SEnsory Based MOtor Disorder

Question 1

What structured clinical observations are hard for kids with BIS?

Answer 1

1.Projected action sequence 2.prone extension 3.Equilibrium reponses 4.Maintenance of neck flexion during supine flexion 5.Visual tracking/convergence 6.Bilateral Coordination tasks

Question 2

What structured clinical observations are hard for kids with somatodyspraxia?

Answer 2

1. Supine flexion 2.Sequential finger touching 3.Rapid alternating movements 4.In hand manipulation skills 5.Schindler’s arm extension test

Question 3

What are behavior characteristics of someone with dyspraxia?

Answer 3

1. poor self-esteem 2.easily frustrated 3.Distractable(getting seated is difficult) 4.Disorganized 5.Geek or Clown 6.Director

Question 4

What are good assessments to assess praxis?

Answer 4

1.SPM 2.SIPT 3.BOT-2 (look at approach) 4. VMI (look at approach)

Question 5

Characteristics of somatodyspraxia

Answer 5

Poor body awareness Poor touch discrimination Poor organization Difficulty manipulating or assembling toys Often frustrated and poor self-concept Clumsy Trip, bump, and knock over Delayed self-care Can learn a skill but does not generalize

Question 6

What are the characteristics associated with Bilateral Integration and Sequencing?

Answer 6

Difficulty planning and sequencing projected action sequences

Poor timing and rhythm

Poor anticipatory movement

Difficulty with hand dominance

Bilateral Coordination

Problems with visual tracking, convergence and saccades

Impaired efficiency of movement

Diffculty with skipping, jumping jacks, catching/throwing, (they avoid) midline crossing, shoe typing, cutting

Question 7

What behaviors would you observe with a child with sensory discrimination problems?

Answer 7

Difficulty with fasteners or otehr manipulatives (especially without vision)

Tool use (pencils, crayons, eating utensils)

Eating-moving food in mouth, clearing food

MOvement of body through space/grading force of movements (bull in china spot)

Question 8

Which assessments test sensory discrimination?

Answer 8

SPM

SIPT

Question 9

What are some treatments for discrimination problems?

Answer 9

1. Do prep work to prepare body adn brain for discrimination activities (prope. and vest.)
2. Grade the intensity stimulus
3. WOrk with child to develop cognitive strategies or use other senses
4. Adapt features of the environment (clothing or tools)
5. Find the best sense for the child to learn from
6. Strengthen discrimination of senses

Question 10

What are some functional problems for someone with a postural disorder?

Answer 10

1. Difficulty maintaining a seated posture at desk or table
2. Reduced distal control for tool use
3. Difficulty extending neck adn keeping head up to copy from board, attend to teacher, or socially engage with peers
4. May impact eye movements (visual motor) due to decreased head stability
5. Tire easily during play
6. May be fearful or uncomfortable with movements that challenge postural stability because they fall a lot

Question 11

What are the treatments for postural disorders?

Answer 11

Vertical or linear vestibular activities

Proprioception (SI theory)

(Prope. and Vest. activates tonic postural extension)

Provide motivating activities to strengthen postural muscles (biomechanical theory)