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Overview

A 27-Month Old Who Presents with Motor Delays Secondary to Sensory Processing Deficits

Barbara Hypes, PT 

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DVD Description:

Length of DVD: 70 minutes

This child was seen as a therapy demonstration during a course on treating children who have hypotonia.  His diagnosis is hypotonia and developmental delay but as we watch this session it is hoped the viewer will clearly understand that the child's major challenge is his impaired ability to process and interpret the information he receives from his sensory systems.  His way of dealing with the confusion is to shut down and avoid input, especially when someone else structures it.  Here the challenge for the therapist is to communicate into the child's system and at the same time not overwhelm him triggering his fight or flight response. 

Mother accompanied her child to the session and consented to videotaping the event.  The footage was provided to the treating therapist for us in educating others about intervention strategies for children similar to this boy.

From a session that begins with almost immediate crying and avoidance behavior this child was able to work for sixty minutes in therapy.  Watching this session we see that even though the child and therapist don’t know each other, they are able to build a bond of trust and work together on the edge or new and established control.  And, mother and therapist don’t know each other but they communicate verbally and non-verbally complimenting each other’s actions to assist the child to work toward greater skill development.  The child progresses from fighting and avoiding to interacting with the therapist and the group and exploring his body’s movement potential.  It becomes apparent that although this child has some low tone, his major obstacle to developing skills higher off the floor is his delayed integration of the information he is getting from all parts of his body and environment.  He is therefore a child with motor delays secondary to sensory system organization and integration.  He isn’t moving because he can’t, but because his movement doesn’t make sense and is therefore something he limits.  Therapists and caregivers must interpret his actions of crying and avoidance as a request for understanding and help rather than bad behavior.  When we can modify the input to allow him to make it meaningful this child not only cooperates, he has fun and learns new skills.

Learning Objectives:

The observer will:

  1. Learn how to problem solve a variety of techniques to help a child modulate his emotional state and how to help the child learn to a state for learning.
  2. Understand why children with processing challenges may require more assist to perform new skills just to experience the movement before they can be expected to take over the skill.
  3. Learn how to explain to a parent the challenges of processing deficits and how this can affect development of motor skills.
  4. Learn how to explain to a parent the challenges of processing deficits and how this can affect the ability to follow directions and tolerate structure imposed by a therapist, parent, or teacher.
  5. Learn how to tell when an action is based on behavior vs. when it is based on fear and not understanding and how to treat the differences.

Educational Credits:

1.25 contact hours.  Certificates will be awarded.

Recognized by the NY State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapy assistant continuing education.   Approved for .125 CEUs. 

TSI is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. Approved by AOTA for .125 CEUs.

Cost:

  • $80.00; includes DVD, post-test, and certificate of completion  
  • $65.00 when ordering 4 or more DVDs (does not include 2-volume DVD sets)
  • Each additional viewer wanting CEUs: $25.00; includes post-test and certificate of completion.

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PLEASE NOTE: Certificates of completion will only be issued upon completion and return of post-test to TSI.

Questions?

Contact us through any of these methods and we will be happy to answer questions you may have about any aspect of our courses.

Therapeutic Services, Inc.
2409 Avenue K
Brooklyn, NY 11210
email: tsi@therapeuticservices.org
Phone: 718-692-1929
Toll Free: 1-888-7-THERAPY
Fax: (718) 338-3393

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