SENSORY INTEGRATION
Andrew seems to
have some "sensory issues" that we try to address. He seems more aware and
relaxed after jumping on his little trampoline,
swimming in the pool or swinging
outside. I try to have him "sensorized" (my word for when Andrew is done
with sensory activities) before his sessions and the therapists are trying
to incorporate it into his "break" times. There are some occupational
therapists that are trained in this area. I would suggest you try some of
their techniques. There are many things you can do that don't require purchasing
things. My speech therapist and occupational therapist from the Early
Intervention Program helped train my family and therapists how to use the
activities below to "ready" Andrew's senses to learn. Once he performs some of
these activities, he is more prepared to sit down, relax, and focus on his
lessons.
Let me know of any
suggestions that you have that I can pass on to other parents.
PRESENTING PROBLEMS SEEN IN CHILDREN WITH SUSPECTED
SENSORY INTEGRATION
DISORDERS (For identification of sensory system dysfunction,
several symptoms must occur together.)
INFANCY
Irritable baby Low muscle tone Poor sleep
cycles May dislike being on back May startle easily Slow development -
or less than normal quality of movement
TODDLER (above may
continue with addition of the following)
Short attention
span Clumsiness Poor Articulation Overly upset by slight injury Fear
of walking on some surfaces Fear of slides, other movements Very messy
eater Slow language development Rejects many foods because of
texture
CHILDHOOD - Pre-K to 3rd grade (above may continue with
addition of the following)
Fine motor problems (i.e., handwriting,
cutting, coloring) Hyperactivity Poor social
skills Impulsiveness Cries easily Dislikes textures (i.e.,
finger-painting, food) Difficulties in gross motor activities Falls
easily Often accidentally breaks toys during play Strong dislike for
certain types of clothing MIDDLE CHILDHOOD - 4TH - 6TH grade (above may
continue with addition to the following)
Increased academic
problems/attention Behavioral problems Poorly organized or compulsively
organized Reversals in writing and reading Trouble keeping up with peers
in activities
PREADOLESCENCE (above may continue with addition
to the following)
Organization problems Trouble finishing
homework/attention Immature in physical skills and social
relationships More pronounced behavioral problems (i.e., acts out, picks
fights) Loses or forgets things Often socially isolated Chooses
individual sports (i.e., running, swimming) Chooses heavy contact sports
(i.e., football, soccer) Avoids team sports (i.e., basketball,
baseball) May be overly emotional
Information taken from:
Frames of Reference for Pediatric Occupational Therapy, Paula Kramer, Jim
Hinojosa.
THE LEARNING BLOCKS OF SENSORY INTEGRATION
DEVELOPMENT
Level 4 - Academic Readiness (By 6
years) Complex Motor Skills Regulating Attention & Organized
Behavior Specialization of Body & Brain Visualization Self- Esteem
& Self-Control
Level - 3 Perceptual-Motor Skills (By 3
years) Auditory & Visual Perception Eye-Hand Coordination (Pencil
Skills) Visual-Motor Integration Purposeful Activity
Level 2 -
Perceptual-Motor Foundations (By 1 year) Body Percept (Body
Awareness) Bilateral Coordination Lateralization (hand
preference) Motor Planning (Praxis)
Level 1 - Primary Sensory
Systems (By 2 months) Tactile Sense (Touch) Vestibular Sense (Balance
& Movement) Proprioceptive Sense (Body Position) Visual & Auditory
Sense
Illustration taken from The Out-of-Sync-Child, Carol Stock
Kranowitz, M.A.
PROPRIOCEPTIVE
SYSTEM
Marching,
jumping skipping crawling -Imitation of gross motor movements (remembering
use only age appropriate skills), Demonstration of actions named, following
locative directions (in, out, on top, under, around. Through. Next to, in
front, in back).
Wall push-ups/push-ups, sit-ups, etc.-Discuss sequence of events, ("First
we are doing push-ups, and finally we will find our seats.").
Sitting in a bean bag-Great for story time, Use during listening activities.
Obstacle Course-Imitation of gross motor movements, Demonstration of actions
named, Describing actions , Following locative directions (in, out, on top,
under, through, next, in front,/back).
Wheelbarrow walking-Let individuals race each other, Talk about locatives
"Who was in front/behind?"
Moving chairs/desks-Rearrange room/chairs using prepositions ("Put your chair
next to Cathy's chair."), Describing where they want to move their chair using
prepositions/locatives.
Tug-o-war-Following directions (simple or complex), Following directions involving
adjectives/adverbs, Sing songs.
FOR
THE MOUTH
Chewing
on plastic tubing, twizzlers, tootsie rolls-Great during story time or for
listening activities.
Chewing gum-Use only in controlled situations (only at given times).
Eating crunchy snacks, pretzels/popcorn/nuts/chips-
Great to do before articulation/speech
activities-wakes up the mouth.
Eat sour/bitter/spicy snacks-Great to do before articulation/speech activities
wakes up the mouth.
VESTIBULAR SYSTEM
Ring
Around the Rosie- Locatives & descriptives (next to, around, up, down, fast,
slow)
Following directions. Turn-taking
London bridges- Locatives & descriptives (under, in, out, around, in front
of, behind, fast, slow)
Sitting on a move-n-sit, a rocking chair, - Great for story time. Or a Ther-a-ball
Erasing the chalkboard in a rhythmically motion- Imitating actions following
directions Describing actions using adjectives.
Exercises such as picking up cherries, jumping jacks, windmills, toe touches-
Discuss body parts-great for identifying/labeling.
Following a sequence of events (1st, 2nd , 3rd ).
Stretching exercises (reaching for the sky, reaching for toes, side to side)-
Great relaxation exercises for the children with dysfluent speech.
Discuss adjectives/locatives.
Swinging- Great for very structured one-to-one activities.
Increased eye contact. Turn taking. Use of requests for "More", "Fast", Slow",
etc.
TACTILE SYSTEM
Lotion/Hand
sanitizer- Imitation of movements (gross & fine motor)
Identifying/labeling body parts. Following directions.
Textured toys- Great for pretend play.
Fidgets- Great during story time or listening activities.
Finger painting with various mediums- Imitating strokes, circles, letters,
etc.
Following directions. Requesting for supplies "I need more paint/shaving cream."
Describing the feel of the medium "It's sticky/squishy/soft."
No Bake activities (Trail mix, Chex mix, Pudding, etc.)- Following directions
& sequence of events. Describing actions. Following locative directions.
Sensory boxes for hands and feet- Encourage pretend play.
Use cup, bowls, spoons to incorporate functional use of objects.
Follow locative commands (in, out, next to, under, in front of, etc)
Labeling objects in box using stereognosis (Naming by just touching objects)
Identifying objects using attributes named ("Find the squishy, soft, round
objects.")
LINKS
Stone Oak Therapy: http://www.stoneoaktherapy.com (210) 798-2273,
TreeHouse Pediatrics: http://www.treehousepediatrics.com Atrium
85 NE Loop 410 Ste. 312, San Antonio, Tx 78215,
Phone: 210-340-2627, 210-599-2030(NE side).
http://www.bellecurve.com/
Carol Kranowitz's site http://www.out-of-sync-child.com
Marie's Sensory Integration Page, one mother's compendium on SI http://www.mindspring.com/~mariep/si/sensory.integration.html
Pocketful of Therapy - Toys and educational products http://pfot.com
Sensory Integration According to Cindy Hatch-Rasmussen, OTR, the
Center for the Study of Autism's SI link http://www.autism.org/si.html
Sensory Integration Resource Center http://uchsc.edu/sinet
Theraproducts http://www.theraproducts.com
Special Clothes for special children http://www.weightedvest.com
S.I. Net - Sensory Integration Resource Center http://www.sinetwork.org
Nashville Sensory Integrative Dysfunction Foundation http://www.nashvillesid.com
Sensory Comfort http://www.sensorycomfort.com
Sensory Integration International http://home.earthlink.net/~sensoryint/
American Occupational Therapy Association http://www.aota.org
Developmental Concepts http://www.atready.com
Fractiles http://www.fractiles.com
Henry Occupational Therapy Services Inc http://www.gtcs.com/sponsors/henry/index2.html
KidPower http://www.kid-power.com/sid.html
Through the Looking Glass http://www.lookingglass.org
The Unicorn Children's Foundation http://www.saveachild.com
Ideal Lives http://www.ideallives.com
Exceptional Parent http://www.eparent.com
Internet Resources for Special Children http://www.irsc.org
Prelude Music Therapy http://preludetherapy.home.att.net
West Music http://westmusic.com
Sensory Resources http://www.sensoryresources.com/index.asp
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