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Sensory Integration
OT Pediatrics Exam
106
Other
Graduate
09/16/2013

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Term
Associated Movements
Definition
Extraneous mvts of the client's mouth or unintentional overflow in the contralateral extremities when performing an activity.

may appear as "mirrored mvts"
Term
Finger to nose test is a common neurological test of ?
Definition
cerebellar intergrity
Term
Gravitational Insecurity and Hypersensitivity to gravity is what SI disorder?
Definition
Sensory Modulation Disorder under hyperesponsivity and SOR
Term
Hypersensitivity to movement
Definition
Pt demonstrates ANS response in reaction to rotation or linear acceleration or deceleration.
Term
Hypersensitivity to movement is what SI disorder?
Definition
Sensory Modulation Disorder
Term
Hypersensitivity to touch or Tactile Defensiveness is what SI disorder?
Definition
Sensory Modulation Disorder and SOR
Term
Increased level of activity is associated with what SI disorders?
Definition
Tactile defensiveness or other sensory modulation disorders
Term
postural background movements
Definition
spontaneous postural adjustments
Term
Projected action sequence
Definition
ability to plan and produce anticipatory action sequences
Term
Proximal Joint Stability can be tested in what position?
Definition
quadruped
Term
Reciprocal Stride jumps give an example
Definition
jumping jacks
Term
Reciprocal Stride is tested how?
Definition
By imitating the examiners mvts
Term
Reciprocal Stride is caused by what SI dx?
Definition
Bilateral Integration
Term
How are Ramp Mvts tested in the COMPS?
Definition
Client abducts his arms to sh height
Therapist asks him to touch his hands to his shoulders then slowly extend the arms straight, then slowly returns hands to shoulders. sequences should take 5 sec (therapist demos)
Term
Supine Flexion is related to what function?
Definition
Somatosensory functon and praxis
Term
Vestibular
Definition
insecurity of taking feet off ground that far out weights risk (emotional)
Term
What theory was SI developed from?
Definition
Theory of Brain-Behavior Relationships
Term
Three Theoretical Components of SI
Definition
1.Typical SI Functioning
2.Definition of SI Dysfunction
3.Description of SI Intervention
Term
who was the pioneer of Si?
Definition
Jean Ayres (did research on children with neuromotor and learning disabilities at USC)
Term
who created the term Sensory Integration Disorder (SID)?
Definition
Jane Ayres
Term
Who created the term Sensory Processing Disorders?
Definition
Lucy Jane Miller
Term
What are the 3 subcategories under Sensory Processing Disorders?
Definition
Sensory-Based Motor Disorder (SBMD)
Sensory Modulation Disorders (SMD)
Sensory Discrimination Disorders (SDD)
Term
Postural Disorder
Dyspraxia
Somatodyspraxis
Bilateral Integration and Sequencing Disorder
are Sensory-Based Motor Disorder (SBMD), Sensory Modulation Disorders (SMD), or
Sensory Discrimination Disorders (SDD)?
Definition
Sensory-Based Motor Disorder (SBMD)
Term
Sensory Overresponsivity
Sensory Defensiveness
Tactile Defensiveness
Gravitational Insecurity
Aversive Responses to Movement
Sensory Underresponsivity
Sensory Seeking/Craving
are Sensory-Based Motor Disorder (SBMD),
Sensory Modulation Disorders (SMD), or
Sensory Discrimination Disorders (SDD)?
Definition
Sensory Modulation Disorders (SMD)
Term
Deficits in Tactile Discrimination and
Other Sensory Systems
(Visual, Auditory, Vestibular, Proprioception and Taste/Smell)
are
Sensory-Based Motor Disorder (SBMD)
Sensory Modulation Disorders (SMD)
Sensory Discrimination Disorders (SDD)?
Definition
Sensory Discrimination Disorders (SDD)
Term
What are the 5 Assumptions of Sensory Integration?
Definition
1.CNS Plasticity
2.SI Develops
3.Nervous System as an Integrated Whole
4.Adaptive Interactions
5.Inner Drive
Term
Vestibular system is located where in our body?
Definition
inner ear
Term
What system Impacts emotional development: arousal and soothing ?
Definition
vesibular
Term
Which system controls Detection & maintenance of anti-gravity postures affecting postural tone and equilibrium?
Definition
vestibular
Term
Which system controls Stablization of the eyes during head movements (compensatory eye movements)?
Definition
vestibular
Term
Sensitivity to food Texture falls under difficulties with Modulation or discrimination ?
Definition
modulation
Term
What are the 2 receptors of the vestibuar system are?
Definition
Semicircular canals with ampulla - angular and rotary mvt (short term response)

Otoliths: linear acceleration and deceleration; gravity and head tilt in ANY direction (long term response)
Term
The tracts of the medulla control what:
Lateral
Medial
Descending
Superior
Definition
Lateral – hand function
Medial – postural function
Descending – head, neck & arm function
Superior – most critical connections; balance and interacts with visual system
Term
Vestibular
Definition
where our head is in space, speed and direction we are moving
Term
The Vestibular Tract Nuclei that is has the most critical connections that affects balance and interacts with visual system is?
Definition
Superior Tract
Term
What reflex stabilizes the visual field when head and/or body moves by the process of Vestibular Nystagmus?
Definition
Vestibular Ocular Reflex
Term
Vestibular Nystagmus
Definition
Compensatory vetibular/ocular movement to maintain eye fixation.

Two kinds: Perrotary and Postrotary Nystagmus (PRN)
Term
PRN
Definition
postrotary nystagmus
Term
What evaluation measures vestibular function?
Definition
Duration of Postrotary Nystagmus is a central measure of vestibular function

Head must be tilted 30 degree to get the horizontal canal in a horizontal plane. A What score less than 3 in post rotary Nystagmus= SUR

Part of the Vestibular Ocular Reflex (VOR)
Term
Circularvection
Definition
Illusion of self movement in one direction by movement of visual surroundings
Term
Optokinetic Nystagmus (OKN)
Definition
Nystagmus when looking out the window of a moving car
Term
Optokinetic After-Nystagmus (OKAN)
Definition
Nystagmus after optokinetic stimulation
Term
What has specialized receptors of the muscle spindle, mechanoreceptors of the skin and centrally generated motor command
proprioception or vestibular systems?
Definition
proprioception
Term
Kinesthesia
Definition
awareness of body in space

- tested by therapist telling pt to close eyes and move arm. ask “tell me where your arm is ?”
Term
What Enables us to check on:

Spatial orientation of our bodies in space
Speed
Rate sequencing and timing of our movements
How much force our muscles are exerting
How much/how fast a muscle is being stretched
Definition
prprioception
Term
Proprioceptive Sensitivity
Definition
Cries in wt bearing and when joints are moved.
Unable to move or choose not to.
Term
Tx for proprioceptive dysfunctions
Definition
wt bear positions
activities using weights or weighted jacket
tug of war
being pulled on scooter
resistive putty
Riding equipment on uneven surfaces
Term
Gr insecurity is a vestibular or proprioceptive disfunction?
Definition
proprioceptive
Term
Feedback
Definition
closed loop
internal and external processing after an action has occurred
Term
Feedfoward
Definition
Internal feedback that allows for correction to occur prior to actual motor production
Term
Spinothalamic pathway is associated with what SI modulation disorder?
Definition
Tactile Defensiveness
Term
Dorsal column medial lemniscus is associated with what SI discrimination disorder?
Definition
tactile discrimination
Term
Sensory Modulation Disorders seem to be mediated by what system?
Definition
limbic
Term
Hyporesponsivity or Hyperresponsivity
Has a high threshold?
Definition
Hyporesponsivity
Term
Hyporesponsivity or Hyperresponsivity
Has a low threshold?
Definition
Hyperresponsivity
Term
Which of the SPD dx is the least understood?
Definition
Sensory discrimination
Term
Habituation
Definition
- Decreased response to a stimulus
Term
Inhibition
Definition
- tuning out irrelevant stimulus
Term
Discrimination
Definition
interpreting tactile spatial or temporal characteristics of input
Term
Tactile Discrimination is considered to be connnected with what other SPD Dx?
Definition
Sensory Affective Disorder
Due to hypothesized limbic (emotional) and hypothalmic connections
Term
Which is a new eval that considers environment both for preschool (2010) and school age (2007)children and has a Home and school form?
Definition
Sensory Processing Measure
Term
Which is eval is a child self report for elem age kids?
Definition
Touch Inventory for Elementary School Children
Term
Which eval is a measure of sensory processing and reactivity in infants, ages 4 to 18 months?
Definition
Test of Sensory Functions in Infancy (TSFI)
Term
What are the 4 steps to TD tx?
Definition
Inform client and family
Modify environment
Direct intervention
Deep pressure and proprioception with linear vestibular input
Sensory Diet & Deep Pressure Proprioceptive Treatment Program (Wilbarger) with therabrush
Term
What dx has an emotional or fear reaction out of proportion to the actual threat or danger of the vestibular stimulation or the position of the body?
Definition
Gravitational Insecurity
Term
Gravitational Insecurity is Suspected poor modulation of input from what vestibular receptor?
Definition
otoliths
Term
Therapeutic Listening (TL) helps what SI dx?
Definition
Gravitational Insecurity
Term
Which dx has Visceral response to movement (carsickness) and Suspected poor modulation of input from semicircular canals?
Definition
Averseness to Movement
Term
What is the tx for Averseness to Movement ?
Definition
Treat with linear movement and active resistive movements
Ex: pulling tight on the parachute, knocking over the blocks on the scooter board.
Term
Sensation Seeking is SOR or SUR?
Definition
SUR
Term
Sensory seeking clients are tx with?
Definition
Controlled, directed types of sensory input such as linear vestibular and resistive proprioceptive input can help with organization and self-regulation
Term
What are the three processes of Dyspraxia?
Definition
ideation, planning and execution
Term
Ideomotor:
Definition
Deficit in choosing the steps needed to perform an activity and in sequencing
Term
Outcome Feedback:
Definition
Feedback from response itself
Term
Feedforward:
A special form of internal feedback (corollary discharge)
Information that allow the individual to detect errors before the response is executed rather than waiting for production feedback
Definition
A special form of internal feedback (corollary discharge)
Information that allow the individual to detect errors before the response is executed rather than waiting for production feedback
Term
Neuronal Models:
Definition
Integration of somatosensory input that is critical for formation of body scheme (your mapping of the body) which is a needed motor planning
Term
Open or close loop
Uses anticipatory Central Generated Motor Command (CGMC); seen in faster mvmts.
Definition
open loop
Term
Open or close loop
Compares response produced feedback with expected feedback; seen in slower mvmts.
Definition
Open or close loop
Term
Which dx has

Inadequate supine flexion
Difficulty with sequential finger touching
Impaired Ramp movements
Impaired rapid alternating movements – diadokokinesia (flipping hands top/bottom)
Impaired haptic exploration & in-hand manipulation
Definition
Somatodyspraxia
Term
Bruininks Oseretsky Test-2
PeabodyDM-2
are used to eval what SI dx?
Definition
Somatodyspraxia
Term
Which dx has:
Avoidance or difficulty with manipulative preschool activities such as cutting, pasting, coloring and self care (buttoning, blowing nose): later handwriting, art, play skills and sports; ADLS –bathing, grooming
Definition
Somatodyspraxia
Term
Which dx has:
3rd and 4th grade “developmental output failure” leading to a decline in grades, motivation and self esteem
Intelligence tests may likely show a 15 point lower performance score than verbal score
Definition
Somatodyspraxia
Term
DCD – developmental coordination disorder is also known as what SI disorder?
Definition
Somatodyspraxia
Term
What device has been shown to Have improvements in attention, motor control and reading in Somatodyspraxia kids?
Definition
Metronome
Term
Somatodyspraxia tx
Definition
giving Feedback – vs, visual, tactile cues. Start very slow.
Use peer intervention.
Use simple mvt (kick ball in static position) then move to more complex (Run and kick)
Start using more body parts (ie jumping jacks, running with arms and legs moving)
Term
A type of sensory based motor disorder resulting from deficits in processing vestibular and proprioceptive input
Definition
postural disorder
Term
Hypotonicity of extensor muscles, Difficulty Flexing neck when assuming the supine flexion position, Inability to assume or maintain the prone extension posture, Poor proximal joint stability, Deficient postural adjustments or background movements, Poor equilibrium and support reactions, Depressed Kinesthesia, Depressed PRN (>1)

?
Definition
Postural Disorders
Term
BI is due to processing of vestibular, proprioceptive, or both
Definition
vestibular and proprioceptive
Term
BI is seen with what other Si disorder?
Definition
dyspraxia
Term
Which dx has
right-left confusion
avoidance of moving one arm across the midline into contralateral space
poor projected action sequences: initiating, sequencing and terminating a series of actions
Definition
BIS
Term
Tx BIs with ?
Definition
feedforward projected action sequences due to vestibular/proprioceptive processing disorders

Discrete vs. sequenced bilateral movements

Symmetrical vs. alternating bilateral movements


Projected Action Sequences
Term
99
Definition
Term
What dx
has difficulty with spatial and temporal aspects of touch

handwriting issues
Definition
sensory discrimination disorder
Term
Tx for tactile discrimination disorder
Definition
tactile imput empathizing on temporal aspects (where is tag; where did I touch you, now where)
Term
Central Auditory Processing is associated with what system?
Definition
postural and equilbrium
Term
Which spinal pathway controls vision and vestibular?
Definition
tectospinal
Term
Which Hemisphere
controls spatial relations
processing nonverbal stim
(sounds, written speech, shapes/designs)?
Definition
right lobe
particulary the parietal lobe
Term
Laterality
Definition
process by which a hemisphere becomes specialized for a specific function
Term
Which Hemisphere
produces language
word recognition
performs mvt
Definition
left
Term
What hempishere dysfunction is called non-language learning disorder b/c they typically have 15 points lower score in verbal IQ?
Definition
right hempishere dysfunction
Term
Right hempishere dysfunction tx
Definition
-handwriting with tears and callirobics
-puzzles(work on visual spatial skills)
-social skill ex
Term
Sensory Integration and Praxis Tests (SIPT) has 4 subtests. What are they?
Definition
tactile and vestibular proprioceptive processing

form and space perception and visomotor coordination

praxis

bilateral intergration
Term
Clinical Observation of Motor and Postural Skills (COMPS) six subtests measure what (3)
Definition
Cerebellar function Postural control Motor coordination
Term
Deficits in prone extension indicates issues with
Definition
posture
Term
Deficits in supine flexion indicates issues with
Definition
dsypraxia
Term
Perceptual motor differences from SI
Definition
cog oriented
predetermined sequence
repetitive drills
program center
adult directed
grp program
focuses on specific skills
suspended equip optional
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