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Foreword | xv | |
Preface | xix | |
Acknowledgments | xxiii | |
Part I. | Theoretical Foundations | |
1. | Sensory Integration Revisited: A Philosophy of Practice | 3 |
Dr. A. Jean Ayres | 3 | |
Sensory Integration: A Foundation for Occupation | 5 | |
Assessing Sensory Integrative Functioning: A Guide to Intervention | 14 | |
Using a Sensory Integrative Approach for Children With Developmental Disabilities | 16 | |
Outcomes and Effectiveness of Intervention | 20 | |
References | 23 | |
2. | Neuroplasticity and the Environment: Implications for Sensory Integration | 29 |
The Organism-Environment Interaction | 29 | |
Brain Growth: A Protracted Process | 31 | |
Genes and Environment | 31 | |
Synaptogenesis and Synapse Elimination | 32 | |
The Role of Neural Activity in Synapse Connectivity | 32 | |
The Role of Behavior on Synapse Modification | 35 | |
Experience-Dependent Cortical Plasticity | 35 | |
The Effects of Prenatal Stress on Function | 37 | |
Alcohol and Stress During the Prenatal Period | 38 | |
Implications for Sensory Integration | 38 | |
References | 40 | |
3. | Developmental Neuroplasticity: A Foundation for Sensory Integration | 43 |
Mammalian Mothers and Infants as Dynamic Systems | 43 | |
The Mother-Young Relationship in Animals | 45 | |
Maternal Deprivation | 47 | |
The Bridge Between Science and Practice | 48 | |
References | 54 | |
Additional Readings | 55 | |
4. | An Ecological Model of Sensory Modulation: Performance of Children With Fragile X Syndrome, Autistic Disorder, Attention-Deficit/Hyperactivity Disorder, and Sensory Modulation Dysfunction | 57 |
Defining Sensory Modulation | 57 | |
The New Theoretical Model | 59 | |
Study Protocol | 62 | |
Instrumentation | 64 | |
SMD in Children With Developmental Disabilities | 67 | |
Moving From Data Back to Model | 77 | |
Limitations of This Study and Additional Questions | 77 | |
References | 79 | |
Appendix 4A | Definitions of Terms | 83 |
Appendix 4B | Sensory Challenge Protocol | 85 |
5. | From Neuron to Behavior: Regulation, Arousal, and Attention as Important Substrates for the Process of Sensory Integration | 89 |
Processes of Regulation | 89 | |
Sensory Integration and Regulation | 90 | |
Neuronal Basis of Regulation | 92 | |
Neuroanatomic Components of Regulation | 94 | |
References | 106 | |
6. | Proprioception: A Cornerstone of Sensory Integrative Intervention | 109 |
What is Proprioception? | 110 | |
An Emerging View of Proprioception: Discriminative and Modulatory Functions | 113 | |
A New Framework for Understanding Proprioceptive Dysfunction | 114 | |
The Use of Proprioception in Intervention | 118 | |
References | 122 | |
Additional Readings | 124 | |
7. | The Evolution of the Concept of Praxis in Sensory Integration | 125 |
Evolution of the Concept of Motor Planning as it Relates to Sensory Integration | 125 | |
Support for the Relationship Between Praxis and Sensory Integration | 127 | |
References | 130 | |
8. | Praxis, Motor Planning, and Motor Learning | 133 |
Redefining Praxis: From Clumsiness to Developmental Dyspraxia to Developmental Coordination Disorder to Specific Developmental Disorder of Motor Function | 134 | |
From Idea to Action | 137 | |
Research on Information-Processing Accounts of Motor Planning | 147 | |
Motor Learning Based Intervention Strategies | 154 | |
References | 158 | |
9. | A Theoretical Model of Ideation in Praxis | 163 |
Defining Ideation | 164 | |
A Proposed Model of Ideation in Praxis | 169 | |
References | 179 | |
10. | Praxis and Organization of Behavior in Time and Space | 183 |
Basic Concepts of Praxis and Organization of Behavior | 184 | |
Temporal and Spatial Aspects of Organization of Behavior | 186 | |
Integrating Space and Time to Organize Behavior | 190 | |
A Conceptual Model of Praxis and Organization of Behavior | 194 | |
Applications to Occupational Therapy | 196 | |
References | 199 | |
Additional Readings | 200 | |
Part II. | Clinical Applications | |
11. | Clinical Reasoning and the Use of Narrative in Sensory Integration Assessment and Intervention | 203 |
Introduction | 203 | |
Clinical Reasoning as it Looks in Action | 204 | |
Clinical Reasoning in Occupational Therapy | 206 | |
Applying Principles to Sensory Integration | 207 | |
References | 213 | |
12. | Assessment of Sensory Integration and Praxis | 215 |
Evaluating Sensory Integration and Praxis Within the Context of Occupational Therapy | 216 | |
References | 230 | |
Additional Readings | 234 | |
Appendix 12-A | A Few Words About Formal Evaluations | 235 |
Appendix 12-B | OTA-Watertown Clinical Assessment Worksheet | 237 |
Appendix 12-C | Structured Clinical Observations: Application to Diverse Populations | 243 |
Appendix 12-D | Overview of Selected Sensory Integration Assessment Instruments | 245 |
13. | Clinical Applications in Sensory Modulation Dysfunction: Assessment and Intervention Considerations | 247 |
The Ecological Model of Sensory Modulation | 247 | |
The Assessment and Intervention Process in SMD | 248 | |
References | 264 | |
Appendix 13A | Description of Assessments Used in Evaluation of SMD at the STAR Center at The Children's Hospital in Denver, CO | 267 |
Appendix 13B | SMD Behavior During Testing Checklist | 269 |
Appendix 13C | Parent Interview for Children With SMD | 271 |
Appendix 13D | Sample Goal Attainment Scale for Kamon | 273 |
14. | Sensory Integration With High-Risk Infants and Young Children | 275 |
The Unique Opportunities and Challenges of Infancy and Early Childhood | 275 | |
A Model for Viewing the Infant From the Sensory Integration Perspective | 277 | |
Problem Setting: Assessment of High-Risk Infants and Young Children With Sensory Integrative Dysfunction | 284 | |
Basic Principles of Sensory Integrative Intervention for Infants and Young Children | 293 | |
Using Play With Young Children | 295 | |
References | 296 | |
Additional Readings | 300 | |
Appendix 14-A | Selected Assessment Instruments | 301 |
Appendix 14-B | The Sensory Integration Observation Guide | 307 |
15. | Sensory Integration and Visual Deficits, Including Blindness | 313 |
The Holistic Nature of Vision | 313 | |
Visual Components | 315 | |
Functional Vision Deficits | 318 | |
Visual Dysfunction in Children With Disabilities | 318 | |
Role of Sensory Integration in Vision | 321 | |
Ramifications of Severe Visual Impairment and Blindness | 333 | |
Using Sensory Integration Intervention Principles With Children With Visual Impairment and Blindness | 336 | |
Sticking Points | 341 | |
References | 342 | |
16. | Sensory Integration and the Child With Cerebral Palsy | 345 |
Clinical Picture of Sensory Processing Deficits in the Child With CP | 346 | |
General Principles of Assessment and Intervention | 347 | |
Specific Sensory Processing Deficits Presented by Children With CP | 351 | |
References | 363 | |
17. | Sensory Integrative Principles in Intervention With Children With Autistic Disorder | 365 |
Definitions and Incidence | 365 | |
Current Research | 366 | |
Relevance of Sensory Integrative Theory to Autistic Disorder | 368 | |
Assessment, Intervention, and Measurement of Outcome Continuum: Case Example | 377 | |
Comparing Sensory Integration to Other Approaches | 380 | |
References | 382 | |
18. | The Effects of Deprivation on Processing, Play, and Praxis | 385 |
Factors Needed for Development | 386 | |
Institutionalization: The Effects of Deprivation | 387 | |
Prognosis | 399 | |
Intervention | 399 | |
Intervention Strategies and Implications of Research for Intervention | 403 | |
References | 404 | |
Additional Readings | 408 | |
19. | Sensory Integration and Fragile X Syndrome | 409 |
General Characteristics | 410 | |
General Behavioral Challenges | 411 | |
Sensory Processing Characteristics | 412 | |
Assessment | 413 | |
Intervention Options | 414 | |
References | 420 | |
20. | Transformative Occupations and Long-Range Adaptive Responses | 421 |
Seeking Enjoyable Experiences for Their Sensory Value | 422 | |
Restorative Niches | 423 | |
References | 431 | |
Additional Readings | 433 |
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