Category Archives: Sensory

Saturday Seminar: Sensory Differences and Mealtime Behavior in Children with Autism

Jeanne-Zobel-LachiusaEvidence based practice (EBP) involves the integration of:

  1. Clinical expertise,
  2. Scientific research, and
  3. Patient/caregiver perspective.

The goal of EBP is the improvement of patient outcomes. It holds us accountable for our treatment plans, strategies and outcomes among our peers and other health care professions. According to the AOTA, generating research in the field of occupational therapy is “critically important for advancing the field and ensuring the viability of the profession.”

Jeanne Zobel-Lachiusa, EdD, OTR/L was the featured December Saturday Seminar Series speaker, who shared her research on Sensory Differences and Mealtime Behavior in Children with Autism (AJOT September/October 2015, Vol. 69, No.5).  In summary, the study results helped to identify problem eating behaviors in children with ASD that may be associated with sensory differences. Children with ASD were compared with typically developing age-matched peers. The study concluded that children with ASD who receive occupational therapy that offers sensory strategies might result in less stressful mealtimes.  The findings supported the need for further research in this area of self-care with children who have been diagnosed with ASD.

The seminar attendees were from varied backgrounds, including occupational therapy, speech therapy, special education, social work, psychology, child care, medicine, and parents. They engaged in a lively brainstorming session on sensory strategies in the different sensory domains that might provide mealtimes with less stress for both the child and family. They shared innovative as well as tried and true ideas with the group.

Just a few examples of the many suggestions include ideas for tactile and oral sensitivity:

Hush BuddyFor auditory sensitivity Jeanne suggested:

For children with sensitivity to fluorescent lights that flicker and glare in the cafeteria or classroom, Fluorescent Light Filters, which are magnetic were recommended. Another suggestion was for the student to wear a visor to reduce vision sensitivity.

Jeanne suggested a number of resources for the group including the book, Autism Interventions, and recommended the AOTA website for its user-friendly handouts on mealtime and feeding.

Producing research is essential for validating assessment and treatment strategies. Jeanne shared that her research was motivated by the question of whether interventions are actually effective.  Her current research demonstrated that there was a statistically significant difference in sensory differences and in mealtime behaviors between children with ASD and the typically developing group she tested.  This groundbreaking research paves the way for further studies to investigate specific treatment strategies discussed today for their effectiveness in helping make mealtimes a pleasurable experience for children diagnosed with ASD and their families.

To view Jeanne’s PowerPoint slides, click here.

Following the seminar, attendees provided feedback about the seminar.  Please see a few remarks below:

“It provided an opportunity to review recent literature and share strategies with other therapists.” Kristyn S., Occupational Therapist

“Loved the topic and the format. Jeanne was great!!   Diane H., Occupational Therapist

“Informative, interactive, insightful. It was interesting listening to other OTs experiences and suggestions.”  Sylvia K., OT student

“Helpful to organize sensory treatment with a food tolerance/mealtime behavior perspective.”  Anonymous Occupational Therapist

Thank you, Jeanne!

Filomena Connor, MS, OTR/L

Saturday Seminar: A Sensory Perspective on Helping Adolescents and Young Adults Learn to Deal with Difficult Emotions

Karen_MooreKaren Moore, OTR/L presented a superb seminar on Saturday entitled: A Sensory Perspective on Helping Adolescents and Young Adults Learn to Deal with Difficult Emotions. Working in the area of mental health has been Karen’s passion and career focus.  She is a highly respected and renowned therapist in her area of practice. In her seminar, Karen shared information from her most recent publication of The Sensory Connection Program called The Sensory Connection Program: Curriculum for Self-Regulation, which teaches self-regulation skills through the use of sensory strategies and social engagement. It was evident from her creative and heartfelt approach that her clients benefit greatly from her knowledge and experience. Today she focused on the emotionally charged years of middle and high school, when students benefit from learning fun and engaging strategies to help them deal with emotions. She described how to teach adolescents to recognize signs that they are having emotional difficulty, how to teach them to seek help, and how to help them learn to use effective self-regulation skills.

Karen’s discussion of the value of mastering self-regulation made good sense; when an individual is able to cope with emotions, he/she is able to “tune back in” to the self, which in turn results in being back in control and greater self-confidence.  She emphasized that without mastery of self-control, it would be difficult for an individual to explore new adventures including higher education, travel, or entering the job market. When applied to adolescents, whose pre-frontal cortex and cerebellum are still developing, the need for learning self-regulation strategies is crucial.

Sensory Connection ProgramWhen Karen reviewed the evolution of the stress response, it was easy to see that the vagal level of “freezing” when confronted by a stressor is not a useful response because it results in being overwhelmed by fear.  In the next level in the hierarchy she explained how the sympathetic “fight or flight “ response is more effective than the “freeze” response, but has a long recovery time.  The optimal response to stress involves appraisal of the situation and communication, which promotes a calm state. She shared research evidence that shows that adolescents who have experienced trauma respond with more primitive responses, have difficulty with communicating verbally, and are more reliant on sensory responses than cognitive strategies for coping. Teaching adolescents self-regulation skills prevents them from resorting to the dangerous lower levels of the hierarchy when responding to stress.

Karen employed some of techniques for calming with her audience today, including several different ways of using deep breathing as a group activity, resulting in a feeling of socialization and engagement.  The pneumonic “Pause – Connect – Engage” helps adolescents to “short-circuit” fear by signaling them to stop and think what made him/her upset, make a social connection by reaching out to someone trusted, and then do something positive that helps, which may be tool-based or non tool-based, i.e. squeeze a ball, do deep breathing, exercise, use a fidget, etc. The group tried out several calming strategies, but one called “seaweed” which involved rooting the feet on the floor and swaying gently and slowly with body and arms, was simple and effective immediately.

Karen guided us in learning how to avert a crisis by helping adolescents gain self-control with the use of a variety of sensory strategies that can be personalized.  The strategies are highly effective for the teen population, but can be valuable tools for any individual who is in a state of emotional distress.

Here’s what attendees had to say about Karen’s seminar:

“As a pediatric OT at elementary school level, learning about sensory curriculum at adolescent level guides me in treatment.  Really enjoyed Karen’s stories/real examples to associate to curriculum.” Jen M., Occupational Therapist

“This topic is relatable to everything I do as a COTA. It ties emotions and sensory input. Every student I work with will benefit!” Beth M., COTA

“Very informative.  Wonderfully explained with explanations in brief & practical exercises to experience.”  Rajini K., Parent

“I would recommend this seminar to a colleague because of the scientific/physiological information, therapeutic activities, and hands on demonstrations.  Very knowledgeable speaker.  Excellent examples.” Joann W., Occupational Therapist

“Useful information for sensory techniques to calm/alert children effectively. New concept/less traditional routes for sensory strategies.” Megan Z., OT student

Thank you, Karen!

Filomena Connor, MS, OTR/L

Therapro’s Free Activity of the Month: Watch them bloom with this Sensory Flower!

By: Diana V. Mendez-Hohmann

Working on arts and crafts provides opportunities to incorporate different skills. Normally we look for the practice of physical skills such as:

Bilateral Integration- The ability to use both sides of the body together in a smooth and coordinated manner.

Eye-Hand Coordination- The efficient teamwork of the eyes and hands.

Motor Planning- The ability to conceive, organize, sequence and carry out an unfamiliar body movement in a coordinated manner.

Fine Motor- Refers to movement of the small muscles of the fingers.

But what about the “invisible” skills? Skills like sensory feedback and perception. Prior to working on a craft, break it down and analyze all the ways your child will incorporate skills- visible and “invisible”.

The smells, sounds and feels of a craft are a huge part of the process. Use the opportunity to encourage exploration and introduce new sensations.

Prepare for the activity

You will need:

  • Glue dots
  • Glue
  • Scissors
  • Dessert size paper plates
  • Scented Markers
  • Foam Stickers (or your decoration of choice)
  • A shoe box or Canvas frame
  • Scarf Hanger (in shape of flower)

Assorted Textures (your choice, below is what we used):

  • Fuzzy Fabric
  • Sponge
  • Pom Pom Balls
  • Shredded Paper
  • Ribbon
  • Sand Paper

Steps

  1. Cut a hole a slit the top of the frame in the center.
  2. Place scarf hanger in the back of the canvas frame, and pull hanger through slit.
  3. Use glue dots to secure the scarf hanger in canvas.
  4. Use the scented markers to color the areas that won’t have texture.
  5. Cut dessert plate in half and roll, use glue dots to affix. Wrap fuzzy fabric on the small roll, use glue dot to affix. Repeat this step for any texture that needs to be rolled such as the ribbon.
  6. Glue the sponges in the next empty space.
  7. Cut a piece of the paper plate to fit a large space and blue it in the next space available. Glue pom pom balls into this. Repeat this step for small shapes and textures that need to be glued in place such as the shredded paper.
  8. Roll sand paper to fit a large space and glue it in the next space available.
  9. Use half of dessert plate and roll, use glue dots to affix. Wrap ribbon on small roll, use glud dot to affix. Place rolled ribbon in the last large space.
  10. Cut a piece of the paper plate to fit the center space and glue it in. Glue small pom pom balls into this.
    Decorate around the flower as desired.

Don’t forget to make it a multi-sensory experience.

  • Go outside for a spring nature walk.
  • Sing songs or nursery rhymes about flowers. (Mary Mary Quite Contrary, Ring Around the Rosie, The Mulberry Bush)
  • Have your child smell different flowers.
  • Make a small indoor garden.

Send us a picture of your Sensory Flower, or post it on Facebook or Twitter with the hashtag #Therapro