Sensory

Question 1

Linear vestibular input

Answer 1

Swinging (hammock)
- is calming & soothing

Question 2

What to do for oral hypersensitivity while brushing teeth

Answer 2

• soft sponge tipped toothette while brushing teeth (softer bristles)

Question 3

Behaviors indicating reaching sensory threshold

Answer 3

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

Question 4

Sensory threshold

Answer 4

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

Question 5

What senses does SPD occur in?

Answer 5

In each sensory symptom: visual, auditory, tactile, smell, taste, vestibular, prop, interception

Question 6

Interoception

Answer 6

Helps you understand/feel what’s going on inside your body

Question 7

Types of sensory modulation disorders

Answer 7

1. Sensory over-responsive
2. Sensory under-responsive
3. Sensory craving

Question 8

Sensory Integration Praxis Test

Answer 8

Age: 4-8 years 11 months
- identifies SI dysfunction
- gold standard

Question 9

Sensorimotor approach

Answer 9

External stimuli elicit movement

Question 10

Levels of the CNS

Answer 10

Top: cortical & subcortical (volition, conscious movement)

Bottom: primitive reflexes, automatic, responsive movement (building blocks of movement

Question 11

Rood approach

Answer 11

• when tone is normal, regular movement occurs
• need motivation to move
• repetition is necessary
• controlled sensory stimulation for responses

Question 12

Rood approach to fasciliating movement

Answer 12

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

Question 13

Rood approach to inhibiting movement

Answer 13

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

Question 14

Brunnstrom approach

Answer 14

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)

Question 15

Stages of recovery Brunnstrom approach

Answer 15

1. Flaccid paralysis
2. Some spastic tone
3. Flexor synergy
4. Extensor synergy
5. Spasticity
   6, voluntary synergy movements
6. Synergy predominates, spasticity decreases
7. No spasticity, can move out of synergies
8. Almost normal (difficulty with rapid complex movement)
9. Normal

Question 16

PNF approach

Answer 16

Manual facilitation of weak muscles
- all people have undeveloped potential
- normal movements are synergistic & functional, development occurs head to tail
- spiral & diagonal movements (crossing midline for each body part)

Question 17

NDT/Bobath approach

Answer 17

Normalize tone, inhibit reflexes via neuroplasticity, key points of control
- weight bearing, place & hold, joint compression, bilateral activities
- NO COMPENSATION
- very regulated sensory stim

Question 18

Key points of control- NDT

Answer 18

Proximal: shoulders, pelvis

Distal: hands & feet

Question 19

Synergy

Answer 19

Total flexion or extension movements of joint or limbs