Understanding the Nature of Sensory Integration with Diverse Populations

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Leading SENSORY INTEGRATION researchers present state-OF-THE-art research and clinical insights on SENSORY INTEGRATION THEory and practice. Comprehensive information is presented on THE treatment OF SENSORY Modulation Dysfunction, high-risk infants and young children, visual deficits, cerebral palsy, autism, institutionalized children, and Fragile X Syndrome. Current information on both clinical testing and standardized testing is presented. Learn how THE latest neurological research supports and influences SI THEory and practice.

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Product Details

  • ISBN-13: 9781416403326
  • Publisher: PRO-ED, Incorporated
  • Publication date: 3/28/2007
  • Pages: 433
  • Sales rank: 733,632
  • Product dimensions: 8.40 (w) x 10.80 (h) x 1.00 (d)

Table of Contents

Foreword xv
Preface xix
Acknowledgments xxiii
Part I. Theoretical Foundations
1. Sensory Integration Revisited: A Philosophy of Practice 3
Dr. A. Jean Ayres 3
Sensory Integration: A Foundation for Occupation 5
Assessing Sensory Integrative Functioning: A Guide to Intervention 14
Using a Sensory Integrative Approach for Children With Developmental Disabilities 16
Outcomes and Effectiveness of Intervention 20
References 23
2. Neuroplasticity and the Environment: Implications for Sensory Integration 29
The Organism-Environment Interaction 29
Brain Growth: A Protracted Process 31
Genes and Environment 31
Synaptogenesis and Synapse Elimination 32
The Role of Neural Activity in Synapse Connectivity 32
The Role of Behavior on Synapse Modification 35
Experience-Dependent Cortical Plasticity 35
The Effects of Prenatal Stress on Function 37
Alcohol and Stress During the Prenatal Period 38
Implications for Sensory Integration 38
References 40
3. Developmental Neuroplasticity: A Foundation for Sensory Integration 43
Mammalian Mothers and Infants as Dynamic Systems 43
The Mother-Young Relationship in Animals 45
Maternal Deprivation 47
The Bridge Between Science and Practice 48
References 54
Additional Readings 55
4. An Ecological Model of Sensory Modulation: Performance of Children With Fragile X Syndrome, Autistic Disorder, Attention-Deficit/Hyperactivity Disorder, and Sensory Modulation Dysfunction 57
Defining Sensory Modulation 57
The New Theoretical Model 59
Study Protocol 62
Instrumentation 64
SMD in Children With Developmental Disabilities 67
Moving From Data Back to Model 77
Limitations of This Study and Additional Questions 77
References 79
Appendix 4A Definitions of Terms 83
Appendix 4B Sensory Challenge Protocol 85
5. From Neuron to Behavior: Regulation, Arousal, and Attention as Important Substrates for the Process of Sensory Integration 89
Processes of Regulation 89
Sensory Integration and Regulation 90
Neuronal Basis of Regulation 92
Neuroanatomic Components of Regulation 94
References 106
6. Proprioception: A Cornerstone of Sensory Integrative Intervention 109
What is Proprioception? 110
An Emerging View of Proprioception: Discriminative and Modulatory Functions 113
A New Framework for Understanding Proprioceptive Dysfunction 114
The Use of Proprioception in Intervention 118
References 122
Additional Readings 124
7. The Evolution of the Concept of Praxis in Sensory Integration 125
Evolution of the Concept of Motor Planning as it Relates to Sensory Integration 125
Support for the Relationship Between Praxis and Sensory Integration 127
References 130
8. Praxis, Motor Planning, and Motor Learning 133
Redefining Praxis: From Clumsiness to Developmental Dyspraxia to Developmental Coordination Disorder to Specific Developmental Disorder of Motor Function 134
From Idea to Action 137
Research on Information-Processing Accounts of Motor Planning 147
Motor Learning Based Intervention Strategies 154
References 158
9. A Theoretical Model of Ideation in Praxis 163
Defining Ideation 164
A Proposed Model of Ideation in Praxis 169
References 179
10. Praxis and Organization of Behavior in Time and Space 183
Basic Concepts of Praxis and Organization of Behavior 184
Temporal and Spatial Aspects of Organization of Behavior 186
Integrating Space and Time to Organize Behavior 190
A Conceptual Model of Praxis and Organization of Behavior 194
Applications to Occupational Therapy 196
References 199
Additional Readings 200
Part II. Clinical Applications
11. Clinical Reasoning and the Use of Narrative in Sensory Integration Assessment and Intervention 203
Introduction 203
Clinical Reasoning as it Looks in Action 204
Clinical Reasoning in Occupational Therapy 206
Applying Principles to Sensory Integration 207
References 213
12. Assessment of Sensory Integration and Praxis 215
Evaluating Sensory Integration and Praxis Within the Context of Occupational Therapy 216
References 230
Additional Readings 234
Appendix 12-A A Few Words About Formal Evaluations 235
Appendix 12-B OTA-Watertown Clinical Assessment Worksheet 237
Appendix 12-C Structured Clinical Observations: Application to Diverse Populations 243
Appendix 12-D Overview of Selected Sensory Integration Assessment Instruments 245
13. Clinical Applications in Sensory Modulation Dysfunction: Assessment and Intervention Considerations 247
The Ecological Model of Sensory Modulation 247
The Assessment and Intervention Process in SMD 248
References 264
Appendix 13A Description of Assessments Used in Evaluation of SMD at the STAR Center at The Children's Hospital in Denver, CO 267
Appendix 13B SMD Behavior During Testing Checklist 269
Appendix 13C Parent Interview for Children With SMD 271
Appendix 13D Sample Goal Attainment Scale for Kamon 273
14. Sensory Integration With High-Risk Infants and Young Children 275
The Unique Opportunities and Challenges of Infancy and Early Childhood 275
A Model for Viewing the Infant From the Sensory Integration Perspective 277
Problem Setting: Assessment of High-Risk Infants and Young Children With Sensory Integrative Dysfunction 284
Basic Principles of Sensory Integrative Intervention for Infants and Young Children 293
Using Play With Young Children 295
References 296
Additional Readings 300
Appendix 14-A Selected Assessment Instruments 301
Appendix 14-B The Sensory Integration Observation Guide 307
15. Sensory Integration and Visual Deficits, Including Blindness 313
The Holistic Nature of Vision 313
Visual Components 315
Functional Vision Deficits 318
Visual Dysfunction in Children With Disabilities 318
Role of Sensory Integration in Vision 321
Ramifications of Severe Visual Impairment and Blindness 333
Using Sensory Integration Intervention Principles With Children With Visual Impairment and Blindness 336
Sticking Points 341
References 342
16. Sensory Integration and the Child With Cerebral Palsy 345
Clinical Picture of Sensory Processing Deficits in the Child With CP 346
General Principles of Assessment and Intervention 347
Specific Sensory Processing Deficits Presented by Children With CP 351
References 363
17. Sensory Integrative Principles in Intervention With Children With Autistic Disorder 365
Definitions and Incidence 365
Current Research 366
Relevance of Sensory Integrative Theory to Autistic Disorder 368
Assessment, Intervention, and Measurement of Outcome Continuum: Case Example 377
Comparing Sensory Integration to Other Approaches 380
References 382
18. The Effects of Deprivation on Processing, Play, and Praxis 385
Factors Needed for Development 386
Institutionalization: The Effects of Deprivation 387
Prognosis 399
Intervention 399
Intervention Strategies and Implications of Research for Intervention 403
References 404
Additional Readings 408
19. Sensory Integration and Fragile X Syndrome 409
General Characteristics 410
General Behavioral Challenges 411
Sensory Processing Characteristics 412
Assessment 413
Intervention Options 414
References 420
20. Transformative Occupations and Long-Range Adaptive Responses 421
Seeking Enjoyable Experiences for Their Sensory Value 422
Restorative Niches 423
References 431
Additional Readings 433
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