Finish Strong Peds Exam V - Ch 24- Sensory Integration Flashcards
What is SI training?
It’s not Sports Illustrated…It’s sensory integration training
The means by which the brain receives, detects, and integrates incoming sensory info for use in producing adaptive responses to one’s environment
Sensory processing
What is a CVA?
Cerebrovascular accident
What is the CNS?
Central Nervous System
What is a TBI?
Traumatic Brain Injury
Some children fail to detect and orient to novel or important sensory information which is called ____
sensory modulation disorder
During what period of life can sensory processing problems be detected?
infancy
What are just a couple subtle differences in an infant with sensory processing problems?
lack of cuddling, failure to make eye contact, oversensitivity to sounds, touch, chewing food…
to take off
doff
to put on
don
When assessing a potential problem with sensory integration, what other factors are important to consider?
family system, culture, sociooeconomic
what is praxis?
planning a motor skill and doing it.
What does SIPT stand for?
Sensory Integration and praxis test
Originator of SI theory, assessment, and treatment
A. Jean Ayers
Children who have sensory integrative dysfunction have a cluster of symptoms that are believed to reflect dysfunction in ______ processing of sensory input rather than a primary sensory deficit such as hearing or visual impairment.
CNS
Early signs of sensory processing problems are:
- oversensitivity to sounds or touch
- failure to make eye contact
- difficulty with oral-motor demands of suckling
- self regulation of arousal states, irritability, and colic
The approach in which the first tier of focus is the child’s daily occupational and role performance
top-down approach
What are the 5 major areas covered by a complete sensory processing evaluation?
- Sensory modulation
- Perceptual discrimination
- Postural-ocular Function
- Bilateral motor coordination
- Praxis
tactile-pressure sense
somatosensory
If Jason is having trouble writing assignments because he often rips his paper with his pencil, he is probably receiving insufficient _________ feedback
proprioceptive
Name some screenings/structured assessments of sensory processing and sensory based motor dysfunction
Can find these in Table 24-1 on page 488
Secondary neurobehavioral, motor, social-emotional, and cognitive proficiencies that are not functional in the occupational sense but are considered precursors for end products to develop normally
functional support capacities
Some clinical language referring to behaviors representing the class of sensory processing impairments termed sensory modulation disorder are:
tactile defensiveness, gravitational insecurity, sensory-seeking, and sensory hypersensitivity
Patterns of dealing with sensory modulation problems divide and are bounded by what?
- A continuum of sensory avoidance to sensory seeking
2. A continuum of acting in accordance with threshold, to acting to counteract threshold
Postural system disorganization due to poor vestibular and proprioceptive processing, and impairments of complex midbrain or cortically controlled internal visualization and motor planning would be what?
Sensory-based movement disorder
Nystagmus falls under what category of dysfunction?
Postural-ocular and bilateral integration dysfunction
What tests help OT practitioners understand the child’s performance?
The Miller Assessment for Preschoolers
The Bayley Scales of Infant Development-II
The Peabody Developmental Motor Scales-II
Children at risk for postural and bilateral integration deficits will experience difficulty with what tests?
DeGangi-Berk Test of Sensory Integration
Bruininks-Osteretsky Test of Motor Proficiency-II
Test items to observe postural adaptation in preschoolers are what?
Tower Sequencing Stereognosis Finger localization Maze Romberg Stepping Kneel/stand Walk line Rapid alternating movements, depending on the age of the child and normative expectations
Second broad category of sensory based motor dysfunctions
Developmental dyspraxia
Test items to observe postural adaptation in 3 year olds
Airplane Diadokokinesis Drumming jump and turn Monkey task Prone on elbows, neck co-contraction Rolling-pin activity Scooter board co-contraction Side-sitting co-contraction Upper extremity control Wheelbarrow walk
Test items to observe postural adaptations for postural-ocular and bilateral coordination
Balance items Bilateral coordination items Visuomotor control items Upper limb speed and dexterity items Strength (e.g., postural tone during writing or manipulation tests, play)
The three major processes in praxia are what?
- Ability to register and organize tactile, proprioceptive, vestibular, and visual input in order to assemble accurate internal cognitive maps of the body and environment
- Ability to conceptualize internal images of purposeful actions (ideation)
- Planning of sequences of movements within demands of the task and environment context, including ability to program anticipatory actions within next few seconds
Ability to conceptualize internal images of purposeful actions
ideation
This allows the OT to control the speed of the spaceship (platform swing) that the child is in, and the location of the deflectors (objects to be thrown) and meteors (targets)
the “just right” challenge
If the child needs excitation, provide arousing activities such as what?
Jumping, fast movements on swings (rotational or linear), vigorous music.
If child seems overaroused, engage in sensory input that will promote healthy inhibition such as what?
Rhythmic linear vestibular input on a swing or physioball, using a chewie, sucking on a lollipop, or blowing bubbles
What is the role of a COTA in SI?
SI is extremely complex. However, in settings with close supervision by an appropriately SI-trained and experienced pediatric OT, OTA’s can contribute effectively to intervention program.
