sensory awareness workshop
TRANSCRIPT
Sensory AwarenessPresented by
Cynthia Miller-LautmanOccupational Therapist
http://cynthiamillerlautman.com
Cynthia Miller-Lautman, OT
Overview
• Basic Introduction to Sensory Regulation• Some ideas of how we can help
This presentation does NOT in any way replace a proper evaluation for those students who
need a detailed intervention plan and therapy.
Cynthia Miller-Lautman, OT
Ice Breaker: Scattegories1. Sandwiches
2. Items in a Catalogue
3. World Leader/Politicians
4. School Subjects5. Excuses for Being
Late6. Ice Cream Flavors
7. Things that Jump/Bounce
8. Television Stars9. Things in a Park10.Foreign Cities11.Stones/Gems12.Musical
Instruments
Cynthia Miller-Lautman, OT
Icebreaker
Reading
Cynthia Miller-Lautman, OT
Theory
What is Sensory Processing Difficulty?
Cynthia Miller-Lautman, OT
Adult Sensorimotor Strategies
Cynthia Miller-Lautman, OTHow Does Your Engine Run, p. 1-8
Students with Self Regulation Difficulties
Cynthia Miller-Lautman, OTHow Does Your Engine Run, p. 1-8
What is Involved in Sensory Regulation?
Cynthia Miller-Lautman, OT
Case ExamplesFrom “The Out of Sync Child” by Carol Stock Kranowitz
Tactile
Cynthia Miller-Lautman, OT
Case Examples
Vestibular
Cynthia Miller-Lautman, OT
Case Examples
Proprioception
Cynthia Miller-Lautman, OT
Cynthia Miller-Lautman, OT
Academic Lear
ning
Daily Living , Behaviours
Language Skills, Visual Perception,
AttentionEye-Hand Coordination, Ocular-Motor Control,
Postural AdjustmentBody Scheme,
Reflex Maturity, Ability to Screen Input
Postural Security, Awareness of Two Sides of Body,
Motor Planning
Taste, Touch, Smell, Hearing, Sight
Proprioception, Touch, VestibularAdapted from Taylor/Trott, 1991
Movement Break
Cynthia Miller-Lautman, OT
What can Parents Do • SLOW DOWN• Free Play • Let them get dirty• Good communication• Walk/Run/Ride more • Park Play• Rough and tumble play
Cynthia Miller-Lautman, OT
What Can Schools/Parents Do?
• Frequent Movement Breaks at school and during Homework
• Play outside for recess and lunch Albert Nerenberg documentary Boredom (2012).
Cynthia Miller-Lautman, OT
What are Chair Moves?
Cynthia Miller-Lautman, OT
Functional Fidget Tools• No Thinking!• Test It! • Examples: rubber bands, pen tops, smooth
rocks and pendants
Cynthia Miller-Lautman, OT
Have we picked the right fidget tool?
• Do they attend better when manipulating the functional fidget tool?
• Does the child bring the tool with them to different settings?
• Can the fidget tool be used in most settings?• Does the tool have a low distraction level to
the child and to those around them?
Cynthia Miller-Lautman, OT
Use Visuals as Needed
Adapted from STICKIDSCynthia Miller-Lautman, OT
Visual Schedules
• Include Movement Breaks!Exercises
½ page Math
Chair Moves
½ page Math
Listening to teacher’s science lesson while using functional fidget tool.
Cynthia Miller-Lautman, OT
How to Determine When Movement Breaks are Needed
• Tired Children (head on desk, yawning, looking off into space)
• Over excited children (can’t sit still, getting out of chair)
Cynthia Miller-Lautman, OT
Materials to Set Up OT Room Essentials
Materials to start an OT room in a school or home:- A ball with handles (not too big)- A bean bag (larger the better- available at http://www.solutionsensee.com). I also recommend the waterproof cover as it is easy to keep clean.- Foam mats (at least 8 of 2 by 2 feet) -A spinning egg chair (available at IKEA)- A pop up tent- A pop up tunnel-noise cancelling headphones- A Ghost (available from www.fdmt.ca) -Big washable heavy blankets
-Weighted socks (fill large size socks with rice or beans as they make great weights)-Tug of war rope-Broom handles for pulling games.-Scooter board -Balance Board -The room should have the option of turning off Neon lighting and be able to use the natural window light at all times.-I would also encourage a parent to take pictures of all the equipment, laminate them and post them on a velcro strip so the kids can arrange their preferences.
Cynthia Miller-Lautman, OT
When to See an Occupational Therapist
• If sensory regulation difficulties are affecting school performance.
• If home life is being affected.
Cynthia Miller-Lautman, OT
What Will an OT Do?
• Medical History• Evaluate • Score and analyze• Treatment Plan• Train and guide parents and teachers
Cynthia Miller-Lautman, OT
Sensory Processing CategoriesWhat OTs diagnose
• Sensory Overresponding• Sensory Underresponding• Sensory Craving
Sensory Modulation
Disorder
• Postural Disorder• Dyspraxia
Sensory-Based Motor
Disorder
• Visual, Auditory, Olfactory, Gustatory, Vestibular, Proprioceptive, Tactile, Interoceptive
Sensory Discrimination
Disorder
Cynthia Miller-Lautman, OT
(Definitions based on Lucy Jane Miller’s Categories)
Sample Sensory ProfileSPD Subtype Visual
SystemAuditory System
Gustatory System
OlfactorySystem
Tactile System
Vestibular System
Proprioceptive System
Interoceptive System
Sensory Overresponsivity
X (dental hygiene)
X (light touch)
Sensory Underresponsivity
x x X (deep touch)
x x X (urinary accidents)
Sensory Craving
Postural Difficulties
Dyspraxia X (poor tracking)
x x
Sensory Discrimination Difficulties
Cynthia Miller-Lautman, OT
No Longer a Secret, p. 36
Hands On- What Happens in OT Therapy
• An Occupational Therapist will help your child to regulate their senses, particularly their vestibular, touch and proprioceptive systems.
• Some common techniques used:BrushingJoint CompressionsSwing MorphamOral Motor
Cynthia Miller-Lautman, OT
Properly integrated senses are critical to a proper development. We may not be able to change schools curriculum overnight but we can start changing the quality and quantity of sensory experiences we offer our children.
Cynthia Miller-Lautman, OT
Slow Down! Play more! Go Outside!
Other Resources
• For a list of recommended books related to Sensory Awareness please visit:
http://bit.ly/16p3X4s• Download a PDF copy of this presentation at:
http://bit.ly/10Bzhss
Cynthia Miller-Lautman, OT
CreditsThis presentation contains material from:• Summit School’s Occupational Therapy Department,
Montreal,QC.• “The Out-of-Sync Child” by Carol Stock Kranowitz, Skylight
Press, 1998.• “Sensational Kids” by Lucy Jane Miller, Perigee, 2006• “How Does your Engine Run?”, by Willams and Shellenberger,
Therapy Works, 1996.• “No Longer A Secret” by Bialer and Miller, Future Horizons,
2011• STICKIDS (CD-ROM) Community Therapy Associates, Inc.
Cynthia Miller-Lautman, OT