Exam 1 Flashcards
Parasympathetic
rest and digest, high threshold is always in this state
Sympathetic
Flight or fright
Low Threshold is always in this state
Small receptor fields
more accuracy
higher discrimination
Large receptor fields
less accuracy with touch
less dense
Fast adapters
respond to only new stimuli or changes in stimuli
Slow adapaters
detects intensity, speed and duration
Lateral inhibition
focuses stimuli
discrimination of senses
neurons at center receive stimuli but inhibit at synapse
edge is stimulus is less intense
Convergence
many neurons connect to one neuron
increases intensity but decreases discrimination
ex.) combining prop with swinging
Divergence
one neuron branches to many
could influence different systems
Ex.) vestibular system affects many different systems
serial processing
one task before another
give input to help with next task
parallel processing
several neuron sequences occurring at the same time
DCML
Tactile, proprioception and vibratory
Uses lateral inhibition
Spinothalamic
pain, crude touch and temp
Does not provide localized info
convergence of info in thalamus with info from DCML
DCML inhibits transmission in AL pathways
Extrafusal Fibers
muscle tissue
Intrafusal fibers
muscle spindles
Primary intrafusal fibers
tells velocity and amount of change in length
Secondary Intrafusal fibers
info on static position, sustained stretch and contraction
Joint receptors
only fire at extreme ranges, less often than muscle spindles
Semicircular canals
receptive to only rotary movements
need to spin both ways to balance fluid
*Phasic- quick reactions
*Transient postural reactions- quick adjustments
Otolithic organs
utricle and saccule
SLOW ADAPTING
Utricle
horizontal movements
maintains posture
Saccule
Vertical movements
Screening assessment examples
DIAL, Sensory profile
Developmental Assessment examples
PMDS, Battelle
Analysis of posture and movement examples
COMPS, SOSI
Functional occupation based assessments
PEDI, SFA, COPM
Qualitative assessments
PEGS
Standardized assessments
measurement of outcomes
screening purposes
Developmental and functional skills
Norm-referenced
compare skill level to others around same demographics
used for need of services
always standardized
Criterion referenced
measure skills in specific content area
no numbers
HELP
Tactile defensiveness
over responsive to touch
lack of inhibition
Stimulation of DCML can dampen response
Gravitational insecruity
fear of unexpected movements
Avoids head position movements and feet off the ground
Limbic system with sensory modulation
supports intake and processing
connectes sensory expirnecnes to emotions
Difficulties with postural control
vestibular focused
not being able to make changes to body effectively
Difficulties with bilateral integration
somatosensory and vestibular focused
use both sides of body to coordinate movements
Praxis
somatosensory and vestibular focused
ability to adapt to new tasks
dependent on integration of all senses
Ideational Dyspraxia
not being able to come up with any ideas to do a new task
Cant picture new ways to use or play with a toy
Somatodyspraxia
Clumsy child
difficulties with coordination
Visuodyspraxia
difficulty using vision to plan and guide movements
decreased hand-eye coordination
Intervention for low threshold
active proprioception first
also can include tactile and passive prop
slow-linear movements
introduce sensory input slowly and add more
Intervention for tactile defesniveness
o Introduce different textured play activities when out of flight or fright stage
o Educate parent at home
Intervention for gravitational insecurity
o Work hard at combing proprioception with movement
o Walking on uneven surfaces
o Scooter board on flat then incline
o Swings where they can hold on
o Slow linear movement then try slow rotational with game
Intervention for sensory seeking
- Don’t want to get child too aroused
- Rotational input will lead to a high arousal state, need to continue with deep pressure
- Teaching calming techniques
- Combine lots of prop, vestibular and tactile in all activities
Frequency
slow adapters
speed
Duration
slow adapters
how long you are doing the activity
intensity
Convergence and parallel processing
slow adapters
rhythm
fast adapters
change in stimuli
Novelty
fast adapters
Quick surprise
Moving from feedback dependent to feed forward
- Stable-stable
- Moving-moving
- Want to change stability, placement and speed
- Child needs to be successful then increase demands
VBI
inadequate processing of vestibular and prop
poor ocular control, poor bilateral integration, poor sequencing of anticipatory movements
Treatment for dyspraxia
Vestibular and prop input combined with tactile input
Want few cues from therapist to allow client to figure it out
Start with something familiar and then novel