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Sensory
Integration
Sensory integration
is a therapeutic approach to treating autism that Chileda has employed
with great success.
Simply stated,
it is the organization of sensory input that stimulates interaction
between the child and his world. Sensory experiences include touch,
movement, body awareness, sight, sound, and the pull of gravity.
A. Jean Ayres,
Ph.D, OTR is credited with the concept of sensory integration. As
an occupational therapist, Dr. Ayres was interested in the way that
sensory processing and motor planning disorders interfere with daily
life function and learning.
Through intensive
research, Dr. Ayres identified several characteristics of children
who might benefit from sensory integration. Such children tend to
exhibit:
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Overt
or covert sensitivity to sights/sounds/touch and movements |
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A
short attention span |
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An
activity level that is unusually high or unusually low |
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The
inability to calm or unwind self |
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Poor
self-image |
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Social
and emotional problems |
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Physical
clumsiness or apparent carelessness |
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Difficulty
making transition from one situation to another |
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Delays
in speech, language, and/or motor skills |
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Delays
in academic achievement |
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Unusual
eating habits |
It is typical for a child to demonstrate more than one of the above
signs.
Chileda employs
a two-step approach to treatment using sensory integration:
1.
Provide direct sensation to enhance sensory processing through proprioceptive,
pressure touch and/or vestibular stimulation.
Proprioception
is described as pressure input to the joints. Proprioceptive input
tends to be calming and organizing for most people and can have
a latency effect of up to two hours. Examples of proprioceptive
stimulation include jumping, running, tug of war, nature walks that
involve lots of climbing/uneven terrain.
Deep pressure
involves constant input through various body surfaces. Examples
include wrapping body parts, "sandwich" activities, lotion
rubs, massage, and brushing.
Vestibular
stimulation is related to swinging movement - either linear
or rotary. It has a latency effect from eight to 12 hours.
Tactile
stimulation is the input through touch that makes it possible
to discriminate between textures and temperatures, pleasure and
pain.
2.
Modify environment to alleviate sensory challenges for each child.
This includes reducing bright lights/noise, making concessions for
personal space needs, creating a safe place for person with sensory
needs to escape during moments of "environmental chaos."
We are also conscious of individual preferences for certain types
of food, clothing and smells.
Children with
autism often demonstrate an imbalance of senses. They might use
one sense - or several - to make up for shortcomings in other sensory
areas. By identifying these predispositions, we can help the child
prepare for meaningful exchanges with his world.
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