The SPM & SPM-P Quick Tips Diana A. Henry, MS, OTR/L, …€¦ · The SPM & SPM-P Quick Tips Diana A. Henry, MS, OTR/L, FAOTA 2014 © Henry OT Services Inc. 46 Facebook: Henry Occupational

The SPM & SPM-P Quick TipsDiana A. Henry, MS, OTR/L, FAOTA

2014 © Henry OT Services Inc.www.ateachabout.com 41

Facebook: Henry Occupational Therapy

Create opportunities for movement on belly, muscle and

pressure touch input

At home:

192

Provide opportunities for proprioception I encouraged parents to find playgrounds

193

Circle time challenges:

1:00

Attempts to trace numbers in the air

Is unsuccessful even when assistant attempts to provide hand over hand assistance (1:00)

Imitation of Postures

Sequencing

194

Initial SPM-P: 2-09

No movement: generic seating195




196

Integrated sensory activities in the classroom

Difficulty motor planning to lie

on her stomach

Has to ask ‘How do I get

out? Classmate joins in

198

Two months post 4-09

Teacher: “She now traces actual numbers

To help with sequencing too, we verbalize and ask…

What do we do next? Now what do we do?”

199

Teacher:

“Better able to attend and sequence rhymes because of the sensory input we now provide -- chair ball, t-stool, rocking chair, etc to sit on”

Two months post 4-09

200




Two months post 4-09: SLP email

Ability to sequence 2 to 3 cards has improved

Just weeks prior to your visiting us at the clinic, she did not exhibit even the slightest ability to do this.

Now able to act out 2 or 3 card scenes

201

Re-test team meeting 4-17-09mother

SPM-P promoted understanding re challenges with…

SequencingRiding a bike

Dressing

Potty trainingRiding bike

Put in a swing set at home202

One shoe off

Challenges:

• My tot does not appear to notice when she has to go to the toilet.

Did you know?

• Your tot must be able to receive and interpret sensory information from her body that signals a full bowel or bladder.

• Sensory information from bowel & bladder is subtler than from other muscles. 203

Safety First!

Consider medical influences

An infection can cause discomfort with urination and can lead to ‘holding it’

Dietary issues and illness can cause constipation or diarrhea

Talk to your tot’s doctor, nutrition specialist or registered dietician

204




Potty Pleasers

Movement Tools

Use tools such as jumping on a mini tramp to develop abdominal control

Muscle Tools

Encourage rough housing, pushing and pulling to help develop overall body awareness

205

Potty PleasersEar Tools

Consider a musical potty or a musical diaper for your under responsive tot (www.tinkletoonz.com)

Linda Veldman’s idea

206

Put your wee in the

waterPee in the potty

Praxis: Ideation 2-09“The ability to create a concept

or mental image of a novel task”

SPM-P items Home Form 73 Has trouble coming up with new ideas during play activities

75 Tends to play the same activities over and over rather than shift to new activities when given the chance

SPM-P items School Form69 Requires props (cell phone) to engage in pretend play

67 Has trouble coming up with new ideas during play (Never wears dress up clothing)

207

Some Ideation items and QTs

208




Re-test Team meeting 4-17-09teacher

SPM-P Praxis (Ideation)

“Creativity has blossomed…she

is putting on clothes and

playing different parts”

209210http://www.wpspublish.com/store/p/3222/spm-and-spm-p-quick-tips-qt

Some of Diana’s favorite tools

89RollEase: Touch Pressure

Turtl: Many uses !

212

Standing balanceTouch pressure




213

Sit…balance…rock

Prone extension

214

Jump and run…

Elastablast: Many possibilities!

Standing: Lean, pull, rock

– Run to other side, spin, move in circle, launch

Sitting: Lean, pull and push

– Sway together, group sit ups

See Teen webinar via School Specialty

215 216

Get inside……….also proprioception for runners




217

“The SPM Quick Tips have had a

great impact on his

education and his life!”

(Mrs. Malone, 1st grade teacher

3-15-13) Thank you Sechrist Elementary

SPM Quick Tips: JohnJanuary –March 2013

Main Classroom

218

Main Classroom Jan 2013

o Sitting so has to turn to see board & teacher

o Desk too high

o Hands in front of eyes

o After loud “Mathew”, grimaces

o Head on table

o When teacher says his name, no response

o Leans over, to the side, under (almost falls out)

o Rocks in his chair 219

Struggles in Music

220

Tired?Seeking touch pressure?

Are the sounds disorganizing?

Strategies used: 1.Take

away recess

2.Send to principal’s office




Clinical observations in school: Prone extension and flexed supine

221

Home

222

Climbing

and Legos

Happy at home

But sounds

are too loud

Initial SPM test scores

JohnMain Classroom

223

TOT Raw = 95SD = 72

% =98 to 99 % do better:

1to 2 percentileMaterial from the SPM copyright © 2007 by

Western Psychological Services. Reprinted for scholarly and professional presentation by

permission of the publisher, WPS. All rights reserved ([email protected])

Social participation

Tools for Students DVD

229




230

Sensory Stories Strategy Card Deck

“ I can wear my special headphones, ear plugs or ear buds”

Therapro Inc., 2006

Effectiveness of the Integrated Listening System for Children with Autism and SPD

May-Benson, T. & Schoen, S. (2013)

231

1. Survey of 1174 iLs practitioners on perceived efficacy of the iLs home and clinic programs with 1304 children with autism

2. iLs effectiveness study with 7 children with SPD (ages 4-18)

3. iLs Focus multi-site effectiveness studywith 18 children with autism (ages 5-8)

These studies suggest that iLs is an effective intervention (sensory processing, emotional & behavioral regulation, social communication interaction skills) promoting functional goals.

Cozy Shades, Yacker Tracker , Acoustic Panels

232See 10 Ways to Implement RtI

Using Sensory Strategies

Team Meeting: Jan 11, 2013

233

Student teachers for main classroom and music, 1st grade teacher, private OT, RtI, Diana,

parent, art and PE teacher




234

Difficulty discriminating what is important when presented verbally or by light touch

Protects self by: Tuning out /Turning away

Choosing to be last

Isolating & avoiding crowded situations

Being defiant

Sensory seeking: muscle and movement input

Team education re Over responsivity to touch & to sound

235

Sorted: OR across sensory systems

Using a divider…for others

too

236

Team education re Sensory Seeking

237

When a child is over responsive to touch and to sounds, he may seek movement and muscle input to regulate his state of arousal

Adding muscle input to an activity adds feedback from the body and provides a calming influence




Presses body against wall

238

Loves PE as gets vestibular

proprioceptive input he needs

239

Prop and vestib across environments

Transitions

240Also allowed to wear his coat

241

The tactile system is closely linked to language (ex adult)

Providing tactile (deep pressure touch ) and proprioceptive (muscle joint pushing and pulling) help develop internal body scheme and boundaries

Behavioral programs contribute to boundary development

Team education: Social Participation




“Is there a sensory issue driving the behavior?”

242

Sounds are painful, so he has also learned to ‘tune out’ verbal instructions

He responds best:When provided with visual cues

With headphones

When engaged in heavy work and movement

In quiet cozy spaces

243

Social Participation across environments

Homework on chair ball

245

Using ‘Sounds surrounds

Us’

‘sounds surrounds us’

Hug something heavy when you hear something loud

Chew something chewy when stuck in a crowd

Stick in your ear plugs when you flush away

Crawl under something heavy while the vacuum is on

Swing swing before the mowing’s begun

Fiddle with your hand fidget while the bell’s rung246

let’s sing along




249

HeadphonesCozy quiet space Day care

Batman costume Eating snack

during homework252

Art uses visuals!

255

Can be by himself and in different positions

Cool down area

260

“Daily routines need to be respectful of child’s neurological function” Natasha Kukuk




Combining all the

strategies

Each chose what would

work in their environment

262 263

January initial test (red) March re-test

(black)

SPM Main Classroom

264

Material from the SPM copyright © 2007 by Western Psychological Services. Reprinted for scholarly and professional

presentation by permission of the publisher, WPS. All rights reserved

([email protected])

Progress in many including art &

cafeteria

hearing & praxis

Progress in other environmentsPE: Doing better when time to line up

Art: Follows clean up directions

Cafeteria: Not isolating as much

265Isolates: Jan 2013 With buddy: March 2013

“Best childhood

predictor of school success

issocial skills”

Pat Angermeir




January initial test (red) March re-test

(black)

SPM Home

266

Material from the SPMcopyright © 2007 by Western

Psychological Services. Reprinted for scholarly and professional presentation by permission of the publisher,

WPS. All rights reserved ([email protected])

Scores reflect

learning curve!

Team mtg March 15, 2013‘take home points’

267

Strategies recorded (home, art, daycare, recess, cafeteria, classrooms) pointed to areas of progress on retest

School OT and counselor now joined the team to develop a 504 accommodation plan

Suggestions for summer 2013 1. Participate in an intensive OT/SI program

2. Auditory processing screening & iLs

268

Family Summer Camp

272

Enjoys having his head covered With Dad…No insecurity

Creatives activity: clay




Loves being ‘buried’ in the sand

273Enjoys touch pressure all over

In front of groups

274

Singing ….and sharing what he made

Night: Rough and tumble play

276

“A couple of young guys there led the night group and played really well with him. They let him climb all over them.”

Calming & grounding! • Video clips re our programs

• Webinar links on home page

• Articles/chats including re SPMs

Sensory Tool Kit (Foundation course with Lab) Sensory Tools for Tots: For Toddlers and

Preschoolers Sensory Tools for Pre-teens and Teens Sensory Tools for Infants… Coming Soon

www.ateachabout.comOn Facebook: Henry Occupational Therapy

Ask Rick about bringing us to your community!

Documents

The SPM & SPM-P Quick Tips Diana A. Henry, MS, OTR/L, …€¦ · The SPM & SPM-P Quick Tips Diana A. Henry, MS, OTR/L, FAOTA 2014 © Henry OT Services Inc. 46 Facebook: Henry Occupational