Si Erna 2
Si Erna 2
Si Erna 2
• Sensory profile
SPD Subtypes
• Sensory Discrimination Disorder
– Visual (eye)
– Auditory (ear)
– Tactile (touch)
– Vestibular (movement)
– Proprioception (muscle)
– Taste/smell (mouth/nose)
Sensory Discrimination Disorder
Examples
• Proprioception
– Constant slamming of doors
– Pushing too hard (to increase awareness)
• Tactile
– Need to use eyes when searching for object in
backpack or purse
• Taste/smell
– Difficulty distinguishing between flavors or scents
• Vestibular
– Frequently falls out of chairs
SPD Subtypes
• Sensory Based Motor Disorder
– Dyspraxia
• Difficulty motor planning
– Postural disorder
• Poor cocontraction
• Muscle tone (Low)
• Equilibrium and posture
• Immature reflexive abilities
• Bilateral Integration
Examples of Dyspraxia
• Poor gross motor skills • Proprioception
– Running – Poor motor control
– jumping and body awareness
• Poor fine motor skills during dressing
– Zipping • Vision
– Buttoning
• Navigating through
• Problems in figuring out crowded hallways
how to do movements
– Dressing
– Complex dance steps
Examples of Postural Disorders
• Low muscle tone
– ‘slumped’ in chair
– Leans on things
• Poor balance
– Often trips or bumps into objects
– Difficulty with riding a bike or jumping
• Poor stability
– Sits in awkward positions
• Head and eye stability
– Difficulty when reaching for objects
• Use of two sides of body
– not stabilizing paper to write
How Do You Feel About…
Cold shower
Wool clothing
Panty hose
Sweatpants
The feel of Jell-O in your mouth
The sound of birds
Bright colored walls in the bedroom
The smell of perfume
Elevators
Roller Coasters
Review of challenges/characteristics…..
• Difficulty attending
from the back of the room
• Explosive emotions
or lack of emotions or
incongruent emotional
responses
• Aggression to self or others
• Compulsive Behaviors
• Seeker?
• Active Avoider?
• Under-Responder?
• Overwhelmed
Individualize the Sensory Diet
OVERWHELMED
ACTIVE AVOIDER
Control the environment
Modify the environment
Limit stimulation
to reduce the need
Limit change but to escape
prepare for changes Gentle introduction to
when they need to occur. new experiences
Environmental Supports
• Organization
• Predictable, Structured,
Consistent Environment
• Task or Curriculum
• Visual Supports
• Escape Environments
Proactively Schedule Sensory Activities
Tactile System
Proprioceptive System
Vestibular System
The Power Senses
• Vestibular
– Movement
• Proprioception
– Input through
joints and muscles
• Tactile
– Deep Pressure Touch
The Power Senses
Tactile System
Two Tactile Systems
Tactile System
Proprioceptive System
Proprioceptive System
Muscles, joints, and tendons provide a person with a
subconscious awareness of body position via the feedback
from receptors in the muscles, tendons and
joints.
Proprioceptive System
Motor Planning
Awareness of body in
time and space without
constant visually monitoring
Dysfunction of Proprioceptive System
• Clumsiness, a • Disorganized…..
tendency to fall Materials &
Thoughts
• Lacks awareness
of body • Poor or resistance to
position/odd handwriting
posture
• Eats in a sloppy
• Difficulty with manner
small objects
(buttons/ snap) • Resists new motor
movement activities
• Joint compression or extension
• “Heavy work” activities
• The larger the joint, the more
proprioceptive input
Examples of “Heavy Work”
• Passive Joint Compressions
• Jumping/Trampoline
(floor may be better..)
• Stacking Chairs
• Weight Lifting
• “Bungee Cord” on Chairs
• Chewing Gum
• “Pretzel Hugs”
Fine Motor Supports
• “Hand-prep”
exercise
• Limit Handwriting
Requirements
• Alternatives to • Alternatives &
handwriting Accommodations
– Keyboarding – Options in Word and
PowerPoint
– Software
– Set of notes
– Grips • Sensory Breaks
– Velcro on Shoes between tough
fine motor
activities
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–Stay on schedule
–Pace language
–Use Concrete Language
–Use Wait Time
The Power Senses
Vestibular System
Vestibular System
• Under-Responder
– Unpredictable, multi-directional, spinning
(if individual requests), to alert and orient
someone who is under-responsive
– Be very cautious imposing vestibular
movement – can be very frightening
Selected Strategies
• Swinging
• Rocking Chair
• Sit & Spin/Dizzy Disc
•
Creating The Sensory D.I.E.T.
• Shaving cream
(unscented, if possible) • Ball pit
• Playdough
• Theraputty
• Blanket wrapping
• Textured food • Pressure vest
• Finger painting
• Hair gel • Gentle but firm
• Tactile road
• Playing dress-up
massage
• Vibrating toys
Activities for Vestibular sense:
• Swings
• Scooter boards
• Wagon rides
• Self propelling toy cars
• Slides
• Obstacle courses
• Monkey bars
• Trampoline
• Rolling on mat
NOTE: This must be slow and brief at first, in very secure positions.
Activities for proprioceptive sense