Sensation Flashcards
Ax for sensation
thermal sensation: Hot and cold discrimination kit
light and deep touch: Pin prick test
2-point discrimination: Sensation Discriminator
sensibility following nerve repair: monofilament
Vibration: tuning fork
Stereognosis
SCI: ASIA (sensory and motor level)
Sensory Profile (gather information about an individual’s sensory preferences and sensitivities)
Sensory Integration and Praxis Tests (children)
Identify triggers (identify specific sensory triggers and situations that lead to discomfort or behavioral challenges)
Tx for sensation impairment (compensatory)
relying on visual feedback to observe a desensitized limb
testing water temperature for dishwashing or bathing using an unaffected body part
Ssx and Tx for sensory processing disorder (hypo-sensitivity)
ssx:
Lack of awareness: Appears oblivious to pain or injury, may not respond when called, or has difficulty noticing when hands or face are dirty.
Constant movement: Fidgets excessively, seeks out intense sensory input like spinning or swinging, or has difficulty sitting still.
Craves sensory stimulation: Chews on objects, sucks on fingers or clothing, or seeks out tactile experiences.
Tx:
Auditory: Visual supports for those who have difficulty processing spoken information
Proprioceptive: Weighted blankets, lap pads or clothing that provides deep pressure
vestibular input: Taking frequent movement breaks throughout the day
Tactile: Chewelry necklace, fidget toys, chewies and other sensory tools / Arranging furniture to provide safe, open spaces
Taste: Eating foods with strong flavors or mixed textures
ssx and Tx for sensory processing disorder (hyper-sensitivity)
ssx:
Sensitivity to noise: Reacts strongly to loud sounds, covers ears, or becomes distressed in noisy environments.
Sensitivity to light: Discomfort or avoidance of bright lights or fluorescent lighting.
Sensitivity to touch: Dislikes certain textures of clothing, labels, seams, or tags. Avoids physical contact or hugs.
Sensitivity to taste and smell: Prefers bland foods, gags easily, or avoids certain smells.
Tx
Visual: Using light covers, sunglasses or a hat under fluorescent lights
Auditory: Wearing ear plugs or headphones in noisy environments / Working in spaces with a closed door or high walls
Olfactory/smell: Avoiding strongly scented products / Choosing foods that avoid aversions to textures, temperatures or spices
Tactile: Wearing soft, comfortable clothing / Adjusting schedules to avoid crowds
Difficulty with tactile discrimination
affect Fine motor manipulation skills, difficulty grading force or pressure
Difficulty with proprioception
appearing gawky and awkward
and having difficulty grading force
Motor coordination difficulties
Clumsiness: Frequent trips, falls, or bumping into objects.
Difficulty with fine motor skills: Struggles with tasks like writing, buttoning clothes, or using utensils.
Poor posture: Difficulty sitting or standing upright for extended periods.
Sensory reeducation exercises (Stroke)
Tabletop Touch Therapy (soft scarves, rough sandpaper, fluffy cotton balls, rough Velcro, and cool silverware)
Texture Hunting
Texture Recognition
Temperature Differentiation (using cold and warm cloth)
Social and emotional challenges
Anxiety: May become anxious or overwhelmed in new or sensory rich environments.
Social difficulties: Struggles with social interactions, difficulty making friends, or avoiding crowded places.
Emotional regulation: Difficulty managing emotions, leading to meltdowns or emotional outbursts.
Feeding difficulties: Selective eating, limited food choices, or strong aversions to certain textures or tastes.
Principles of tx for sensory processing disorder
Creating a Sensory Routine:
1. include activities that provide deep pressure (proprioceptive input) and movement (vestibular input) to help individuals feel more grounded and organized
- Sensory Modulation Techniques: Techniques like deep pressure, brushing, or joint compressions
Environmental Modifications
1. Sensory Friendly Environment: recommend adjustments to the individual’s home, school, or work environment to reduce sensory triggers and create a more supportive space.
- Visual Supports: Visual schedules, social stories, and visual cues can help better understand and prepare for their sensory experiences.
Sensory Integration Therapy:
use activities like swinging, climbing, and other therapeutic equipment to promote sensory integration
Education and Training
educate caregivers and child about sensory processing difficulties.
–> understand the underlying mechanisms and the importance of consistent sensory interventions
Collaborative Approach
multidisciplinary team: ST, PT, CP, and educators, to provide holistic support
