Showing posts with label poor sensory processing. Show all posts
Showing posts with label poor sensory processing. Show all posts

Tuesday, November 16, 2010

Resources on Sensory Processing Disorder - Free Downloads

I am the handout queen...not really, it is just a title I have given myself. I love to provide families with handouts, website links, and other resources. When parents take the time to read up on topics that are related to their child's developmental delays, it is SO much easier for me to have a meaningful conversation with them about how to better help their child. My time with families is very limited, 1-2 times per week usually, and unfortunately this is not enough time to teach families everything they need to know.

One website that I am fond of is "sensory street". Here is a link to this site's resource page that includes many free downloads on topics related to nutrition/feeding problems and sensory processing disorder/ sensory integration dysfunction:

free sensory downloads

I especially like the download of "Do You Know Me?". Not only does it come in English and Spanish, but it is concise and easy to understand especially for visual learners. This handout can be given to family members, caregivers, teachers, and any other professional working with children with learning problems or other special needs.

Sunday, October 3, 2010

October is National Sensory Awareness Month

I have been happily surprised lately while talking to some of the staff at daycares and Mother's Day Out (MDO) programs where I work with some children for occupational therapy services. They ACTUALLY have heard about sensory processing disorder (SPD)...yeah, it is not a foreign concept to them! At one MDO program I was at last month, the teacher even asked me if I thought she should refer another child for an OT evaluation due to him possibly having sensory processing problems. Now before you get overly elated that the OTs in our community have done the most amazing job ever, I have to let you know that this woman has a nephew with Asperger's and SPD. But still, it was exciting to have her initiate the topic.

I live in a suburban area outside of a large city with a school district that is well known for its great support of children with special needs. In fact, there is a special program just for children with Autism Spectrum Disorders. You know what that means don't you? It means we have people moving into our district at increasing rates each year. It also means that many community members are more aware of learning disorders and other special needs than in some of the other places. Many of the preschools/MDO programs, daycares, and babysitter organizations go out of their way to be inserviced on learning problems and in particular SPD. Now, I am not going to go so far as to say us OTs and special education/ early intervention staff have done everything we can do to educate our community. Of course we haven't! Everyone can always do more.

If you would like some ideas on how to raise awareness of sensory issues in your community, go to this link that provides contact information for a free electronic packet full of ideas to help you:

S. I. Focus

Since October is National Sensory Awareness Month, I will be doing a little extra educating on the topic. I've already done a 90 minute presentation to the new staff at my job last week, and I plan to do something at least once a week this month to bring awareness to SPD.

I do public speaking quite a bit on various therapy related topics including SPD. One thing that I have learned is to keep it simple when explaining SPD to people who have never heard of it, but don't over-simplify it either. If you plan to go out in the community and speak to groups about SPD, then make sure you know your audience. A group of doctors may not need the same explanation as a group of elementary school teachers. Doctors tend to want to know about "proof" through research whereas teachers like to know the functional implications and simple strategies to help the children.

Good luck with spreading the word about Sensory Processing Disorder!

Friday, September 10, 2010

Changing the Environment & Interaction Style to Help Kids with Developmental & Sensory Processing Delays

I have worked in a variety of settings: school system, hospital, outpatient clinics (more than one), early intervention, and home health. I have been working in early intervention and home health over the past 6 years, because I have found it to be my "niche". Why is that you ask? Well, I believe that helping children in their natural environments such as the home, daycare, and other community settings is where the biggest changes will be made. Now I am not saying therapy clinics are a bad place; I have worked in those settings and thoroughly enjoyed it and know that most of the kids had fun there. But the main focus of working with a child in a clinic, is the child and his deficits. Yet, in their natural environments the focus is not only the child but all of the people that come into contact with him on a regular basis and how every one and thing can help. Isolating the child in a clinic to work on fine-motor, feeding, language, behavior or whatever other skills doesn't necessarily carryover to how the child will function in another environment in which all of those "therapy toys" are not present; it may carryover for somethings and it may not. In home health settings, a therapist helps the family utilize what they already have in the places the child will be at on a regular basis.

A recent example of what a difference I was able to make in a child's life was through teaching the daycare staff how to work with a particular young boy. He is almost 2 years old and has significant developmental delays as well as mild spasticity due to some complications with being born at 27 weeks gestation- "a preemie". He has limited range of motion in his upper body in which it is hard for him to raise his arms over his head. He also has difficulty with tight hamstrings- the muscles in the back of the legs. So, when I observed "music and movement" time at the daycare, I was able to help the teacher incorporate some stretches and movements that would benefit this child as well as his peers, including touching toes while sitting in the floor. Now, he will get to do these stretches 5 times a week since he goes to daycare 5 days a week and they follow the same schedule each day. In addition, we altered the chair that he sits in at lunch time to a shorter chair so that he can now independently climb in and out of the chair. Other areas that were helped were naptime, outdoor play on the playground, and "centers" for fine-motor play. By teaching the teachers how to adapt the activities, alter their interactions such as by saying particular phrases, and by altering things within the environment, this child became more independent. If I had seen this child in a clinic, my focus would have been to teach some of these skills but without meeting the daycare staff and watching the sequence of the routines, I would not have been able to help this child as much.

Another example includes a child I see at his home who has significant behavior problems, sensory processing problems, and a short attention span. By teaching his mom to set up activities that he can be independent with at a small table within her line of vision, she can now cook dinner without him "getting in trouble". In the past, this child only acted well when given immediate 1:1 attention by an adult. So, I taught Mom to help him with an activity, and initially be on the other side of the room from him. Then, she progressed to leaving for 1-2 minutes, which then led to her being away from his side for 5-10 minutes. Within no time, she was able to do this in the kitchen and successfully cook supper without any (or at least only at times) "meltdowns". If I had not been in the home to teach his mom this activity, and only told her how to do it, he would probably not have been successful with this. The first time we tried to leave his side as he played alone even briefly, she wasn't thinking "it was going to work". So often, the parents and other caregivers just need us (therapists and other professionals) to show them how to do something and then they can do it on their own.

In the past, I thought that when I worked in a clinic and typed up a home program full of suggestions that that would help; that may be the case for some families, but most need to be shown! Also, I was giving general suggestions even if I thought I was individualizing it, because I had never walked into that child's daycare or home, so how could I have been completely individualizing it! Really, I was giving exercises and strategies aimed at decreasing the child's deficits such as poor balance, hand weakness, etc. I now realize I was only helping such a small portion of that child's daily routines.

If your child receives private OT, PT, SLP or other services at a clinic or other place than the home or daycare, ask the therapist to come do one or more home visits. If that is not possible, make video recordings of the different routines that don't work well.

Wednesday, June 2, 2010

Do colicky babies have sensory processing problems? | Family Anatomy

"Colic" is just a description of a babies behavior...lots of crying for a certain amount of time. This term is not a clinical diagnosis. So often I see that babies with reflux or other digestive problems get labeled as colicky until they get treatment (e.g. formula change, medication, positioning, etc). But sometimes, especially with the babies born extrememly prematurely, there is still a fussiness about the baby including a poor ability to calm down once upset. Typically, we expect a baby to become organized when an adult attempts to calm them such as picking them up and/or rocking them, feeding them, repositioning, etc. The following link suggests that many babies with colic later become diagnosed with sensory processing problems. I tend to agree. I see this pattern often since I work with children under the ages of 3 years old.


Do colicky babies have sensory processing problems? | Family Anatomy

My personal experience with my son's fussiness was resolved with multiple reflux medications as well as eliminating from my diet the foods he was found to be allergic to that he was consuming through my breastmilk. So, by no means do I think every child with fussy behavior will one day have sensory processing problems. Yet, I do think fussiness that can't be explained by other things may lead to a later diagnosis of SPD. For more information on sensory processing in infants, visit:

http://www.sense-ablebaby.com

This link provides strategies on calming a baby. It also gives descriptions of why a baby could be crying which better helps a parent to read the infant's signals allowing the parent to have more accurate attempts in calming the baby. Sometimes for a baby who over-responds to sensory input it might be taking away toys, whereas sometimes our instinct is to shake a rattle to give the baby a distraction. But this can make it worse, which in turn causes the baby to become more upset.