Sensory disorders

Question 1

Aspects of Blindness?

Answer 1

delayed head control esp in prone
hypotonic if they have change in tone
delayed language
space exploring is dangerous. delayed.

Question 2

Orientation of blindness things to note?

Answer 2

gain sense of position in space and become familiar with environment.
expose them to mvmt.
modify their postures.

Question 3

Aspects of hearing impairments?

Answer 3

• many have atypical vestibular responses.

- use other senses to compensate others don’t.

Question 4

What are signs of vestibular problems?

Answer 4

• impaired balance on one foot
• difficulty in prone
• less stability without vision
• Wide BOS/ small arm swing
• Use UE during transitional mvmt.
• limited visual scanning

Question 5

Tx for Vestibular problems?

Answer 5

• improve eye movement
• incorporate body movement in diff planes and surfaces
• Alter sensory conditions
• Strengthen with target to postural muscles.

Question 6

What is pervasive developmental Disorder and aspects?

Answer 6

Autism

• Multisensory impairments (hyper/o)
• disconnected from social
• severe language delay and developmental areas (gross motor)

Question 7

How to Dx autism?

Answer 7

Dx before 3 y/o

from handout 2 in column A 1 in B

Question 8

What happens if child does not meet criteria, is atypical, or is Dx after 3 for autism?

Answer 8

Dx as

PDDNOS

pervasive developmental disorder not otherwise specified

Question 9

Gross/Fine motor skills for Autism?

Answer 9

hypotonic
abnormal sensory
static balance is affected to great degree
Limited skills that require visual attention

Question 10

Cognitive Deficits of Autism?

Answer 10

• attention/arousal not great
• Learning and memory is different
• Limited repertoire of coping.

Question 11

Learning and memory of autism?

Answer 11

concrete
memorize
its either all or none
based on situation.

Question 12

Aspects of Asperger’s syndrome

Answer 12

• late development of speech/desire to socialize
• IQ norm
• lack empathy
• one sided interaction
• Repetitive speech pattern
• bad nonverbal communication also
• HATES change
• clumsy/uncoordinated

similar to autism

Question 13

Primary symptoms of Rett’s Syndrome

Answer 13

• usually normal development 6-18 mo
• head growth slows with age
• severely impaired expressive language
• lose purposeful hand skills/ repeat others.
• shakiness of torso
• ataxic gait

Question 14

2ndary symptoms of Rett’s syndrome

Answer 14

Breathing dysfx.
seizures b/w 2-4 y/o
rigidity/spasticity
scoliosis
dec mobility with age.
constipation
dec growth
bad sleep pattern
bad circulation of LE 
irritable

Question 15

Stage 1 of Rett’s

Answer 15

6m-1.5 yr
slowing development
less eye contact
calm
gross motor delays

Question 16

Stage 2 of Rett’s

Answer 16

1-4 yrs

• rapid regression
• lose hand fx/interaction like autism
• hand wringing/clapping
• unsteady gait
• tremor when excited.

Question 17

Stage 3 of Rett’s

Answer 17

plateau in preschool

• less irritable
• increase eye contact/interaction
• increase apraxia/seizure/hand mvmt.
• abnormal postures appear.

Question 18

Stage 4 of Rett’s

Answer 18

late deterioration after stage 3 (10 yrs)

• reduced mobility/amb
• muscle rigidity and dystonia
• no decline in cognition/communication/hand skill
• hand movement may decrease tho.

Question 19

Tx for Rett’s

Answer 19

slow progression
maintain ambulation
improve balance
maintain full ROM
prevent deformity
improve hand use.

Question 20

Childhood disintegration disorder?

Answer 20

2-4 yrs.
lose: language/interest in socializing/ toileting/self care.

looks autistic but look at history.

Question 21

What are the behavioral techniques?

Answer 21

Reinforcement
Shaping to what u want
Chaining fwd/bckwd