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Peds FAll 2024 > Sensory Intervention > Flashcards

Sensory Intervention Flashcards

1
Q

What is an adaptive response

A

a successful and purposeful goal directed action on the environment

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2
Q

Sensory Integration-

A

Neurological process where the brain organizes sensory information for a purposeful and goal directed use. (Bundy & Lane, 2020)

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3
Q

Sensory Processing-

A

“Describes the interface between a person’s neurological function and the environment.”(Dean et al., 2018)

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4
Q

Self-Regulation-

A

“One’s ability to manage emotions and behavior in a way that is appropriate for the activity or circumstances, including regulation of responses to sensory input from their body and the environment”

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5
Q

What are the two approaches to sensory integration

A

Ayres sensory integration and sensory based interventions

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6
Q

Ayres Sensory Integration-

A

“…systematic approach and a set of fidelity principles” to address individual sensory processing and motor planning.

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7
Q

Sensory Based Interventions-

A

“Interventions that are based on principles of sensory integration theory to address self-regulation, sensory modulation, sensory registration, sensory discrimination, and praxis…”

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8
Q

Praxis-

A

The ability to conceptualize, plan and execute a non-habitual motor act.

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9
Q

Ideation-

A

generating ideas of what to do in a novel situation or with new objects or toys

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10
Q

Treatment approach - OT-SI and Ayres SI

A

Ayres- Fidelity Process Elements (next slide & pg. 534)

ASI- occurs in a clinic setting. Aims to change internal neurophysiological processing

OT-SI- occur in child’s natural environment. Aims to produce short term effect on self-regulation, attention or behavior

Terminology is critical when interpreting evidence in regards to sensory integration

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11
Q

Where is the appropriate setting for Ayeres sensory integration?

A

ASI- occurs in a clinic setting. Aims to change internal neurophysiological processing

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12
Q

Process elements that need to be present in Ayres SI fidelity

A

Ensures physical safety
Presents sensory
Supports sensory modulation for attaining and maintaining a regulated state
Challenges postural, ocular, oral and/or bilateral motor control
Challenges praxis and organization of behavior
Collaborates in
Tailors activity to present just right challenge
Ensures that activities are successful
Supports child’s
Establishes a therapeutic alliance with the child

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13
Q

Define a just right challenge

A
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14
Q

It’s is the OTs responsability to ________________

A

constantly adjust what we are doing based on how the child is doing

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15
Q

How do we Balance the therapeutic value and the child’s interest

A

Use their interests but not only fun. we have to do work too

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16
Q

How do we Create an environment that encourages increasingly complex adaptive responses.

A
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17
Q

Inner drive and active participation from the child are emphasized.
This is a necessary part of

A

sensory integraiton

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18
Q

Slide 10 has a good graphic, make a card out of that

A
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19
Q

Impact on behavior of sensory issues

A

Ritualistic behaviors
Impulsive
Active/Inattentive
Disorganized
Impatient/ demanding
Low frustration tolerance
Lack of self control

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20
Q

Sensory Seekers

A

Easily excited
Risk taker/ impulsive
Need for constant stimulation
Crave attention

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21
Q

Under-responsive

A

Inattentive
Passive
Disinterested/ Daydreamer
Disheveled appearance

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22
Q

Over-responsive

A

Fight-fright-freeze
Low threshold
Sensory defensiveness
Behavioral indicators

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23
Q

Vestibular-Bilateral Problems
postural disorder

A
  • Appears lethargic
  • Slumped posture
  • Difficulty with bilateral skills and crossing midline
  • May exhibit overflow or associated movements
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24
Q

Dyspraxia

A

Poor ideation
Inflexible
Emotional dysregulation
Possible language issues

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25
Q

Ayres Sensory Integration Intervention
Qualities of Sensation

A

Strength
Rhythmicity
Duration
Frequency
Speed

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26
Q

To have an optimal effect on development, learning & behavior, the sensory input must be actively organized and USED by the child to act on and respond to the environment.”

What does this mean?

A

We need to see an immediate effect from therapy. if we don’t, it means we chose the wrong integration

27
Q

What does this mean?
Rhymicity

A

they can spin, back and forth, start and stop is alertying

28
Q

Duration

A

How long we give the input for

29
Q

Frequency

A

How many times you do the sensory integration - rotational input, joint compression

30
Q

Speed

A

how fast you go on the swing, more allerting to go fast than slow. Slow is more strengthening

31
Q

Strength

A

how much input the child puts in from their bodies strength

32
Q

In your first session of the day you push a child on a platform swing in a linear motion with little change to the direction or force applied. With the second child you start and stop the swing and spin the child. Which quality of sensation is changed?

A

Rhythmicity

33
Q

What are the essential features of sensory integration intervention

A
  1. Multiple
  2. Novelty in the
  3. Active engagement in challenging cognitive, sensory and motor tasks (just right challenge)
34
Q

Intervention for Sensory Seeking:

A
  • Prepare the child’s sensory system before a task
  • Provide input the child seeks, but in a meaningful experience
  • Teach calming/self-regulation strategies
  • Simplify sensations
35
Q

Do not use sensory as reinforcement. Provide the input when the child needs it to enable performance. what does this mean?

A

you don’t get to go on a swing because you behaved, you were able to behave because you went on a swing

36
Q

Intervention for Sensory Under Responsive

A
  • Incorporate multi-sensory experiences, but avoid overload
  • Vestibular and proprioceptive input
  • Weight bearing activities
  • Bilateral activities
  • Oral motor activities - crunchy food, cold beverages
37
Q

Enhance sensory experiences, make all activities more concentrated with sensory information. what does this mean?

A

radio on, going on swing, diffuser with citrus

38
Q

Sensory Over Responsive
Sensory intervention

A
  • Environmental adaptations
  • Provide inhibitory or calming activities
  • Proprioceptive input
  • Watch for Aversive Responses

Calming yoga, weight bearing, whole body even proprioceptive input

39
Q

Sensory Over Responsive

A

Environmental adaptations
Provide inhibitory or calming activities
Proprioceptive input
Aversive Responses

40
Q

Motor Planning
Feedforward Dependent
Session considerations

A
  • Promote planning
  • Promote bilateral integration
  • Promote ideation
41
Q

What do the motor planning kids need?

A

repetion

42
Q

What is feedforward

A

what is it that we need to do and how do we get there?

43
Q

for whom does hand over hand does not serve well?

A

motor planning

44
Q

Motor planning kids have trouble with what type of skills?

A

bilateral integration, ideation and motor planinig

45
Q

How do you promote ideation?

A

helping the child to come up with conceptualization. For example if we remove the amount of steps of an obstacle course as them to trouble shoot how to do it.

46
Q

What is a Sensory Stimulation Protocol-

A

interventions that involve application of specific types of sensory stimuli that are controlled by the therapist and delivered in a predetermined manner, usually according to a prescribed schedule or sequence.

47
Q

What is the downfall of sensory stimulation protocol?

A

that it has to be the certain way that may not pertain the child’s needs

48
Q

How are sensory protocol applied

A

Applied in a non-contingent manner, meaning specific procedures used are not dependent on the child’s behavior

49
Q

Wilbarger Protocol
Astronaut Program
Expected outcomes for these protocols include:

A

Improved sensory modulation
Improved self-regulation
General improvements in attention, learning and behavior.

you do every two hours for 2-4 weeks and then slowly taper off.

50
Q

what is the calming part of the brushing technique

A

the joint compressions

51
Q

Who would benefit from the brushing technique

A

and over responsive kid to desensitize them.

52
Q

Astronaut program - lazy susan and a kid spins around. what does it do?

A

you rotate at a certain right, you do a visual tracking technique and it gives sensory impact for the visual auditory vestibular triad.

53
Q

How often is astronaut program?

A

2x/day for a set amount of time.

54
Q

Zones of regulation

A

Encourage students to recognize emotions while still in control
Provide regulation tools easily used and applied to help with control, and independently
Think about others and social expectations, calm without disruption to others

Influenced by The Alert Program, The Incredible 5-Point Scale and Social Thinking

55
Q

What is the challenge of zones of regulation

A

it was created by OT but it gets used by people who aren’t OTs and potentially aren’t teaching it adequately.

56
Q

Zones of regulation colors - Blue

A

Blue- used to describe low states of alertness- such as one feels sad, tired, sick or bored. The brain is slow or sluggish

57
Q

Green- zones of regulation

A

Green- Used to describe a regulated state of alertness. A person may be described as calm, happy, focused, content. Generally needed for schoolwork and being social. Being in the green zone shows control.

Learning happens here.

58
Q

Yellow- zones of regulation

A

Describes a heightened state of alertness, yet the person has some level of control. A person may experience stress, frustration, anxiety, excitement, silliness, nervousness, confusion. May have more elevated emotions or states- may be wiggly, squirmy or sensation seeking. Watch for losing control.

recess - close to losing control

59
Q

Red- zones of regulation

A

Extremely heightened state of alertness and/or very intense feelings. A person may experience anger, rage, explosive behavior, panic, terror, or elation in this zone. Best explained by not being in control of one’s body.
Not in control, can’t learn in red

60
Q

Sensory-based strategies-

A

specific sensory interventions that are less regimented than sensory stimulation protocols, with more flexible guidelines for use in daily life

61
Q

expected outcomes of Sensory based strategies

A

Better self-regulation
Improved attention
Decreased behavior problems

62
Q

You create a schedule for sensory activities for a family to use when their child is dysregulated. What is this called?

A

Sensory strategy or sensory diet or program

63
Q

Choosing Wisely

A

Don’t provide sensory-based interventions to individual children or youth without documented assessment results of difficulties processing or integrating sensory information.

it is imperative to assess and document specific sensory difficulties before providing sensory-based interventions such as Ayres Sensory Integration®, weighted vests, listening programs, or sensory diets.

64
Q
A

Peds FAll 2024 (20 decks)

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