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The Effectiveness of Sensory Integration Therapy on Neuro ... The Effectiveness of Sensory Integration Therapy on Neuro ... Presentation Transcript

  • Slide Show Only No Action Required – slides will change every 10 seconds British Institute for Learning Development Increasing Cognitive Development through Sensory Integration Therapy -For viewing only -
  • Increasing Cognitive Development through Sensory Integration Therapy
    • by
    • British Institute for Learning Development
    • Dubai
  • The Task: To Raise Learning Ability and Intelligence
    • Intelligence is the ability to
    • carry out rational thought.
    • Intelligence can be measured by the
    • degree of efficiency of rational thought
    • – which can be observed through:
          • The speed of deliberation
          • The extent of the deliberation
          • The outcome of the deliberation.
  • Neurological Function
    • What we call ‘rational thought’ is
    • dependent upon neuro-physiology,
    • or neurological function.
    • While this may be referred to as
    • ‘ natural ability’, neurological function
    • is the brains ability to think and
    • develops, or increases, from birth.
    • The more we ‘think’, the more parts of the brain become involved and complex neighbourhood networks of
    • neuron axion fibres are built and joined.
  • Diagram of Neurological Development Neural Networks in Infants at three months old Neural Networks in Toddlers at two years old The number of neurons do not increase in our brain from birth. Neural fibre networks increase as our knowledge and ability increases and communication links are established between neurons. Neural fibre network systems can be ‘trained’ to develop .
  • Concept of the ‘Learning’ Brain
    • Learning is implicitly a neurological function and the capacity to learn is dependent upon neurological efficiency.
    • Unless there is a problem!
  • Jean Ayres – Sensory Integration Paradigm
    • Jean Ayres, an American occupational therapist, discovered a new paradigm for explaining a variety of neurological disorders in children.
    • We refer to this paradigm as sensory integration theory and seek to use sensory integration therapy to stimulate the sensory system and thereby increase neurological function.
  • Sensory Integration
    • Sensory Integration theory proposes that because there is plasticity within the central nervous system (the brain is moldable) and because the brain consists of systems that are hierarchically organized, it is possible to stimulate and improve neuro-physiological processing and integration and thereby increase learning capacity.
  • Learning Difficulty
    • As the brain processes and integrates information through its sensors, it is able to plan and organize behaviour in order to make an adaptive response in the ongoing process of learning.
    • However, if the sensory system is not functioning as it should, or where sensory information is not appropriately integrated, there is said to be a learning disorder.
  • Where learning difficulties are not addressed children will show problems in:
    • Developmental Progress - falling behind in skills and capacity
    • Motivation - a lack of applied energy
    • Creativity - a lack of initiative and sense of adventure
    • Attention - a lack of attentiveness and concentration
    • Desire to Learn - a lack of interest in schooling
    • Performance - poor results in academics
    • Intellectual Progress - falling behind in intellectual application
    • and ability
  • Development Development Delay and Dysfunction
    • Primary - Physiological Inefficiency
    • - Neurological Inefficiency
    • - Developmental Delay
    • Secondary - Learning is Belated
    • - Academic Difficulties
    • - Perception and
    • Comprehension is Belated
    • - Behaviour Problems
    • Tertiary - Effect on Self Perception
    • - Low Self Esteem
    • - Low Self Worth
    • - Depression, Anxiety and
    • Psychosis
    • - Mental Health – Medication
  • British Institute Study
    • The British Institute’s two year
    • study from 2006-08, aimed to test the
    • effectiveness of our sensory integration programme in improving the neuro-physiological development of children with learning difficulties.
    • It was proposed that improving the brain’s ability to process and integrate sensory information would improve the children’s intelligence and learning capability .
  • Diagnosis
    • The specific sensory integration difficulties identified ranged across 9 categories of sensory integration disorder:
        • Bilateral integration and sequencing difficulties
        • Visuodyspraxia
        • Somatodyspraxia
        • Vestibulosomatosensory dysfunction
        • Somatosensory processing disorder
        • Form and space perceptual disorder
        • Visual and vestibular processing deficit
        • Dyspraxia on verbal command
        • Generalized sensory integration disorder.
  • Assessments – neuro-physiology
    • Selection was based on the results of combined assessment comprising a sensory integration evaluation and possibly an educational assessment and a speech and language assessment:
        • The Sensory Profile by Winnie Dunn
        • Jean Ayres Clinical Observations
        • Sensory Integration Praxis Test – SIPT
        • Visual Motor Integration Test – VMI
        • Test of Visual Perceptual Skills-Revised – TVPS-R
        • Test of Auditory Processing Skills –TAPS
        • Clinical Evaluation of Language Fundamentals – CELF
        • Wechsler Independent Attainment Test -WIAT (educational assessment)
        • Wechsler Intelligence Scales – WISC IV
  • Normal development and increase in capability for average-score children year-on-year Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching Life-script development history of Cohort-A group before BILD sensory integration coaching New life-script prediction due to sensory integration coaching Predicted life-script without sensory integration coaching
  • Normal development and increase in capability for average-score children year-on-year Life-script development history of Cohort-B group before BILD sensory integration coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching New life-script prediction due to sensory integration coaching
  • Life-script development history of Cohort-C group before BILD sensory integrayion coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching - first year of coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching - second year of coaching
  • Normal development and increase in capability for average-score children year-on-year Life-script development history of Cohort-A group before BILD sensory integrayion coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching New life-script prediction due to sensory integration coaching
  • Life-script development history of Cohort-B group before BILD sensory integrayion coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching New life-script prediction due to sensory integration coaching
  • Life-script development history of Cohort-C group before BILD sensory integration coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching - second year of coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching - first year of coaching
  • Average '100' standardised score. No change expectation throughout development Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching -first year of coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching - second year of coaching New standard score prediction for Cohort-C due to sensory integration coaching
  • Case Study – VMI Scores Normal development and increase in capability for average-score children year-on-year Life-script development history of boy before BILD sensory integration coaching Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching New life-script prediction due to sensory integration coaching
  • Case Study – TVPS Scores Life-script development history of boy ABOVE AVERAGE before BILD sensory integration coaching Normal development and increase in capability for average-score children year-on-year Improvement in neuro-physiology (the brain's functional ability) due to Sensory Integration coaching New life-script prediction due to sensory integration coaching
  • CASE STUDY 1 Male: 7 years, 7 months CASE STUDY 1 Male: 9 years, 7 months SIPT Neuro-physiological profile of child BEFORE sensory integration coaching Neuro-physiological profile of child AFTER sensory integration coaching -4.0 -3.0 -2.0 -1.0 0.0 +1.0 +2.0 +3.0 +4.0 SBO CML KIN DTS FI IP BMC SBC CMLX LTS MFP SV GRA FG PS
    • LEGEND
    • Form & Space Perception
    • Somatosensory
    • Motor
    • Other
    RLD
  • CASE STUDY 2 Male: 6 years, 10 months CASE STUDY 2 Male: 10 years, 4 months SIPT Neuro-physiological profile of child BEFORE sensory integration coaching Neuro-physiological profile of child AFTER sensory integration coaching -4.0 -3.0 -2.0 -1.0 0.0 +1.0 +2.0 +3.0 +4.0 SBO CML KIN DTS FI IP RLD BMC SBC CMLX LTS MFP SV GRA FG DC PS
    • LEGEND
    • Form & Space Perception
    • Somatosensory
    • Motor
    • Other
  • SIPT CASE STUDY 3 Male: 7 years, 7 months CASE STUDY 3 Male: 8 years, 10 months Neuro-physiological profile of child AFTER sensory integration coaching Neuro-physiological profile of child BEFORE sensory integration coaching
    • Form & Space Perception
    • Somatosensory
    • Motor
    • Other
      -4.0 -3.0 -2.0 -1.0 0.0 +1.0 +2.0 +3.0 +4.0 +5.0 SBO FM KIN DTS FI IP RLD BMC SBC VP LTS MFP VMI GRA
    • LEGEND
    • Form & Space Perception
    • Somatosensory
    • Motor
    • Other
  • Standard Score Comparison Study shows that children with Lower Scores improved more than children with Higher Scores. Lower Score children improved by approximately 15% in 1 year Children with High Scores still improved by approximately 10% in neuro-physiology ability in 1 year. Assessment   Dates VMI 2006-07   2007-08   TVPS-R 2006-07   2007-08 Lower Scores Group Change Percent 76.6 89.3 12.7 16.5% 85.1 93.7 8.6 10.1%   87 100 13 15% 80 92 12 15% Higher Scores Group Change Percent 90.8 100.6 9.8 11% 98 105.1 7.1 7.2%   100 109 9 9% 111 120 9 8% Lower Scores Group Change Percent 76.6 89.3 12.7 16.5% 85.1 93.7 8.6 10.1% 87 100 13 15% 80 92 12 15% Assessment Dates VMI 2006-07   2007-08   TVPS-R 2006-07   2007-08
  • Conclusion
    • By testing the effectiveness of sensory integration therapy as a neuro-physiological development technique, the results of the study show that the sensory integration therapy programme was distinctly effective.
  • Implications
    • As a child’s neuro-physiology is improved there will be:
        • An increase in learning ability
        • An increase in literacy
        • An increase in general academic ability
        • An increase in i ntelligence scores
        • General increase in desire to learn and enjoy schooling