Sensory Processing & Sensory Strategies. Sara Androyna,COTAL Emily Wolanin, OTRL

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1 Sensory Processing & Sensory Strategies Sara Androyna,COTAL Emily Wolanin, OTRL

2 Sensory Processing Means by which the brain receives, detects and integrates incoming sensory information Organization of sensation for use Associate, interpret information Act on information via adaptive response

3 Sensory Processing

4 Sensory Integration Theory Senses Vestibular Proprioceptive Tactile Visual Auditory Gustatory Olfactory

5 Adaptive Response Appropriate action Organization response to input Contribute to neural processing

6 Cultural/Historical Changes in Lifestyle 1940 s One room schoolhouses, walked to school, chores for survival (shoveling snow, cutting grass, splitting wood s Stayed outside breakfast to dinner, riding bikes, playing hopscotch, jacks, board games, baseball games s Kindergarten and Headstart begin teaching curriculum that used to be in first grade. The world came into the homes with tv, records and magazines s Increase in the number of cars, shopping malls and supermarkets. Local stores close. Need for childcare skyrockets as women move out of the home workplace. Outdoor independent play decreases due to time constraints and safety

7 Cultural/Historical Changes in Lifestyle 1980 s Preschool children are socialized in institutional settings like Gymboree. Recess is shortened to increase academic time. Many children enter after school programs or are latch key kids 1990 s Curriculum focused on state/national exams. Children unable to play itsy bitsy spider due to underdeveloped hand muscles. Hand held video game usage increases. Children reacting to stressors with school violence. Record childhood depression and mental health disorders. Recommending babies not sleep on their tummies but on sides or backs s+ Children as early as 2 being prescribed ADHD meds. Increase in baby carrier use to transport children. Recess removed from many schools as unnecessary. Development and usage of social media to entertain and socialize with peers. Large increase in autism. Velcro replaces buttons, zippers and ties to fasten clothing.

8 Building Blocks of a Responsive Integrated Sensory System Level IV - Academic Readiness, Cognition, Organized Behavior, Self Control, Self Esteem Level III - Perception, Eye Hand Coordination, Purposeful Activity Level II - Body Awareness, Bilateral Coordination, Hand Preference, Motor Planning, Postural Control Level I - Sensory Information, Traditional Senses, Special Senses

9 Vestibular Head stability Muscle tone Postural control Body awareness Movement in space Auditory processing

10 Proprioception Sense of muscles and joints Body awareness

11 Tactile Touch Pain and temperature Discrimination Fine motor skills Bonding Textures of food

12 Visual Motor skills Safety awareness

13 Auditory Hearing Following directions Communication

14 Gustatory/Olfactory Taste and Smell Food preferences

15 Sensory Integrative Dysfunction Sensory Modulation Sensory based movement disorder Postural-ocular movement disorder Bilateral integration and sequencing Dyspraxia

16 Sensory Modulation Aversion to sensory stimuli Tactile defensiveness Gravitational insecurity Hypersensitivity Hyposensitivity

17 Postural-Ocular Movement Disorder Poor posture Low muscle tone Poor postural movements Poor eye hand coordination

18 Bilateral Integration and Sequencing Poor postural control Poor ocular control Poor eye hand coordination Inability to use both side of the body jumping jacks skipping running butting shirt Poor sequencing

19 Dyspraxia (somatodsypraxia) Poor motor planning Clumsy Awkward Poor timing Poor endurance Poor FMC/GMC Poor OMC

20 Principles of SI intervention Controlled sensory input Adaptive response Contributes to sensory integration Can be used in the future Centered on child Guided by therapist

21 Intervention: Sensory Modulation Determine arousal level Monitor behaviors Movement, cognitive, affective and physiological responses to sensory processing demands. Compare consistency of behaviors Monitor signs of sensory overload or shutdown Home program

22 Outcome of Intervention Enhance sensory intake Meaningful activity Promote adaptive response Improve central nervous system functioning

23 Key Ingredients Just right challenge Child directed Active involvement of child Stimulate more than one sensory system Safe Provide strategies

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