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Sensory Processing & Integration

TermDefinition
sensory processing Method & manner of sensory detection & the transmission of stimuli through CNS
sensory registration vs. sensory discrimination Initial detection of sensory stimulation (may be called sensory perception) vs. Ability to perceive various aspects of sensation within each system as well as between each system
sensory modulation vs. sensory integration Regulating the intensity of stimuli & response to adapt & maintain a regulated state in diverse contexts vs. Organization of sensory input from a person's internal & external environment to make sense of the environment & make behav
external senses vs. internal senses Vision, auditory, tactile, olfactory, gustatory vs. Proprioception, vestibular, interoceptive
sensory processing patterns/ preferences Reflections of who we are Not a pathology that needs fixing
sensory processing across the lifespan 5-16% of children will have sensory processing patterns that interfere Patterns are consistent into adulthood Challenges are strongly linked to anxiety in adulthood
link of sensory processing & MH Emotional regulation doesn't occur Ongoing stress never went away & as an adult they still experience it
autism & sensory processing 90-96% of children experience sensory processing
sensory processing model Ayres' sensory integration Miller's nosology Queensland Australia ASD group Dunn's model of sensory processing Spiral foundation
Ayres' sensory integration Sensory integration develops in sequential process Movement is first to occur, in the womb End products depend on the sequential development Need comprehensive performance ax
Ayre's sensory integration intervention grounded in Principles of neuroplasticity Child's innate desire to explore and play Using "just right" challenge to extend play pattern Child led, OT slightly adjusts the activity
miller's nosology of sensory processing Broken down into sensory modulation disorder, sensory based disorder, sensory discrimination disorder Performance based assessment
sensory modulation disorder component vs. sensory-based motor disorder components Sensory over-responsivity, sensory under-responsivity, sensory craving vs. Dyspraxia, postural control
sensory discrimination disorder components Visual Auditory Tactile Taste/ smell Position/ movement Interoception
miller's nosology of sensory processing intervention Regulation Relationships Sensory integration Goal to achieve flow in play btwn caregivers and child to get success Caregiver can be effective co-regulator in times of stress
sensory processing disorder & DSM-5 Not recognized as a diagnosis Described and listed as criteria for autism diagnosis
neurological continuum High threshold- need more stimuli Low threshold- need less stimuli
behavioral response/ coping strategies continuum Let's things happen Works to maintain homeostasis (reacts, uses measures)
bystander Miss more sensory cues Go with the flow (often not noticing certain things) High threshold, passive self regulation
seekers High threshold, active self regulation Need a lot of input, but do what they need to do to get needs met
avoiders Low threshold, active self regulation More likely to leave situations Notice things easily & will actively avoid things Picky eaters, cover ears, leave
sensors React more quickly and more intensely Low threshold & passive self regulation Things happen to them and they react Meltdowns occur often
clinical observations If possible, in natural environment through a variety of sensory experiences Consider env supports & challenges to performance, personal coping strategies, description of environment
sensory profile 2 vs. sensory processing measure Sensitive to child's reactions to external stimuli. Multiple version vs. More sensitive to proprioception and vestibular aspects. Home, school versions. Assists team in barriers, examine social participation, compare across env.
structured observation of sensory integration (SOSI-M) Performance based ax Measures proprioception, vestibular function, motor planning, postural control Has complementary ax
sensory processing 3D vs. motor planning maze ax Based on Miler's. Performance ax for all sensory systems vs. Based on Ayres' work. Screen to identify children w/ motor planning challenges who may be at risk for sensory related diff
successful intervention requires Activity demands & context Understanding sensory processing
focus on function Person affected Does person need/ want to do? PEO fit
best practice guidelines Info sharing/ mutual problem solving Universal design for task/ env Adjust tasks/ env for indv Sensory input Cog self regulation Desensitization Improve efficiency of sensory processing
environmental/ activity mods for sensor/ avoider Seating position in room Amount of information presented visually Auditory stimulation Flexible seating options Visual schedules & importance of predictable routines
environmental/ activity mods bystanders/ seeker Flexible seating options Increased tactile stimulation through materials Headphones w/ music Vibrating pencils, chewable pencil toppers Chewlery, quiet fidgets
therapeutic modalities Deep pressure & vibration (proprioceptive/ tactile input) Vestibular input- rocking chair, linear swing, wiggle seats Not a one size fits all solution
sensory diets Provides regulatory strategies that work for child throughouth the day Proactive Must be individualized, structured, co-created Combine w/ other stuff
proactive vs. reactive What can we do to set person up for success? More desirable vs. What can we do to increase positive behavior, limit problem solving?
positive behavioral support Support people to develop adaptive, socially desirable, behaviors and overcome patterns of maladaptive behaviors
functional behavior ax What sets kid up for success? Triggers? What was behavior? How did we respond? What could they have done? What skill should they learn?
collaborative process Identify challenging behavior Identify function of behavior, factors or setting Identify appropriate alt replacement Develop strategies Defined desired outcomes Evaluate outcomes
child factors Health concerns Response to stimuli Recent life changes Cog skills Social interaction skills Problem solving Likes/ dislikes Fear & frustrations Attention span Learning style
external factors Physical environment Structure, routine, predictability in activities Instruction Impact of setting & others
environmental changes/ considerations Remove distracting/ anxiety producing stimuli Change env features that overload child Arrange classroom/ other environment to minimize opportunities for undesired behavior Safe space/ down time
positive behavioral interventions Proactive, instructional approaches Directly teach appropriate behaviors Positive reinforcement Shaping Meaningful reinforcers Token economy
consequence- based interventions Establish response protocol Planned ignoring Redirect communicating desired behavior Remove reinforcements of inappropriate behavior Time out
Created by: craftycats_
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