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OT210 Theory of Pediatrics > Week 2 Sensory Integration > Flashcards

Week 2 Sensory Integration Flashcards

1
Q

a theory linking specialized neurological processes with observable behavior.

A

sensory integration

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2
Q

Over responsive vs under responsive to sensory input

A 
Over= large responses to small input
under= limited response to input
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3
Q

sensory processing
how the brain _____, ____, and _____ sensory info.

produces an effective response to interpretation of incoming sensory input AKA ______.
Allows an individual to _____, _______, and ______ .

A

how the brain receives, detects, and integrates incoming sensory info.

adaptive response

Allows an individual to attend and focus, develop motor skills, and participate successfully in social interactions

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4
Q

Sensory Integrative Dysfunction/ disorder…

  • Cluster of symptoms that reflect ______.
  • Not a _____.
  • _____ and _____ interactions
  • Produces distorted ________.
A

Sensory Integrative Dysfunction/ disorder
•Cluster of symptoms that reflect central nervous system (CNS) dysfunction
•Not a primary sensory deficit (e.g., hearing impairment, blindness)
•disorganized and maladaptive interactions
•Produces distorted internal sensory feedback

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5
Q

Categories of Sensory Processing Disorder:

  • Over (hyperreactivity) or under responsivity (hypo-reactivity) to sensory experiences
  • Continuum of sensory avoidance
  • acting in accordance to threshold
A

Sensory modulation disorders (SMD)

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6
Q

Categories of Sensory Processing Disorder

Postural-ocular disorder, bilateral integration disorder, developmental dyspraxia

A

Sensory-based motor/movement disorders (SBMD)

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7
Q

Sensory modulation disorder (SMD) is divided into 3 categories:

A

Sensory over responsivity (SOR)
Sensory under responsivity (SUR)
Sensory craving (SC)

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8
Q

Sensory based motor disorder (SBMB) is divided into 2 categories:

A

Dyspraxia

Postural-ocular Disorder

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9
Q

Sensory discrimination disorder (SDD) can effect the what systems?

A 
Visual
auditory
tactile
olfactory/gustatory
vestibular
interoception
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10
Q

• Children who have sensory processing disorders have co-morbidity with a primary diagnosis, such as:

A 
Autism
Learning disability
Attention deficit disorder
Anxiety disorders
Panic disorders
Attachment disorders
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11
Q

Early Signs of Sensory Processing Dysfunction

A
  • Lack of cuddling behavior
  • Failure to make eye contact
  • Oversensitivity to sounds or touch
  • Oral motor difficulties
  • Poor self-regulation
  • Irritability
  • Colic
  • Lack of curiosity
  • Disorganized and destructive exploration of the environment
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12
Q

Cause of SPD?
not caused by:
Dysfunction in:

A
  • Unknown
  • Not caused by “injury” to the brain
  • Dysfunction in lower levels of the brain
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13
Q

Define Gravitational insecurity:

what SPD nosology?

A

fear of head positioning changes

SMD

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14
Q

Define Tactile defensiveness:

what SPD nosology?

A

touch/textures set you over the edge.

SMD

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15
Q

Define Sensory seeking/craving:

what SPD nosology?

A

Always spinning, touching, moving/ craving sensory input SMD

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16
Q

Define Sensory hypersensitivity:

what SPD nosology?

A

too much input for normal sensations SMD

17
Q 
Sensory Modulation interventions:
•Determine level of arousal.
over=\_\_\_\_ under=\_\_\_\_ movement
•Combine with \_\_\_\_ input
•sensory \_\_\_\_\_\_ such as deep pressure brushing.
•Monitor \_\_\_\_\_.
•Offer \_\_\_\_.
•sensory \_\_\_\_.
A 
•Determine level of arousal. 
Over aroused (linear) under aroused (rotary)
•Combine with oral input
•sensory preparation.
•Monitor patterns of responsivity 
•Offer rewards 
•sensory diet.
18
Q

What SPD Category?

  • Bilateral motor coordination dysfunction
  • Deficits in postural-ocular control
  • Deficit’s midline integration
  • Hypotonic presentations
  • Impairments in internal visualization and motor planning
  • Impaired postural mechanism
A

Sensory-Based Movement Disorders

Postural-ocular & Dyspraxia

19
Q

____ is the ability to register and organize tactile, proprioceptive, vestibular, and visual information

it has 4 areas:
1 \_\_\_\_\_\_ (generate idea)
2 \_\_\_\_\_\_ (figure out how to do motor task)
3 \_\_\_\_\_\_ (carry out skill)
4 \_\_\_\_\_\_ (identify if done correctly)
A

praxis

1 Ideation (generate idea)
2 motor planning (figure out how to do motor task)
3 Execution (carry out skill)
4 Feedback (identify if done correctly)
20
Q

Types of dyspraxia:

  • most common
  • in efficient processing of tactile, kinesthetic, proprioceptive, and/or vestibular
A

• Somatodyspraxia

21
Q

Types of dyspraxia:
poor processing on visuospatial cues and effects ones ability to program movements while performing visual construction task

A

• Visuodyspraxia

22
Q

Types of dyspraxia:

Combination of visuodyspraxia and somatodyspraxia

A

• Visuo-somatodyspraxia

23
Q

Types of dyspraxia:
difficulty translating verbal command into motor planning
–Language related (not true SI disorder)

A

• Dyspraxia on Verbal Command

24
Q

Interventions SBMD:

Improve somatosensory body scheme organization

A 
o	Ball pit
o	Outline body
o	Brush body parts
o	Lycra body sock
o	Dress up
o	Scooter board
o	Obstacle course
25
Q

Interventions SBMD:

Improve bi-manual manipulation

A 
o	clapping hands
o	beads
o	sewing
o	crafts
o	scooter board
26
Q

Categories or SPD:
•A problem in recognizing / interpreting differences or similarities in the qualities of stimuli.
•Most difficult to identify/describe
-Can occur in combination of other domains/nosology

A

Sensory Discrimination Disorder SDD

27
Q

What systems does SDD effect and how?

A

•Auditory - “cat, cap, or pack” Not able to discriminate between similar words or sounds
•Tactile- quarter or a nickel
Stereognosis, pulling out quarter instead of penny from pocket
•Visual- recognize letters (b or d, q or g) Struggle with matching games
•Proprioceptive- how hard to push. Interpreting or recognizing needed calibration for a task
•Vestibular – turning, which way. Spinning, swinging. You ask them to copy you and you turn to left. They will not know what direction to turn
•Taste/smell- cant distinguish familiar smells
•Interoception-sensation hunger, full bladder

28
Q

SDD interventions?

what to do if combo SDD and SMD symptoms?

A

• Provide sensory rich activities in domain client has issues
example: proprioception, Simon Says, perform novel body movements and talk about the movement “Look, your R hand is above your head just like mine.”

•If they have a combination of modulation and discrimination issues. FIRST child must present with sensory regulation/modulation THEN can treat discrimination.
Discrimination will not improve until modulation or oculo-motor is handled.

29
Q

OTR and COTA in Screening for SPD

Roles

A

o COTA may be trained to administer a structured assessment and may participate in interviews with the caregiver or questionnaires for the teacher
o The interpretation of the findings is the responsibility of the OTR.

OT210 Theory of Pediatrics (3 decks)

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