Currently, everyone on sensory integration assessment rely solely on sensory integration scale, plus the issue when the parents of the subjective effects, the results of the assessment of reference is very limited. And itself is dependent on a standardized scale to do the assessment, without a professional occupational therapist to observe the assessment, leading to a lot of children do not get targeted by the intervention. Evaluate more needs to be done is professional through the full range of observed, not a few minutes to fill out a form and will be able to complete the work, the following I was doing sensory integration disorder when assessing the direction, for parents and the majority of educators reference, at the same time want to be able to and everyone together to explore exchange!
Sensory integration assessment case study-DD children
The first part: the DD problems
Parents and teachers worry:
- Easily distracted
- When in crowded or noisy situations, the behavior will get worse
- Easy to be with other children to interrupt or thus distracted
- Activities to increase the amount
- Often in the Playground meaningless chase
- Hard to sit for long hours are
- Clumsiness
- No friends
- It is difficult to complete school homework
Associated acts:
- Hate school; come up with various reasons to be at home
- Feel the frustration there will be excesses, such as to tear the book or throw things）
- No talking to friends or classmates together to play, interact
Sensory-motor development
- Difficult to take care of type; sucking ability is poor; easily tired
- 8 months of energy independence to sit; the 15 months to go; not after crawling to learn to walk
- Often fall; to hit something; to tip something
- No development of a dominant hand, the tendency to use close to something that hand
- Walking and running significantly clumsy
- Does not catch the ball; the lost ball was clumsy, inaccurate
- Like to be pushed on the swings, you can swing for an hour; but don't know how to own swing
- Step on the Bicycle with difficulty
- Painting, crafts, and puzzles with difficulty
- Use an eraser when it has been rubbed into the paper with holes
Part II: relevant background information
The history of the development
- Full-term, the surplus
- Relatively sensitive, does not seem to like to be holding or touching the fiddle
- The sleep cycle is very unstable, rarely sleep more than six hours
Advantages
- Loving also lovable kids
- Mom believes that he is smart
- Language skills development than the average person early
- Have a sense of humor
Related to evaluation
- Language IQ of 125; the operation of the IQ 110（Wechsler child intelligence test）
Part three: the sensory integration functions assessment
Life in the observed behavior
- Use the scissors slow and laborious
- Open the milk bottle have difficulty
The posture of the operation of the observation
- Lying posture, the hands straighten the action of the poor
- Lying under the twist action of the head will fall down
- Straighten the muscle tension is low
- On all fours, the proximal end of the stability is poor
- Dynamic balance of the case than the static and the control of posture good
- Tilt plate on the inadequate response
On both sides of the integration and sequence of actions of the observed
- On both sides and the plan of an action sequence of difficulties such as: throwing a ball, feet together jump and jumping jacks）
- Crossing the midline difficult
The body ability to apply observation
- Unable to maintain curl action
Feel adjust the function of poor indicators
- The light touch stimuli are an aversive reaction
- Does not like the fingers on glue or pigment
- For noise-sensitive
- In acceptance of tactile stimulation, it will friction be touching the arm and hand
- When receiving a tactile test with a lot of excuses don't want to continue
- No gravitational insecurity
- For vestibular sensory stimulation is not an aversive reaction to the situation
At present, the assessment of sensory integration relies solely on the sensory integration scale, plus the subjective influence of parents when filling out the form, and the reference to the evaluation results is very limited. However, it relies on standardized scales for evaluation. It has not been evaluated by professional functional therapists, resulting in a large number of children without targeted intervention. I have compiled and evaluated the five aspects of sensory adjustment, posture movement, bilateral integration and body sensation for reference by parents, teachers and sensory instructors!
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