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 — a training and treatment that focuses on
helping people achieve independence in all
areas of their lives — can offer kids with
various needs positive, fun activities to
improve their cognitive, physical, and motor
skills and enhance their self-esteem and
sense of accomplishment.
2
 Severe developmental delays learn some self care skills -
bathing, getting dressed, brushing their teeth, and feeding
themselves
 Behavioral disorders - Anger-management
 Functional Academic - Readiness skill, teaching and learning
 Physical disabilities - Coordination skills and Functional
independence
 Assistive & adaptive equipments – recommended
wheelchairs, splints, bathing equipment, dressing devices, or
communication aids
 Sensory and attention issues - improve focus and social skills
 Carrier guidance - Adult independent living skill
 Self help skills
 Behaviour modification
 Self stimulatory / regulatory behaviour
 Sensory difficulties
 Functional Academic
 Vocational Guidance
 Communication
 Acceptance and Awareness
 Parental Counseling., etc.,
4
As teachers
Understanding
Sensory Dysfunctions
6
 Developed and conceived by Dr. A. Jean Ayres
 Definition: The neurological process that organizes
sensations from one’s own body and from the
environment and makes it possible to use the body
effectively within the environment
 The neurological process that organizes
sensations from ones own body and from the
environment and makes it possible to use
the body effectively within the environment
 S.I. is the organization of sensation for use.
 Making a Whole from Parts
The five main senses are:
 Touch – tactile
 Sound – auditory
 Sight – visual
 Taste – gustatory
 Smell – olfactory
 Vestibular (balance)
 Proprioception (joint/muscle sense)
 Kinesthesia (Movement/Body Possition)
Who may have Sensory Integration Dysfunction
 Autism Spectrum Disorder
 Multiple Disabilities
 Attention Deficit Hyperactivity Disorder
 Learning Disability
 Intellectual Disability
 Others
Sensory Modulation Dysfunction
(SMD)
Sensory Discrimination &
Perception Problems
Dyspraxia
 Modulation refers to the central nervous
system’s regulation of its own activity.
 The tendency to generate responses that
are appropriately graded in relation to
incoming sensory stimuli rather than
under reacting and overreacting to
them.
Sensory modulation problems
 Sensory registration problems
 Sensation-seeking behavior
 Sensory defensiveness
 Tactile discrimination & perception problems
› Hyporesponsivity of Touch
› Hyperresponsivity of Touch
 Proprioception problems
› Hyporesponsivity of Proprioception
› Hyporesponsivity of Proprioception
 Visual perceptual problems
 Other perceptual problems
 Touches people and objects constantly.
 Unawareness of touch
 Poor body awareness
 Decrease awareness of pain or temperature
 Chew inedible objects like finger nails, hairs,
toys, pencils.
 Hand flapping and clapping most of the time.
 Sits on hand.
 Hand fidgeting.
 Pushing against objects or people.
 Self injuries behavior
 Tactile Defensiveness (TD) that means
oversensitivity to unexpected light touch.
 FFF- Fright, Flight, Fight.
 Dislikes messy activities- painting.
 Dislikes bathing, brushing, cutting hair &
nails.
 Avoid certain texture of cloth.
 Oversensitivity of palmer aspects of hand,
feet and face.
 Avoid eating some types of food.
 Avoid going barefoot- grass or sand.
 Continually seeks all kinds of movement
activity
 Hangs on other people ,furniture, objects
 Seems to have weak muscles, tires easily,
 Poor sense of body awareness
 Difficulty in carrying objects
 Clench his teeth
 Walks on toes
 Difficulty positioning him
 Difficulty in playing
 Limited movements
 Routinely smells nonfood objects
 Seeks out certain tastes or smells
 Lick or Taste inedible objects
1. Gross motor skills
 Handwriting
 Shabby note book
 Project work delay
 Slow in copying from the board
2. Fine motor skills
Poor fine motor skills
 Avoid ordinary class room activity
 Poor hand writing
 Poor eye hand coordination
 Poor in self help skills
20
21
 Challenging behaviors are part of
growing up in any child. They are
sometimes difficult to handle in a
children with severe disabilities
because of communication difficulties
 Reasons for these behaviors can be
multifold and so also the strategies.
Consistent and patient handling is the
key to success
22
 Setting
 Trigger
 Action
 Response
23
Watch for:
• Pattern and severity of ongoing behavior
• Consider:
• Intensity
• Frequency
• Duration
• Developmental level
• Skill level
• History
24
1. Why: possible reasons
2. When
3. How often
4. What
◦ Starts it
◦ Stops it
5. What has been done:
◦ Current goals for behavior
◦ Alternative behaviors?
25
6. What does the child like? What does the
child do well?
7. Function of the inappropriate behavior
◦ How does the inappropriate behavior
affect the child’s relationship with
others
26
 Restlessness
 Disturbing other children
 Making sounds
 Getting too close to a peer
 Touching and talking
 Screaming
 Resisting to copy from the board or to write
27
28
 Social Skill Training
 Social stories
 Circle of friends’ and mentoring
29
 Learning to identify feelings
 Relaxation
 Angermanagement
 expressing
30
 Positive reinforcement
 Token system
 Prompting
 Shapping
 Backward chaining 31
 Extinction / planned ignoring
 Redirection
 Time out
32
 Consistency
 Generalization
 Maintenance
 Fading out prompts and reinforcement
33
34
• Instructions in a soft but firm voice.
• High-pitched noise can be painful to
hypersensitive child
35
 get stressed,
 discuss behaviors,
 give- in,
 provide multiple choices,
 attempt to desensitize the child to
sensory input
36
• Control the environment - Reduce sensory
overload and distractions
• Provide comfortable furniture
• Maintain consistent routine, plan transitions and
adequate breaks
• Provide physical feedback
• Keep realistic expectations
37
38
• Recognize the difficulties so you will know how to
deal with them
• Set small targets and work consistently towards
them
• Remember he/she is a ‘child’. Have ‘fun’ with
your child
• Child and Classroom / School centered goals will
always give you the best results
• When in need, seek other professional’s help
39
40
 You are here to help the child
 Child is the priority
 Understand your child better to help the child
better
 Understand the condition
 Be a communication bridge between parent,
teacher, school, and the therapist
41
 Know when to withdraw your assistance to
the child
 Know when to wean off from the child
 Ask for support and help from the therapist
/Sr. Special Educator when needed.
 Special PT – be with child and help
42
 Don’t get emotionally attached
 Do not leave the child alone at any point of
time
 Do not discus about your child or about any
other child with others
 When the child is aggressive or assaultive –
protect the child and yourself(Demo)
43
44

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Managing sensory Integration dysfunctions with behavioral strategies in class room

  • 1. 1
  • 2.  — a training and treatment that focuses on helping people achieve independence in all areas of their lives — can offer kids with various needs positive, fun activities to improve their cognitive, physical, and motor skills and enhance their self-esteem and sense of accomplishment. 2
  • 3.  Severe developmental delays learn some self care skills - bathing, getting dressed, brushing their teeth, and feeding themselves  Behavioral disorders - Anger-management  Functional Academic - Readiness skill, teaching and learning  Physical disabilities - Coordination skills and Functional independence  Assistive & adaptive equipments – recommended wheelchairs, splints, bathing equipment, dressing devices, or communication aids  Sensory and attention issues - improve focus and social skills  Carrier guidance - Adult independent living skill
  • 4.  Self help skills  Behaviour modification  Self stimulatory / regulatory behaviour  Sensory difficulties  Functional Academic  Vocational Guidance  Communication  Acceptance and Awareness  Parental Counseling., etc., 4
  • 6. 6  Developed and conceived by Dr. A. Jean Ayres  Definition: The neurological process that organizes sensations from one’s own body and from the environment and makes it possible to use the body effectively within the environment
  • 7.  The neurological process that organizes sensations from ones own body and from the environment and makes it possible to use the body effectively within the environment  S.I. is the organization of sensation for use.  Making a Whole from Parts
  • 8. The five main senses are:  Touch – tactile  Sound – auditory  Sight – visual  Taste – gustatory  Smell – olfactory
  • 9.  Vestibular (balance)  Proprioception (joint/muscle sense)  Kinesthesia (Movement/Body Possition)
  • 10. Who may have Sensory Integration Dysfunction  Autism Spectrum Disorder  Multiple Disabilities  Attention Deficit Hyperactivity Disorder  Learning Disability  Intellectual Disability  Others
  • 11. Sensory Modulation Dysfunction (SMD) Sensory Discrimination & Perception Problems Dyspraxia
  • 12.  Modulation refers to the central nervous system’s regulation of its own activity.  The tendency to generate responses that are appropriately graded in relation to incoming sensory stimuli rather than under reacting and overreacting to them.
  • 13. Sensory modulation problems  Sensory registration problems  Sensation-seeking behavior  Sensory defensiveness
  • 14.  Tactile discrimination & perception problems › Hyporesponsivity of Touch › Hyperresponsivity of Touch  Proprioception problems › Hyporesponsivity of Proprioception › Hyporesponsivity of Proprioception  Visual perceptual problems  Other perceptual problems
  • 15.  Touches people and objects constantly.  Unawareness of touch  Poor body awareness  Decrease awareness of pain or temperature  Chew inedible objects like finger nails, hairs, toys, pencils.  Hand flapping and clapping most of the time.  Sits on hand.  Hand fidgeting.  Pushing against objects or people.  Self injuries behavior
  • 16.  Tactile Defensiveness (TD) that means oversensitivity to unexpected light touch.  FFF- Fright, Flight, Fight.  Dislikes messy activities- painting.  Dislikes bathing, brushing, cutting hair & nails.  Avoid certain texture of cloth.  Oversensitivity of palmer aspects of hand, feet and face.  Avoid eating some types of food.  Avoid going barefoot- grass or sand.
  • 17.  Continually seeks all kinds of movement activity  Hangs on other people ,furniture, objects  Seems to have weak muscles, tires easily,  Poor sense of body awareness  Difficulty in carrying objects  Clench his teeth  Walks on toes
  • 18.  Difficulty positioning him  Difficulty in playing  Limited movements
  • 19.  Routinely smells nonfood objects  Seeks out certain tastes or smells  Lick or Taste inedible objects
  • 20. 1. Gross motor skills  Handwriting  Shabby note book  Project work delay  Slow in copying from the board 2. Fine motor skills Poor fine motor skills  Avoid ordinary class room activity  Poor hand writing  Poor eye hand coordination  Poor in self help skills 20
  • 21. 21
  • 22.  Challenging behaviors are part of growing up in any child. They are sometimes difficult to handle in a children with severe disabilities because of communication difficulties  Reasons for these behaviors can be multifold and so also the strategies. Consistent and patient handling is the key to success 22
  • 23.  Setting  Trigger  Action  Response 23
  • 24. Watch for: • Pattern and severity of ongoing behavior • Consider: • Intensity • Frequency • Duration • Developmental level • Skill level • History 24
  • 25. 1. Why: possible reasons 2. When 3. How often 4. What ◦ Starts it ◦ Stops it 5. What has been done: ◦ Current goals for behavior ◦ Alternative behaviors? 25
  • 26. 6. What does the child like? What does the child do well? 7. Function of the inappropriate behavior ◦ How does the inappropriate behavior affect the child’s relationship with others 26
  • 27.  Restlessness  Disturbing other children  Making sounds  Getting too close to a peer  Touching and talking  Screaming  Resisting to copy from the board or to write 27
  • 28. 28
  • 29.  Social Skill Training  Social stories  Circle of friends’ and mentoring 29
  • 30.  Learning to identify feelings  Relaxation  Angermanagement  expressing 30
  • 31.  Positive reinforcement  Token system  Prompting  Shapping  Backward chaining 31
  • 32.  Extinction / planned ignoring  Redirection  Time out 32
  • 33.  Consistency  Generalization  Maintenance  Fading out prompts and reinforcement 33
  • 34. 34
  • 35. • Instructions in a soft but firm voice. • High-pitched noise can be painful to hypersensitive child 35
  • 36.  get stressed,  discuss behaviors,  give- in,  provide multiple choices,  attempt to desensitize the child to sensory input 36
  • 37. • Control the environment - Reduce sensory overload and distractions • Provide comfortable furniture • Maintain consistent routine, plan transitions and adequate breaks • Provide physical feedback • Keep realistic expectations 37
  • 38. 38
  • 39. • Recognize the difficulties so you will know how to deal with them • Set small targets and work consistently towards them • Remember he/she is a ‘child’. Have ‘fun’ with your child • Child and Classroom / School centered goals will always give you the best results • When in need, seek other professional’s help 39
  • 40. 40
  • 41.  You are here to help the child  Child is the priority  Understand your child better to help the child better  Understand the condition  Be a communication bridge between parent, teacher, school, and the therapist 41
  • 42.  Know when to withdraw your assistance to the child  Know when to wean off from the child  Ask for support and help from the therapist /Sr. Special Educator when needed.  Special PT – be with child and help 42
  • 43.  Don’t get emotionally attached  Do not leave the child alone at any point of time  Do not discus about your child or about any other child with others  When the child is aggressive or assaultive – protect the child and yourself(Demo) 43
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