Finish Strong Peds Exam V - Ch 24- Sensory Integration

Question 1

What is SI training?

Answer 1

It’s not Sports Illustrated…It’s sensory integration training

Question 2

The means by which the brain receives, detects, and integrates incoming sensory info for use in producing adaptive responses to one’s environment

Answer 2

Sensory processing

Question 3

What is a CVA?

Answer 3

Cerebrovascular accident

Question 4

What is the CNS?

Answer 4

Central Nervous System

Question 5

What is a TBI?

Answer 5

Traumatic Brain Injury

Question 6

Some children fail to detect and orient to novel or important sensory information which is called ____

Answer 6

sensory modulation disorder

Question 7

During what period of life can sensory processing problems be detected?

Answer 7

infancy

Question 8

What are just a couple subtle differences in an infant with sensory processing problems?

Answer 8

lack of cuddling, failure to make eye contact, oversensitivity to sounds, touch, chewing food…

Question 9

to take off

Answer 9

doff

Question 10

to put on

Answer 10

don

Question 11

When assessing a potential problem with sensory integration, what other factors are important to consider?

Answer 11

family system, culture, sociooeconomic

Question 12

what is praxis?

Answer 12

planning a motor skill and doing it.

Question 13

What does SIPT stand for?

Answer 13

Sensory Integration and praxis test

Question 14

Originator of SI theory, assessment, and treatment

Answer 14

A. Jean Ayers

Question 15

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.

Answer 15

CNS

Question 16

Early signs of sensory processing problems are:

Answer 16

• 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

Question 17

The approach in which the first tier of focus is the child’s daily occupational and role performance

Answer 17

top-down approach

Question 18

What are the 5 major areas covered by a complete sensory processing evaluation?

Answer 18

1. Sensory modulation
2. Perceptual discrimination
3. Postural-ocular Function
4. Bilateral motor coordination
5. Praxis

Question 19

tactile-pressure sense

Answer 19

somatosensory

Question 20

If Jason is having trouble writing assignments because he often rips his paper with his pencil, he is probably receiving insufficient _________ feedback

Answer 20

proprioceptive

Question 21

Name some screenings/structured assessments of sensory processing and sensory based motor dysfunction

Answer 21

Can find these in Table 24-1 on page 488

Question 22

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

Answer 22

functional support capacities

Question 23

Some clinical language referring to behaviors representing the class of sensory processing impairments termed sensory modulation disorder are:

Answer 23

tactile defensiveness, gravitational insecurity, sensory-seeking, and sensory hypersensitivity

Question 24

Patterns of dealing with sensory modulation problems divide and are bounded by what?

Answer 24

1. A continuum of sensory avoidance to sensory seeking

2. A continuum of acting in accordance with threshold, to acting to counteract threshold

Question 25

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?

Answer 25

Sensory-based movement disorder

Question 26

Nystagmus falls under what category of dysfunction?

Answer 26

Postural-ocular and bilateral integration dysfunction

Question 27

What tests help OT practitioners understand the child’s performance?

Answer 27

The Miller Assessment for Preschoolers
The Bayley Scales of Infant Development-II
The Peabody Developmental Motor Scales-II

Question 28

Children at risk for postural and bilateral integration deficits will experience difficulty with what tests?

Answer 28

DeGangi-Berk Test of Sensory Integration

Bruininks-Osteretsky Test of Motor Proficiency-II

Question 29

Test items to observe postural adaptation in preschoolers are what?

Answer 29

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

Question 30

Second broad category of sensory based motor dysfunctions

Answer 30

Developmental dyspraxia

Question 31

Test items to observe postural adaptation in 3 year olds

Answer 31

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

Question 32

Test items to observe postural adaptations for postural-ocular and bilateral coordination

Answer 32

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)

Question 33

The three major processes in praxia are what?

Answer 33

1. Ability to register and organize tactile, proprioceptive, vestibular, and visual input in order to assemble accurate internal cognitive maps of the body and environment
2. Ability to conceptualize internal images of purposeful actions (ideation)
3. Planning of sequences of movements within demands of the task and environment context, including ability to program anticipatory actions within next few seconds

Question 34

Ability to conceptualize internal images of purposeful actions

Answer 34

ideation

Question 35

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)

Answer 35

the “just right” challenge

Question 36

If the child needs excitation, provide arousing activities such as what?

Answer 36

Jumping, fast movements on swings (rotational or linear), vigorous music.

Question 37

If child seems overaroused, engage in sensory input that will promote healthy inhibition such as what?

Answer 37

Rhythmic linear vestibular input on a swing or physioball, using a chewie, sucking on a lollipop, or blowing bubbles

Question 38

What is the role of a COTA in SI?

Answer 38

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.