Sensory Flashcards
Linear vestibular input
Swinging (hammock)
- is calming & soothing
What to do for oral hypersensitivity while brushing teeth
- soft sponge tipped toothette while brushing teeth (softer bristles)
Behaviors indicating reaching sensory threshold
Hyper or hypo responsive
- becoming pale or nauseous
EX: child splays legs out towards the ground when OT pulls him on a scooter board & picks up speed, the child hugs a rope ladder tightly as he climbs & stops advancing 1 rung above the floor
Sensory threshold
Certain level at which a child responds to sensory information
- can be hyperesponsive: take on a low sensory load to respond to their environment
Can be hyporesponsive: can take on a high sensory load before reacting
What senses does SPD occur in?
In each sensory symptom: visual, auditory, tactile, smell, taste, vestibular, prop, interception
Interoception
Helps you understand/feel what’s going on inside your body
Types of sensory modulation disorders
- Sensory over-responsive
- Sensory under-responsive
- Sensory craving
Sensory Integration Praxis Test
Age: 4-8 years 11 months
- identifies SI dysfunction
- gold standard
Sensorimotor approach
External stimuli elicit movement
Levels of the CNS
Top: cortical & subcortical (volition, conscious movement)
Bottom: primitive reflexes, automatic, responsive movement (building blocks of movement
Rood approach
- when tone is normal, regular movement occurs
- need motivation to move
- repetition is necessary
- controlled sensory stimulation for responses
Rood approach to fasciliating movement
Want to INCREASE tone, wake up muscles
- START WITH: providing proximal support to control distal issues (consider posture)
- brushing
- tapping on muscle belly
- vibration
- stroking
- icing
- heavy joint compression
- resistance
- vesibular stim (swinging to wake muscles up)
- upbeat music, bright lights, temperature, unpredictable movements
Rood approach to inhibiting movement
HIGH TONE- want to decrease it, calm muscles down
- START WITH something calming (slow rocking in a linear way, therapy ball rocking, deep tissue muscle massage) before activity occurs
- deep pressure/prop
- prolonged 30 sec stretch
- slow stroking
- weight bearing to break up tone
Brunnstrom approach
Post CVA- it is normal for muscles to be spastic or flaccid at first before returning to normal
- normal movement is due to synergistic muscles
- go from reflex movement to volitional movement (gain control)
Stages of recovery Brunnstrom approach
- Flaccid paralysis
- Some spastic tone
- Flexor synergy
- Extensor synergy
- Spasticity
6, voluntary synergy movements - Synergy predominates, spasticity decreases
- No spasticity, can move out of synergies
- Almost normal (difficulty with rapid complex movement)
- Normal