1 / 38

Think Sensory

Think Sensory. Lecture by Christy E. Yee M.A. OTR/L November 7, 2011. Christy E. Yee M.A. OTR/L. Graduated Bachelor of Science in Occupational Therapy in December of 1996 Received certification in Sensory Integration and Praxis Testing in January Of 1998

jensen
Download Presentation

Think Sensory

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Think Sensory Lecture by Christy E. Yee M.A. OTR/L November 7, 2011

  2. Christy E. Yee M.A. OTR/L • Graduated Bachelor of Science in Occupational Therapy in December of 1996 • Received certification in Sensory Integration and Praxis Testing in January Of 1998 • Received Master Degree in Schools, Society, & Violence in December of 2009 • Worked in both private pediatric clinics and public schools for the past 15 years • Worked for 11 of those years with the University of Michigan FAS Clinic as part of the intervention team.

  3. OBJECTIVES • Understand current sensory processing terminology • Understand how sensory processing differences can present in children • Understand basic tools and techniques to assist children with sensory processing differences

  4. What is Sensory Integration? • Jean Ayres, Ph.D., OTR, the originator of the theory of sensory integration defines it as “the neurological process that organizes sensation from one’s own body and from the environment and makes it possible to use the body effectively within the environment.”

  5. Dysfunction of Sensory Integration (DSI) • DSI is “a malfunction in the brain’s translation of sensation into meaning and action... It is a traffic jam in the lower brain. Important information that needs four-lane access to the thinking centers of the brain, like the awareness that you’re about to lose your balance, can’t get through. Other information that should be diverted into a parking lot, like the feeling of a shirt tag rubbing against your neck, gets full attention, creating havoc and confusion.” (from “The impossible Child” by Karen Smith).

  6. Evolution of Language • Sensory Integration Dysfunction (SID) to • Dysfunction of Sensory Integration (DSI) to • Sensory Processing Disorder (SPD)

  7. Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V) • Some studies suggest a minimum of 1:20 children have Sensory Processing Disorder • Uniform language will assist in research • DSM-V due in May 2013

  8. Sensory Processing Disorder • Sensory Processing is the way the nervous system receives sensory messages and turns them into responses. • Disorder exists when sensory signals do not get organized into appropriate responses and a child’s daily routines and activities are disrupted as a result. • Information from “Sensational Kids: Hope and Help for Children with Sensory Processing Disorder” by Lucy Jane Miller, Ph.D., OTR

  9. 3 Broad Types of SPD(or why you need an OT!) • Sensory Modulation Disorder (SMD) • Sensory-Based Motor Disorder (SBMD) • Sensory Discrimination Disorder (SDD)

  10. SMD • Problem with turning sensory messages into controlled behaviors that match the nature and intensity of the sensory information • Can be Over-Responsive (a.k.a. sensory defensive) • Withdrawn or Aggressive (a.k.a. I get away or you get away) • Can be Under-Responsive • Usually withdrawn • Can be Sensory Seeking (a.k.a. crash and burn)

  11. SBMD • Problem with stabilizing, moving, or planning a series of movements in response to sensory demands • Dyspraxia • Ideation-planning-motor execution-feedback loop • Postural Disorder • Low normal muscle tone

  12. SDD • Problem with sensing similarities and differences between sensations • Can occur in any sensory area: vision, hearing, touch, taste, smell, proprioceptive, vestibular.

  13. SDD Chart

  14. SDD Chart

  15. Crossing Midline Visual-Spatial Perception VESTIBULAR PROPRIOCEPTION Eye-hand Ocular Motor Postural Coordination Control Adjustments Body Scheme Reflex Maturity Postural Awareness of two Motor Security Sides of the body Planning VISUAL

  16. Sensory SystemsWhat does the SPD look like? Auditory • Indicators of Auditory deficits: may cover ears to close out sounds or noises, may complain about noises, especially those with a vibratory element (vacuum cleaner, blender, dishwasher), may have trouble functioning when outside noises are present, may make noise themselves to help filter out background noise.

  17. Visual • Indicators of visual deficits: may become over-excited when there is too much to look at, may cover eyes, may have poor eye contact, may have problems with reading and/or writing. Touch • Indicatory of tactile deficits: may hurt themselves (e.g. bite themselves), may interpret light touch as painful, may disrobe, may dislike getting dirty, may dislike routine grooming activities.

  18. Smell • Indicators of Olfactory deficits: may object to certain odors that others don’t notice, may seek out noxious odors, may use the sense of smell as means to explore the environment Taste • Indicators of taste deficits: may strongly object to certain foods, textures, or temperatures, may have an overactive gag reflex, may lick or taste inedible objects

  19. Vestibular • Definition: The vestibular system receives input from receptors located in the inner ear regarding position and movement of the head in relationship to gravity. This sense tells you where your head is in relation to the ground. • This system impacts balance, muscle tone, equilibrium responses, the ability to use both sides of the body together, coordination of the head, neck and eye movements, auditory language and plays a role in arousal.

  20. Indicators of vestibular deficits • May crave movement • Unable to sit still • May dislike having feet off the ground • May become car sick easily • May rock in both sitting and standing • May flap bilateral hands by face

  21. Proprioception • Definition: The proprioceptive system gives the nervous system input on the position of muscles, joints, and tendons. This is important as it provides the person with information on how far to reach, how much pressure, where you are in space, and what your body scheme is. • The receptors for proprioception are located throughout the muscles, joints, and tendons and they are triggered by stretch and contraction of a muscle.

  22. Indicators of proprioceptive deficits • May appear clumsy or awkward • May present with stiff and uncoordinated movements • May avoid sports activities • May hang on others • May hurt themselves or others • May chew on non-food items

  23. Finding the Sensory Clues

  24. Sensory Processing Concerns • Feeding Problems • Poor Muscle Tone • Poor Habituation • Poor Sleep-Wake Cycle • Poor Self Regulation • Poor Attention

  25. What the caregiver might say • Medically fragile • High maintenance (keeping parents on duty 24 hours a day) • Highly manipulative • Difficult to manage in public • Frequent Temper Tantrums • Unafraid of strangers, will leave with anyone

  26. What the teacher might say • Aggressive • Clumsy • Curriculum activities require more planning • Walking on egg shells, trying to predict the next outburst • Lazy • Could if he wanted to, I’ve seen him/her have great days • No Social Skills

  27. What’s Next? See Behavior Think Sensory

  28. What you can do!Be a Sensory Detective • Analysis the Behavior • Observe • Do the behavior yourself • Ask what sensory system is problematic • Replace behavior by offering an appropriate same-sensory activity.

  29. Tools & Techniques • Vision • Maximize natural lighting • Minimize visual clutter • Auditory • Add environmental music to help block outside noise • Have headphones available (do not need to be plugged in to anything) • Minimize wording of directions

  30. Tools & Techniques • Tactile • Make fidgets available • Add a tactile component to interactive learning • Olfactory • Avoid wearing perfume • Avoid scented laundry detergents, lotions, and soaps.

  31. Tools & Techniques • Gustatory/Oral Motor • Provide age appropriate non-food items to chew on. • Proprioceptive • Utilize Sit-N-Move cushions • Weighted blankets and vests • Allow for movement (give a helping job) • Provide Heavy work activities

  32. Tools & Techniques • Vestibular • Provide exercise or stretching breaks • Play movement games that include imitation of head movements • Add a rocking chair • Don’t take away break times (recess, free play) as a consequence

  33. CONCLUSION Remember to always honor the child’s sensory processing limitations and work toward broadening the sensory processing range within acceptable activities.

  34. Good Books • The Out-of-Sync Child: Recognizing and Coping with Sensory Integration Dysfunction by Carol Stock Kranowitz • The Out-of-Sync Child Has Fun: Activities for Kids with Sensory Integration Dysfunction by Carol Stock Kranowitz

  35. Good Books • Sensational Kids: Hope and Help for Children with Sensory Processing Disorder by Lucy Jane Miller & Doris A. Fuller • Building Bridges Through Sensory Integration: Therapy for Children with Autism and Other Pervasive Developmental Disorders by Paula Aquilla, Shirley Sutton, & Ellen Yack

  36. Good Books • Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Integration Issues by Lindsey Biel & Nancy Peske • Love, Jean: Inspiration for Families Living with Dysfunction of Sensory Integration by A. Jean Ayres • Sensory Integration and the Child by A. Jean Ayres, Ph.D

  37. Good Websites • www.spdfoundation.net • specialchildren.about.com • www.sensoryresources.com

More Related