u0131n\u0131, el kald\u0131rmas\u0131n\u0131 veya halkay\u0131 halka stand\u0131na takmas\u0131n\u0131 i\u00e7erideki odyolog \u00f6\u011fretir. Uzman, \u00e7ocuk g\u00f6reve ko\u015fullan\u0131rken y\u00fcksek seste bir uyaran g\u00f6nderir ve \u00e7ocu\u011fun sese al\u0131\u015fmas\u0131n\u0131 ve tan\u0131mas\u0131n\u0131 sa\u011flar. Bu s\u0131rada kabin i\u00e7indeki odyolog, oyuncak yard\u0131m\u0131yla \u00e7ocu\u011fa ne yapmas\u0131 gerekti\u011fini hem s\u00f6zl\u00fc hem de g\u00f6rsel bir \u015fekilde g\u00f6sterir ve onunla birlikte g\u00f6revi yapmas\u0131 i\u00e7in \u00e7ocu\u011fu ko\u015fulland\u0131rmaya \u00e7al\u0131\u015f\u0131r. \u00c7ocuk, seslere oyuncak yard\u0131m\u0131yla yan\u0131t verdikten sonra uzman konu\u015fma testine ge\u00e7er. Odyolog \u00e7ocu\u011fun bili\u015fsel ya\u015f\u0131na uygun d\u00fczeyde sorular sorar ve minimum seviyede cevap verdi\u011fi e\u015fi\u011fi arar. Kabin d\u0131\u015f\u0131ndaki odyolog testi h\u0131zl\u0131 yapmal\u0131d\u0131r \u00e7\u00fcnk\u00fc \u00e7ocu\u011fun zamanla verdi\u011fi cevaplar\u0131n g\u00fcvenirli\u011fi azal\u0131r. \u00a0<\/p>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14980\" src=\"https:\/\/isitmeklinik.com\/blog\/wp-content\/uploads\/2023\/04\/isitmeklinik.com_oyunodyometrisi-1024x576.png\" alt=\"\" width=\"592\" height=\"332\" \/><\/figure>\n\n\n\n<p>Ody. Selin Naz \u00d6ZDEM\u0130R<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pediatrik grupta i\u015fitme testleri yap\u0131l\u0131rken alan\u0131nda uzman ki\u015filerden destek al\u0131nmal\u0131d\u0131r. Yeti\u015fkin gruba uygulanan objektif i\u015fitme testleri (saf ses odyometri testi), \u00e7ocuklara ne yaz\u0131k ki objektif bir \u015fekilde uygulanamamaktad\u0131r. Bunun nedeni \u00e7ocuklar\u0131n be\u015f ya\u015f\u0131na kadar testi anlayamamas\u0131, teste koordine olamamas\u0131 veya teste do\u011fru bir \u015fekilde yan\u0131t verememesidir yani k\u0131saca bunun i\u00e7in yeterli olmamalar\u0131d\u0131r. Bu y\u00fczden de \u00e7ocu\u011fun ya\u015f\u0131na ve geli\u015fim basamaklar\u0131na uygun olacak \u015fekilde, i\u015fitmenin g\u00f6zlemlenip tahmin edilebilece\u011fi testler bulunmaktad\u0131r. Ancak \u00e7ocu\u011fun ya\u015f\u0131 g\u00f6z \u00f6n\u00fcne al\u0131n\u0131rken takvim ya\u015f\u0131 de\u011fil; bili\u015fsel ya\u015f\u0131 dikkate al\u0131n\u0131r. Uygulanan testler \u00e7ocu\u011fun i\u015fitmesini subjektif olarak \u00f6l\u00e7en testlerdir.<\/p>\n","protected":false},"author":1,"featured_media":21233,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[51,59,92,99,103,104,111,124],"class_list":["post-14971","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel-yazilar","tag-isitme-cihazi","tag-isitme-kaybi","tag-odyoloji","tag-oyun-odyometrisi","tag-pediatrik-isitme-testi","tag-pediatrik-odyoloji","tag-saf-ses-odyometrisi","tag-vra"],"_links":{"self":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts\/14971","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/comments?post=14971"}],"version-history":[{"count":0,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/posts\/14971\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/media\/21233"}],"wp:attachment":[{"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/media?parent=14971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/categories?post=14971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/isitmeklinik.com\/blog\/wp-json\/wp\/v2\/tags?post=14971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}