1654624860

Types of Sensory Integration Problems and Impacts on Participation DOTS by Essatery Occupational Therapy ILKKMJB (2/19) CREATED USING 4 POW TOOn.

Limited Sensory Registration Often does not notice or "register" relevant environmental stimuli CREATED USING 4 POWTOOn.

Often obvious to touch, pain, movement, taste, smwll, sights or sounds Observations Is not aware that the stimulus is present May not notice physical injury Usually more than one sensory system involved Potential for self- injurious behavior CREATED USING 4 POWTOOn.

Impact on Participation Participation may be severely limited by lack of awareness of people, objects, or sensations CREATED USING 4 POW TOOn.

Tactile Defensiveness Hyperreacvity to ordinary touch sensation Light touch stimuli are aversive, especially in very sensitive body ares such as face, abdomen, and palmar surfaces of the upper and lower extremities Tactile stimuli may be especially threatening if the child cannot see the source Generally, self-applied inpit is tolerated better than being touched by other erson CREATED USING 4 POWTOOn.

Respond with irritation and discomfort to touch stimuli, e.g., textures of clothing, food grass or sand against skin, glue or paint against skin, light touch of a person passing by, brushing hair or te h Observations Emotional responses to anxious stimuli often involve anxiety, distractibility, restlessness, anger having a tantrum, fear and distress Most feel comfortable with deep touch stimuli and may experience relief and feel calmed when deep pressure is applied CREATED USING 4 POWTOOn.

Impact on Participation Participation is often limited in self-care activities such as dressing, bathing, grooming and eating Participation in classroom and play activities is often limited,.e.g., finger painting, sand and water play dan crafts May avoid become upset by activities that require proximity to others, such as playing near other children or standing in line CREATED USING 4 POWTOOn.

Gravitational insecurity Hyperreactivity to vestibular sensations involving linear movement, particularly sensations from the pull of gravity and from vertical movement throught space CREATED USING 4 POWTOOn.

Observation Excessive fear during ordinary whole- body movement activities Moves very slowly and carefully through space Avoid or refusal to use stairs, escalators, elevators, steepstools, ladders, playground equipment that moves and uneve surfaces CREATED USING 4 POW TOOn.

Observation Overwhelmed by changes in head position and movement, especially whn moving backward or upward through space Fear of heights, even those involving only slight distances from the ground Many resist lifting feet off the ground CREATED USING 4 POW TOOn.

Impact in participation Participation in community activities maybe severely limited when movement is involved Community mobility maybe severely limited or stressful,.e.g. refusal to use steirs or escalators, distress when lifted into a car, anxiety getting on and off bus or subway CREATED USING 4 POW TOOn.

Impact in participation Participation with peers in games and sports may be very limited, walking or running on uneven ground, bicycle riding, ice skating, skateboarding and hiking Exploration of environment may be limited CREATED USING 4 POW TOOn.

Auditory/ visual/ olfactoey and ustatoxy defensiveness Hyperreactivity to sounds, sights, smells, tastes CREATED USING 4 POWTOOn.

Observations Distress or discomfort with loud sounds, bright lights, strong smells or tastes, escessive stimuli CREATED USING 4 POWTOOn.

Limited or no participation in events such as birthday parties or community fairs and festivals Impact on Participation Participation in classroom and cafeteria are very stressful due to sights, Mealtime participation may be limited by smells and taste of food, especially CREATED USING 4 POWTOOn.

Tactile Perception Difficulty interpreting th location, intensity, three-dimensional properties, or direction of movement of tactile stimuli precisely and efficiently CREATED USING 4 POW TOOn.

Observation Difficulty localizing precisely where an object has brushed against him Difficulty with stereognosis to manipulate an object that is out of sight - fine motor coordination is affected May be seen along with problems with visual perception and motor planning CREATED USING 4 POW TOOn.

Impact on Participation Hinders participation in play activities thet require precise hand and finger movements, such as connecting thr pieces of constructional toys or playing marbles CREATED USING 4 POW TOOn.

Impact on Participation Difficulty participating in classroom and self-care activities that require percisely guided hand and finger movements, such sa writing with pencil, manipilationg a spoon, or fastening buttons or snaps Participation may be stressful, requiring the child to compensate by visually guiding his or her actions during visual guidance for fine motor tasks CREATED USING 4 POW TOOn.

Proprioceptive Perception Difficulty interpreting body poaition and movement of the muscles and joints CREATED USING 4 POWTOOn.

Observation May seek out excessive proprioceptive input, .e.g., pushing, pulling, throwingor jumping forcefullu Breakinng toys, bumping into others, and misjudging personal space CREATED USING 4 POWTOOn.

Visual Perception Diffulcity interpreting features of visual stimuli such as shap, size, direction, and figure-ground relationships, despite adequate visual acuity CREATED USING 4 POW TOOn.

Observations Difficulty with wisual perception, visual -spatial, visual construction, and/or visual-motor tasks May affect motor functions such as grasp, balance and locomotion CREATED USING 4 POWTOOn.

Impact in Particpation Participation in play activities may be limited,.e.g., puzzles, building block activities, and crefts Participation in academic activities at school may be affected, .e.g., handwriting, art activities, projects requiring construction CREATED USING 4 POW TOOn.

Problems in Vestibular-bilateral integration Ineffecient processing of vestibular sensory information (related to head and body movement through space) needed for postural and ocular control, bilateral coordination, midline integration, optimal muscle tone for readiness to move, and balance CREATED USING 4 POWTOOn.

Jerky or disorganized eye tracling movements Poor bilateral coordination Observations Poor balance Frequent falling or tripping Frequent slouching or difficulty staying in an upright seated position for more than a few minutes a a time CREATED USING 4 POWTOOn.

Impact on Participation Difficulty participating in sports, dance, or plat activities due to poor balance Loss of place when looking up at the classroo board and then back down at a worksheet, affec I academic performance ouble participating in activities that require brdination 0b both sides of the body such as pedaling a bicycle or tying shoes CREATED USING 4 POW TOOn.

Thank You CREATED USING 4 POWTOOn.