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Semester 5 PMNM Exam 10 > Sensory Integration > Flashcards

Sensory Integration Flashcards

1
Q

SI theory

A

Taking the information in -
Organizing the info coming in
Interpretation of it
Adaptation to it

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2
Q

SI theory - Assumptions to support theory and use of sensory integration

A 
Hierarchical body
Neuroplasticity
Inner drive
Adaptive responses 
Developmental sequence
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3
Q

SI theory - Sensation is ultimately linked to

A

learning

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4
Q

SI theory - how is sensation linked to learning

A

Enhance sensation with meaningful activity
Improve ability to process info
Enhance learning

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5
Q

SI theory - Therapeutically we intervene to

A

adapt or cause change in the sensory systems

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6
Q

SI theory - sensory systems include

A

Vestibular (gravity and mvmnt)
Proprioceptive (mm and joints)
Tactile
Vision

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7
Q

SI theory - therapeutic interventions impact

A 
Level of alertness
Readiness to receive
Readiness to interpret
Readiness to learn
Observable motor bx
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8
Q

Dysfunction - Consideration 1

A

The developing sensory system with the developing child

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9
Q

Dysfunction - Consideration 2

A

Ayres - originally said it was a stand alone diagnosis

Today - Can be found or addressed in any diagnosis

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10
Q

Dysfunction - Sensory integration (theory and tx) vs. Sensory processing disorder (diagnostic) - classification allows for

A

Homogeneity in population

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11
Q

Dysfunction - Types of SPD

A

Sensory modulation disorder (SOR, SUR, SS)
Sensory based motor disorder (dyspraxia, postural)
Sensory discrimination disorder (vis, aud, tact, vestib, prop, taste/smell)

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12
Q

Sensory Modulation Disorder - what is it

A

The sensory input does NOT match the behavioral response either in degree, nature, or intensity

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13
Q

Types of Sensory modulation disorder

A

Sensory Overresponsivity
Sensory Underresponsivity
Sensory seaking/craving

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14
Q

Sensory Modulation Disorder - Sensory Over

A

One or multiple sensory areas
Unconcious automatic response
Greater reaction to unexpected stimuli
Sympathetic response is characteristic of F/F

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15
Q

Sensory modulation disorder - sensory under

A

Limited response to stimuli
Appear apathetic
Infancy “good baby” or “easy child”
Older “lazy” “unmotivated”
Failure to notice bumps, falls, low response to pain
Often see it with SDD/Dyspraxia because of underresponsiveness

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16
Q

Sensory modulation disorder - Sensory seeking/sensory craving

A

When unable to meet sensory needs may become explosive or aggressive
Can be difficult to distinguish from ADHD
Desire sensation
Energetically seek sensory input
Can be in multiple areas

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17
Q

Sensory Discrimination Disorder

A

Sensation is difficult to interpret

18
Q

Sensory discrimination disorder - often present as

A

slower performance
often co occurs with SUR
poorer feedforward postural reactions
greater observance of dyspraxia from poor body schema

19
Q

Sensory discrimination disorder traditionally includes

A

auditory
visual
tactile

20
Q

Sensory based motor disorder - types

A

Dyspraxia

Postural disorder

21
Q

Sensory based motor disorder - postural disorder

A

Often occurs with other subtypes
Often in slumped postures
Inability to hold self upright for prolonged time
Can lead to gravitational insecurity

22
Q

Sensory based motor disorder - sensory deficit impact postural control often arise from

A

Vestibular
Proprioceptive
Visual

23
Q

Sensory based motor disorder - Postural control - Impacts

A 
mm tone
balance
coordination
stability
righting and equilibrium rxs
ocular motor control
bilateral coordination
24
Q

Sensory based motor disorder - Dyspraxia - difficulty in the stages of

A

conception
sequencing
execution of motor bx

25
Q

Sensory based motor disorder - dyspraxia - signs

A 
Issues with body in space awareness
Accidents due to mvmnt
Coordination may be hard
Might see clumsy gait
Can coincide with speech.language disorder
26
Q

Sensory based motor disorder - dyspraxia - may occur with

A

SOR or SUR or SDD

27
Q

Clinically - the key

A

You might see multiple signs that categorize the child into multiple categories related to sensory processing disorder
Key is to distinguish one from the other to know what to work on

28
Q

Signs of gravitational insecurity

A 
Seen with Dyspraxia often
Want feet on ground
Fear or falling
Dislikes head down
Doesn't jump from heights, curbs
Uses stair railing
Play ground
Runs with hands on wall
Vestibular responses
29
Q

Assessment - hx

A 
Social 
Family hx
Hospitalizations
Recurrent illnesses
Birth hx
Developmental hx
Sensory hx
30
Q

Assessment

A 
Alertness/arousal levels
Attn to task
Desire to move
Comprehension of task
Rules formed - recall
Praxis - motor planning, timing, impulsive
Initiation of mvmnt, speed
Synergies
31
Q

Assessment - clinical tests

A 
Signs of tactile defensiveness
MM tone
RAMP
RAMs
Thumb to finger with shld 90 abd
Tongue mvmnts
Postural security with head down
Equilibrium rxns
Reflexes
Hop, jump, skip, jumping jacks, balance beam
32
Q

Assessment - clinical tests - Reciprocal alternating movement patterns

A

Shlds in 90 abd and slowly flex hands to shoulders
Abd 60 - low tone
Jerky - prop
Cant initiate - dyspraxia
Visually watch UE rather than PT - body schema

33
Q

Assessment - clinical tests - thumb to finger

A

Skip finger
Sequencing praxis
Pinch - prop
Extend fingers vs. 0 - low tone

34
Q

Measurement tools -

A 
Sensory profile for infants/toddlers
Sensory profile for adolescents/adults
Sensory integration and praxis test (SIPT)
De Gangi Berk test for SI
Test of sensory function in infants
Sensory integration inventory
35
Q

Sensation is ___ ___ __ ___

A

FOOD FOR THE BRAIN

36
Q

What type of stimulation is more effective

A

Multisensory rather than uni-sensory

37
Q

Interventions

A 
Active participation of child - cog if old enough
Child directed
Individualized tx
Purposeful activity
Need for adaptive response
38
Q

Characteristics of interventions

A 
Activities rich in proprioception, vestibular, and tactile input
Varied based on child's response
Protect child's self esteem
Provide consistent and positive feedback
Intersperse things not liked with things enjoyed as reward
Goal directed
Indentify end product
End on success
39
Q

Activities with interventions - what first

A

Vestibular first!

40
Q

Frequency with interventions

A

Everybody should do it, every where, and ALL THE TIME!

Semester 5 PMNM Exam 10 (6 decks)

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