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Sensory Integration Training

What is Sensory Integration Dysfunction/Disorder?

Sensory Integration Dysfunction is the inability of the brain to correctly process information brought in by the senses. Sensory Integration Dysfunction (SID/DSI) or sensory processing deficits can come in many different forms. No two children will be affected in the same ways.

 

SID/DSI was first noticed in children with autism or who had autistic traits, but is also seen in children with other disabilities such as cerebral palsy or ADD/ADHD or can be present by itself. Children can have mild, moderate or severe SI deficits. SID/DSI is treatable with therapy by an occupational therapist who is trained in SI.

 

Children with SID/DSI can be either hyposensitive or hypersensitive to outside stimuli. For example a child who is hyposensitive to touch will constantly be bumping into things seeking extra stimulation, or have high pain tolerance while the hypersensitive child will avoid being touched or touching things when at all possible, including sensitivity to clothing.

 

SID/DSI can also include children who have processing deficits in one or more areas. Visual and auditory processing deficits are noticed in children with cerebral palsy quite often. When a child has a visual processing deficit, it does not mean that they cannot see. It means that they have a hard time finding the words for objects they are viewing or, if asked to go get an object, they might look right at it and then say they can't find it. This is because they are seeing it, but their brains are not processing that they are seeing it.

 

Auditory processing deficits are the same, the child hears what you say but the brain does not process it so the child understands or it takes several minutes for what you have said to "click" with the child.

 

One way to help with auditory processing deficits is to break down instructions, giving them one thing at a time to do. Let them finish the first task before you give them another instruction. Listening or music therapy can also help with auditory processing deficits.

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Behaviors sometimes exhibited by children with SID/DSI:
Below are just some of the symptoms that children with SID/DSI can exhibit:

  • Loves to spin, swing and jump--this will seem to calm them down after several minutes.
  • Complains of how clothing feels, does not like tags left in their clothing and have to have their socks on just so, or a certain kind of sock.
  • Picky eaters--get stuck on one certain food and it is basically impossible to get them to eat anything else.
  • Oversensitivity to smells. Or undersensitivity -- may sniff people, objects, food.
  • Oversensitivity to sounds--will frequently cover ears. Or undersensivity.
  • May have an exceptionally high pain tolerance
  • May tire easily
  • Unusually high or low activity level
  • Resists new situations
  • Problems with muscle tone, coordination, motor planning
  • Can be very impulsive or distractible.
  • Persistently walks on toes to avoid sensory input from the bottom of the feet. This can also be a sign of cerebral palsy if the child is unable to bring their feet down flat when asked or trying.

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Sensory Integration Training for ADD/ADHD

In a survey conducted by Harris Interactive, 95% of teachers believed that untreated ADHD affects school performance, and 90% of those teachers also believed that untreated ADHD negatively impacts socialization and that children with untreated ADHD tend to be disruptive in the classroom. Children diagnosed with learning or developmental disorders, including ADHD, tend to demonstrate:

  • Poor reading and listening comprehension
  • Poor verbal expression
  • Poor organizational skills
  • Poor memory

It is widely recognized among therapists and educators that there is a correlation between the neurological functions of motor planning and sequencing and critical aspects of human development, including thinking, organizing and coordination.

 

When a child has poor motor planning and sequencing skills, they also tend to have problems in learning, coordination, and controlling their behavior.

Today, with Sensory Integration Training (SIT), it is now possible to measure motor planning and sequencing abilities in children, and measurable improvements can be achieved relatively quickly.

 

SIT has been used for years with children diagnosed with learning difficulties, including ADD/ADHD, and development disorders such as Asperger's Syndrome, Autism Spectrum Disorder, and Cerebral Palsy.

 

In scientific studies, SIT has been shown to improve: attention, concentration, coordination, cognitive processing, reading and math skills, and aggression/impulsivity control.

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Sensory Integration Training for Neurological and Motor Rehabilitation

The effective functioning of the human brain depends on the transmission of neurological signals from one area of the brain to the other. Sensory Integration Training improves brain function in children and adults by taking advantage of the brain's ability to repair itself. SIT works by increasing the speed of those signals along the neuroaxis.

 

SIT offers a structured process wherein the patient synchronizes hand and foot exercises to a precise tone heard through headphones. The patient attempts to match the rhythm of the tones with his/her movements. The patient is provided with a score, and immediate audio or visual feedback.

 

Over the course of the training, patients become able to focus and concentrate for longer periods of time. Additionally, they become better at filtering out internal and external distractions, and they improve their awareness and monitoring of mental and physical actions.

 

Sensory Integration Training (SIT) was initially developed to help children with learning and developmental difficulties. It was discovered that children using SIT were able to improve their attention, concentration, coordination, reading and listening comprehension, and impulsivity control.

 

After years of research, SIT began to be used as part of a therapy program for older patients who had suffered from a stroke, brain injury, amputation, or had been diagnosed with Parkinson's.

 

In addition to showing marked improvement in children diagnosed with ADD/ADHD, SI, and Autism Spectrum disorders, SIT is also being used successfully to treat adult patients with difficulties in the areas of planning, sequencing, speech, cognition, balance, endurance, and motor coordination. SIT has been shown to improve balance, gait, coordination and motor control, physical and mental endurance, and communication.

 

SIT is also being effectively utilized as an integral part of rehabilitation programs for developmental disorders, stroke, amputation, brain and neurological injuries or disorders, and balance disorders.

 

How SIT Works

Sensory Integration Training (SIT) is designed to improve brain performance and recovery. SIT uses neurosensory and neuromotor exercises to improve the brain's ability to repair itself.

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Who Uses SIT

Because SIT improves the core brain functions of motor planning and sequencing, it is being utilized by occupational therapists, physical therapists, and speech therapists to achieve positive results with their patients, especially in the areas of motor function, coordination, balance, endurance, strength, sensory integration, communication, attention, concentration, and comprehension.

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Research (Reprinted from Interactive Metronome website)
ADHD Study
A double-blind, placebo-controlled study of 9 to 12-year-old boys diagnosed with ADHD found those undergoing SIT procedures showed significant patterns of improvement in attention, coordination, control of aggression/impulsivity, reading and language processing. This study was published in the American Journal of Occupational Therapy, March 2001.

 

Motor Control Study
A comparison of a group of special education students who received SIT techniques to a control group found the SIT group improved significantly in both motor control and motor coordination as measured by two independent tests (Bruininks-Oseretsky and SIPT Motor Accuracy).

 

Timing in Child Development Study
A correlation study of 585 children in a public school district found significant correlations between SIT score and academic performance in reading, mathematics, language, science, social studies, and study skills. The researchers concluded that timing and rhythmicity play a foundational role in the cognitive processes underlying performance in these academic areas. The results were published by the High/Scope Foundation, a non-profit educational research institution.

 

Academic Fluency Study
More than 1500 middle and high school students were pre-tested using selected subtests of the Woodcock Johnson III (WJ III) standardized test. The students then received 12 one-hour sessions of SIT. When the SIT procedures were complete, the students were post-tested using the same subtests of the WJ III. Analysis of the aggregate results showed statistically significant increases in students' grade equivalent (GE) performances in the following areas:

. Reading Fluency increased by 2.25 (GE)
. Math Fluency increased by 1.7 (GE)

 

High School Academic Study
The largest public school in Florida conducted a controlled study of 360 ninth and tenth grade students to examine the correlation between improvements in students' timing and academic achievement. Post-test results showed the SIT group scored significantly higher in broad reading and reading fluency as compared to the Control Group. Those students' math calculation skills, math fluency, and attention also improved significantly.

 

Title I Study
This study involved fourth and fifth grade students identified as Title I eligible and scoring in the lowest three stanines on the reading subtest of Stanford Achievement Test Edition Nine. Forty of the students participated in 12 sessions of SIT training. Forty other students formed the Control Group and were matched to Research Group students on the basis of School Ability Index scores from the Otis Lennon School Ability Test.

  • The Research and Control Groups were both pre-and post-tested with the Woodcock Johnson III reading and math fluency subtests. The Research (SIT) Group achieved significantly higher post-test reading fluency performance (1.67 grade equivalency higher) than did the Control Group.
  • The STAR reading assessment was also administered pre-and post-training. The results of the SIT -treated students demonstrated increases averaging one to two grade levels.
  • The students' pre and post-training Stanford Achievement Test Ability-Achievement Comparison (AAC) range standings were also reviewed. As a group, the students in the SIT Group increased their AAC range standing from Low (achievement is below ability) to Middle (achievement is at ability level) or High (achievement is above expectations). The Control Group, on the other hand, either remained at the Low or Middle range or decreased from Middle to Low.

*Title I is the largest federal aid program for elementary and secondary schools.

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For additional information, call the
Attention & Achievement Center at 925-416-1400


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