Sensory Processing and Austim Flashcards

1
Q

range of complex neurodevelopment disorders

A

autism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

common characteristics associated with autism

A

impairments with social behavior, difficulty with vocal communication, and repetitive patterns of behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

boys are ___ times more likely diagnosed with autism

A

4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

31% who have ASD often also have

A

ID (intellectual disability)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

____ of children with ASD do not have any special educational needs

A

14%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

DSM V criteria for ASD

A
  • persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently of historically –> deficits in social emotional reciprocity; deficits in nonverbal communicative behaviors used for social interactions; deficits in developing, maintaining and understanding relationships
  • restricted, repetitive patterns of behavior, interests, or activities as manifested by at least 2 of the following (currently or historically) –> sterotyped or repetitive motor movements, use of objects or speech; insistence on sameness, inflexibility adherence to routines, or ritualized patterns or verbal nonverbal behavior; highly restricted, fixated interests that are abnormal in intensity or focus; hyper or hypo reactivity to sensory input or unusual interests in sensory aspects of the environment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • sx must be present in the early developmental period but may not fully manifest until social demands exceed limited capacities or may be masked by learned strategies later in life
  • sx cause clinical significant impairment to social, occupational, or other important areas of current functioning
  • these disturbances are not better explained by intellectual disability or global developmental delay
A

ASD DSM V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

refers to a condition in which a person has severe difficulties in learning everyday motor skills, which cannot be explained by physical, sensory or intellectual impairments

A

developmental coordination disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

other terms for developmental coordination disorder

A

clumsy child syndrome, developmental dyspraxia or apraxia, sensory integrative dysfunction, perceptual motor dysfunction, motor learning difficulty, mild motor delay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

describes how individuals develop the capacity to perceive, learn and organize sensations from the body and from the environment to accomplish self directed meaningful activities; how a child organizes sensory input about his or her environment

A

sensory integration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what happens when sensory systems are not working together

A

sensory info comes in from all around –> child cannot filter out the important information –> can have sensory overload –> leading to escaped behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

child has difficulty with tuning out extra sensory input to participate in daily activities; all sensory systems bombarding the child with information leading to difficulty of the child trying to concentrate

A

sensory over responsivity (avoiding)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

behaviors of child experiencing sensory over responsivity

A

becomes rigid, avoids new situations, starts to want to have control over some parts of situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

these children need more sensory information to react to sensory stimuli as compared to other children; often seem sleepy or lethargic; difficulty to engage in activities; often significantly impact child’s ability to participate in age appropriate play, ADLs and development of gross motor skills

A

sensory under responsivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

children who are under responsive, takes more stimulation than others to get the same response; actively seeking out information

A

sensory seeking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

combination of over responsiveness and under responsiveness; oversensitive to some stimuli and may ignore others; sensory seeking one day and avoid the same stimuli the next day

A

sensory combination

17
Q

modulation dysfunction causes

A
  • decreased readiness for interaction and learning
  • decrease maintaining of homeostasis
  • decrease ability to scan input for relevance
  • decrease calming and organizing for focused attention
  • decrease ability to get the system to an organized state
18
Q

using strategies to keep self modulated, the ability to change your state to match the demands of the environment

A

self regulation

19
Q

difficulty with distinguishing characteristics of sensory stimuli; ability to discern differences between sensation and give it a label; necessary for skillful interaction with environment

A

sensory discrimination disorder

20
Q

types of sensory discrimination dysfunction and implications for PT

A
  • somatodyspraxia: poor tacticle processing and proprioception, affects modulation (toe walkers and tripping)
  • postural ocular disorders: impacts vestibular system; decrease muscle tone, balance and coordinating eyes (decrease protective responses, difficulty with stairs/jumping/running/endurance)
  • B/L integration and sequencing deficits: difficulty with vestibular system; U/L weakness, hard time crossing midline and reciprocal functions (decreased crawling, reciprocal stair climbing)
21
Q

standardized tests used during evaluation

A

peabody, BOT, Sensory Integration Praxis Test (SIPT), sensory processing measure, sensory profile 2

22
Q

types of treatment that can be done

A
  • adapt the environment to fit needs of the patient
  • visual charts or schedules to know what is expected of the session
  • place in distraction free room; start with sensory activities to help with modulation
  • sensory breaks during session
  • safe distraction if pt does not accept physical touch
  • oral motor strategies as needed
23
Q

what comes first, sensory or behavior

A

most kids have sensory processing difficulties that lead to changes in behavior

24
Q

treatment for sensory and behavioral changes

A

start with activities to help with regulation; place an behavioral expectation

25
Q

sensory tools

A
  • sensory stories
  • alert program
  • zone of regulation
26
Q

help with new situations by telling pt stories to allow kids to adapt to new environments so they know what to expect

A

sensory stories

27
Q

teach kids how to identify their arousal levels and adapt themselves using strategies for self regulation; younger kids - they can at least verbalize arousal levels and adults can help with regulation

A

alert program

28
Q

similar to alert program and is used in the classroom in which kids recognize their arousal levels

A

zone of regulation

29
Q

who can we refer out to

A

developmental pediatricians, OT eval, speech eval, intermediate unit to get services in school or home, behavioral therapists

30
Q

reasons to refer to OT

A
  • difficulty with attention
  • sensory seeking behaviors (self stim type behaviors)
  • limited eye contact
  • fine motor difficulty
  • cognitive difficulties
  • difficulty with perception (depth perception)
  • difficulty with daily living (shoes, socks)
  • difficulty with UE/strength control/stability
31
Q

additional services for home/community

A
  • wrap around (behavior service in with professional comes to home)
  • adaptive fitness
  • aquatics
  • karate