As part of the treatment of Valen, since March last year we started with Occupational Therapy. It was his music therapist
which we suggested that we had an evaluation with Leonine, occupational therapist who works at the center than she is. We said that in meetings he had with him, I was struck by the fact that when encountered or when hit, got up and continued the activity as if nothing had happened, without complaining, without touching on the site of stroke with minimal gesture of pain.
When I said what I said that I felt the same, as well, great apprehension or disgust with certain textures.
In the former handling time did not stand for long weight or get your hands dirty with paint or foam or whatever you hands dirty. I commented that this situation had improved over time thanks to the Garden, because when started in 2008 there was no way to convince him to play these materials with their little hands. But despite this improvement, by which at that time conversing with her and we had managed to touch and manipulate each of these things, still had difficulty doing so without putting a face of total disgust and without asking her way (it still did not speak) to us to run to the bathroom to wash his hands.
After an evaluation by Leo their current occupational therapist, started this type of therapy, to help and complement each other. Started going twice a week and from day one tremendous wave struck her, allowing you to enjoy every session and every game that Leo intended. We achieved many things this year, as it was (like the rest of their therapies) teamwork, and that while she worked a lot with him in his office, we also indicated a sensory diet us for who we worked with Valen at home at the time of day when we could.
we do things?: You enjoy getting your hands dirty with paint, dough, foam, cream without complaining in the slightest and instead ask for more "enchastre" I learned to brush their teeth, to re-accept other textures in food at lunchtime, and had become super selective and if you tried a meal with a texture disliked (before he was fascinated by the pure and by that time had stopped eating) began to gag, dropped his hyperactivity enough, and what brought me more satisfaction, he began to mourn and complain when he fell or was beaten, began to tell me your little hand where it hurt and even where or against what had been beaten.
wanted to share some exercises that we developed sensory diet Leo its TO, yesterday, to make it for two weeks and after that have passed the same evaluation of the results. Now that 100% start to the garden and all therapies and are more organized with the times, decided to assemble (as did several times in the course of last year) to begin to implement it again at home.
For those who are not sure that it is this sensory diet, or that it is objective, I collected information from two super blogs interesting and VIDEOTECAUTISTA ALTERNATIVE THERAPIES FOR CHILD DEVELOPMENT (to which I have on my list of "Blogs of great interest") where more clearly explained and simple is the sensory integration that is based diet:
"When we talk about the issue of management of" Tantrums "(tantrums, tantrums) mentioned that many people on the autism spectrum have sensory integration problems. Autism is a neurological disorder that affects how a person processes information. Therefore it results in problems of communication, socialization and behavior. The brain of a 80% neurotypical processing of information within the nervous system unconsciously. In For an autistic most of this process information in a conscious way that requires a great deal of cognitive energy and this is one of the reasons that the nervous system becomes overloaded.
defines sensory integration dysfunction as a malfunction of the organization of information within the CNS, which fails to organize sensory input to give the individual a timely and accurate information about himself and his environment. This dysfunction is often reflected in the behavior y en la Coordinación engine.
Some signs of poor sensory integration are:
1 ) Hipersensistividad the touch, light, noise, odors or any reaction to these stimuli.
2) Hyperactivity or inactivity.
3) Learning Disabilities
4) Coordination problems
5) Poor muscle tone
Some related behaviors sensory integration problems:
1) is easily distracted
2) Impulsivity
3) overstimulation
4) tantrums
5) challenging behaviors
There are three basic systems that help us stay connected with our bodies:
Touch System : The sense of touch comes from receptors in our skin and our bodies. Detects changes in temperature, pressure and pain. Very important for survival. It helps us to discriminate textures, shapes and surfaces.
Vestibular System : This consists of sensory organs located in the inner ear. It gives us balance, gravity, motion and spatial direction. Coordinates the movement of the eyes, head and eyes. This sense is essential to maintain muscle tone, coordinating the two sides, and hold head against gravity.
Proprioceptive System: This consists of receptors in muscles, joints and ligamentos.Subsconcientemente shows where each body part located. It enables the person to skillfully guide the movement of your arm or leg without having to observe each of the actions involved in these movements. Allows us to run, walk, climb and do all sorts of movements.
How can we deal with sensory issues?
sensory diet, sensory diet consists of a series of sensory activities planned to be incorporated into the daily routine of the person to help maintain the nervous system organized and focused. As we develop a sensory diet? An occupational therapist uses various scales and assessments to prepare the appropriate sensory diet for the needs of each individual. This complete sensory profiles to identify sensitivities and preferences: I will do the following questions: What kind of stimuli the child want? or avoid? It distracting? It quiet? What activities overstimulate what? Notes to the person) favorite games (running, jumping, singing) b) self-stimulation "stimming" (turns, rocking, vocalizing) c) where this annoying (bite, pull, scream) d) as quiet nn (wrap in blanket, massage, rocking, singing).
For Valentine, TO not put together a diet based on your needs. In your case more stimulation systems needed was (and remains) the tactile, vestibular and proprioceptive. Here I'll list some exercises or activities that gave us to help in these areas:Activities to work the touch system:
- Wilbarguer Protocol (brushing): Used to do a soft bristle brush. We recommended that our OT is a "surgical brush." They are available in the homes that sold medical instruments or surgically (for those in federal capital, is achieved in the area d Faculty of Medicine is full of these houses):
Usually this type of technique has to be made prior to the activity that is used to stimulate the manufacturing area. It is also very good for calm when they're anxious or have days of extreme hyperactivity and also at bedtime helps them relax a lot.
- Play shaving foam, this can be done on a desk or sitting on the floor. Quiet shaving cream does not stain, haha! ... This helps a lot to stimulate the tactile system and find it, once you adapt to the texture, fun.
- Play dough: it's good that they are of various colors, and work to exploit these concepts. Encourage you to create different things: balls, chorizitos, snake, coil the above for a snail. You can also get mold or cutting of different ways to make the dough, ESTEC to cut different sizes, etc..
- talcum Game table: TO did not give her a very original idea considering how much Valen likes playing with cars, sprinkle the powder on the table and create (using them) a track to pass and cars again for her, if reassembly is disarmed, always encouraging them to use their little hands to feel the texture.
- game table with cream and polenta, this really is pure enchastre ... I remember that at first tolerated Valentin playing with cream, but not the texture that results when Leo cream mixed with the polenta (cornmeal .) Gradually he was accepting the texture and contentísomo now asks: "more polenta, rain !!!", haha!, So that as rain adds more polenta where the cream container. They can help you encouraging them to paint their hands with this mixture and then say, "Well, now you get to paint you a vos", and smeared a little hand.
- Play the sandbox of the square: In addition to love going to the place by the games that also stimulate the vestibular manufacturing area (we'll get to it) is good to bring Baldecitos and casts and even shovels or truck or assemble cars and tracks in the sand ... A Valentine loves the latter. Thanks to the work he did with Leo, this year when we went on holiday to the coast, played a lot with his toys in the sand on the shore, wet and dry sand. Thing the previous year could not achieve much because he was disgusted even walk barefoot on it.
Activities to work the vestibular system:
- Jump on a trampoline. Already told us This year we try to buy it one, although the lack of space limits us somewhat, but we'll see.
- Paraguayan Hammock: We at home do not have, but I put this activity because it is something she does a lot with Valen in his office and that he loves. If you have the possibility is very good exercise, because in addition to stimulating this system, very relaxing. Turn it to stimulate the proprioceptive system when you lay in the hammock he puts on his little body a kind of snake (made with very long half filled with balls) and encourages him to Valen to hug to "Margarita", so named the snake made a half, lol ... And it rotates in place, upper legs, torso, back, etc.. Ball
- giant if they have one of these take out his advantage as well; acuéstenlos and move the ball forward and backward, sideways and circular.
- square
- Games: swing, slide, seesaw. Incidentally, besides encouraging them, they have fun a lot.
- or pancake pancho Game: in a pouf or bedtime with a thick blanket in the center and wrap. Encourage them to want to get away, roll up and roll them forward and backward. Skip
- balls with firm pressure on the body.
- Feed them grain and a drink (preferably more thick like yogurt) to make sorbet.
- resistance
- rope game, putting one at each end pulling to one side and encourage them to pull them then to his famous game of the boat.
- cocontraction in proximal joints, arms and legs. This helps to organize the activity table (paint, foam, body cream and any other texture).
To close the topic I will copy some tips (also taken from "Videotecautista") about how and where carry out these activities:
1. Choose a place in the home free of distractions. You can use a small rug or several towels to define the work space. Prepare a "nest" with blankets and pillows where niñopueda going to calm down or relax during the day.
2. Keep the level of the person to speak, watching him in the face. Wait for eye contact.
3. Tell the person what to do before starting each activity beforehand
4.Prepare materials used. Keep it handy and let you control where the use of them.
5. Calmly wait the answer of the person. Allow time to process information
6. Use tact, touching it firmly to the attention of the person.
7. Make short work of a few minutes, and then gradually increasing the time of the activities until it can be an hour a day working with the person.
8. Avoid giving the same activity just because the person likes. Vary activities often
9. Celebrate every small achievement!
10. Include a short break of 5 to 10 minutes during the daily routine or the school routine for sensory activity for best results.
also leave the link to a slide from the same site showing examples of objects used in sensory diet:
http://videotecautista.blogspot.com/2008/05/ejemplos-de-objetos-usados-en-la-dieta.html
I hope you find it useful!.
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