Study Guide Flashcards
What are the 7 sensory systems
- Sights
- Smells
- Touch
- Tastes
- Hearing
- Perception of Movements (Vestibular)
- Positioning of our Bodies (proprioception)
What are the characteristics of Sensory Integration (SI) dysfunction for sight?
- Bumps into items
- Poor eye contact
- Difficulty with visual skills such as depth perception and figure-ground
- Excessively uses touch or taste to explore items
- Becomes overexcited when there is a lot to look at in books or in environment
- Difficulties in writing and/or reading
- Increased focus on moving items such as fans, moving wheels or videos
- Looks at objects through the corners of eyes
What are the characteristics of Sensory Integration (SI) dysfunction for smells?
- Avoids particular areas or food because of smells others may not notice
- Gags or vomits due to the smell of certain foods
- May ignore unpleasant odors like dirty diapers
- May smell food before eating
- Smells toys or people before interacting with them
What are the characteristics of Sensory Integration (SI) dysfunction for touch?
- Avoids being touched or touching others – seeks his space
- Avoids touching items due to certain textures or consistencies
- Does not finger feed self to avoid getting messy
- Difficulty transitioning from a liquid to a solid diet
- Aversive response to hair brushing, washing or cutting
- Aversive response to getting dressed, wearing certain clothing or tags
- Does not react to pain, temperature or different textures
- Craves touch by rubbing whole body or hands against people or objects
- Resistance to self help skills
- Walks on tip toes
- Poorly produced speech
What are the characteristics of Sensory Integration (SI) dysfunction for tastes/oral?
Let’s review this together and see which of the PPT slides fits best. They are 28-39
What are the characteristics of Sensory Integration (SI) dysfunction for hearing?
- Puts hands over ears to avoid sounds
- Aversive reaction to vacuums, television or blenders that do not bother others
- Listens to music or television at a high or a low volume
- Distracted by slight auditory noise
- Not reactive to voice/environmental sounds
- Difficulty focusing on conversation while blocking out background sounds
- Difficulty following direction/multiple step commands
- Poor communication skills
What are the characteristics of Sensory Integration (SI) dysfunction for perception of movements (vestibular)?
- Avoids roughhousing, jumping, climbing sliding or swinging
- Gets car sick and avoids playground equipment or amusement park rides
- Aversive reaction to being placed on tummy or moved in particular directions such as side to side or being placed upside down
- Poor balance with physical activity
- Does not become dizzy even after excessive spinning or swinging
- May be in constant motion and have difficulty sitting for activities
- Engages in spinning, swinging, or rocking to help stimulate self
What are the characteristics of Sensory Integration (SI) dysfunction for positioning of our bodies (proprioception)?
- Appears “clumsy” or stiff when engaged in physical activity
- Walks on tip toes
- Frequently throws or breaks toys
- Seeks frequent physical contact from others
- Pushes self against furniture or floor
- Fits self into tight spaces
- Grasp on pencil or writing utensil is too weak or too strong
- Frequently bumps into items or people when negotiating environment
- Difficulty performing motor tasks such as climbing onto furniture or stairs, kicking, jumping or negotiating feet through a cluttered room
- Biting objects and/or people
SOAPBOX
What is Harms’ rule of thumb when giving assessments result as far as strengths and weaknesses?
She gives assessment results to the parents after she points out the strengths of the child first.
For every 3 weaknesses she presents to the parent, she gives 3 strengths and always start with the strength
She then talks about the strengths of the child will help to work on some of their weaknesses.
What is the dx definition of SI dysfunction?
An Irregularity or disorder in brain function that makes it difficult to integrate sensory input effectively
What can SI be present in?
- Motor learning
- Social/Emotional
- Speech/Language
- Attention Disorders
SOAPBOX
What is Harms known as in the clinic?
The positioning police
- the table height and chair height has to be appropriate for the client
- She says as much as their body has to be touching something else as much as possible:
- bottom on the chair
- back against back of chair
- feet flat on the ground
This is the optimal position for them to attend and their respiratory system because we are requiring a lot of them during the assessment.
What is a dog and pony show according to Harms?
Read cues and:
- get a child client moving
- take breaks
- sit on the floor for awhile
- scavenger hunt around the clinic to practice sounds
- bean bag toss in between tasks
Keep them on task and make sure they know you are in charge
What are some tactile supports?
- Finger Painting
- Toys hidden in rice/bean buckets
- Firm Touch
- Brushing
- Vibration
- Fidget Ball
- Play dough
- Dress up
What are some visual supports?
- Dim lights
- Reduce distractions
- Games (bean bag toss/balloon volleyball
- Copying
- I spy
- Bubbles
What are some smell supports?
- Identify odors that are more altering (i.e. citrus) or calming (i.e. lavender or vanilla)
- Play “guess that smell” with Q tips
- Allow child to smell foods prior to eating
- Provide new taste in lidded cup with straw
What are some auditory supports?
- Calming music (Mozart)
- Incorporate music into tasks/routines
- Eliminate distracting environmental noise
- Anticipate loud noises
What are some vestibular supports?
- Give movement breaks
- Calming movements (swinging)
- Change positions with activities
- Animal walks
- Sliding/rolling
- Rock or hop on appropriate size ball
- Balance activities
- Beam
- Hop on one foot
What are some proprioceptive supports?
- Heavy work activities
- help with laundry
- Deep pressure
- play-doh
- joint compression
- Wheelbarrow walking, jumping, hopping
- Resistive play
- tug-of-war
- Hide toys under cushions
- Sandwich between cushions
- Heavier activity between transitions
- stomping to the next activity
- moving around
- Swimming
- Obstacle course
- Joint compressions
What do you need to include while writing assessment reports?
- Format, style scope. Length and degree of detail varies
- Varies in different settings and with different supervisors
- Can “pick and choose” and develop your own style of writing assessment reports
What are some guidelines we need to remember regarding reporting assessment findings?
- Does it contain all of the major information needed?
- Is the information appropriately categorized?
- Is there redundancy?
- Is it too wordy? Sentences too long?
- Terminology used correctly?
- Written objectively?
- Are the “facts” truly based on fact?
- Is the focus on the major points?
- Does the report contain ambiguities that could be misinterpreted?
- Is the report written in logical progression?
- Are the mechanics appropriate?
