Exam 25: Sensory Processingintegration and Occupation

Henry, a 9-year-old boy, complains of how his new school clothes feel, hates noises in the car, and is easily irritated at school by all the movement of his classmates.Henry becomes car sick easily.He is a very picky eater, stating that he does not like the smell and taste of many foods.Which type of deficit do these findings represent?

Why does the COTA provide a new activity on the swing during the treatment session using a sensory integration approach?

Which statement describes the principles of sensory integration intervention?

Which activity would best work on Stewart's poor shoulder co-contraction and endurance?

During a sensory integration session, Ryan, a 10-year-old boy, suddenly becomes quiet, forgets the object to the swinging game he is playing, and stops playing.What do these behaviors suggest?

Charlie, a 10-year-old boy, is unable to ride a bicycle.He has poor balance and low muscle tone throughout and does not cross midline.His teacher reports that he sits slouched in his seat and has difficulty reading across the page.Charlie has difficulty copying words from the board.Which type of deficit do these findings represent?

A student observes the session.She decides to instruct Stewart on the techniques of playing soccer.She provides Stewart with verbal and demonstrative instructions on the skills needed for soccer.They go outside and play a game of soccer.According to OT theory, what is true of this session?

Charlene, the COTA, talks with 11-year-old Bob about strategies that may help him in the classroom and at home.Why does Charlene choose to do this?

Tracy is a 5-year-old girl who is unable to get on a tricycle.She tries, but even after directions and demonstrations, Tracy ends up backward or sideward on the seat and is unable to understand how she should be positioned.Which term most closely describes Tracy's difficulties?

Which statement most closely represents the role of the Certified Occupational Therapy Assistant (COTA) in sensory integration (SI) intervention?

What is thought to be the cause of SI dysfunction?

Which statement best describes the focus of sensory processing intervention?

What is SI?

Multiple choice questions 4 through 6 are based on this case study.Stewart is a 9-year-old boy who is having difficulty in school.Stewart shows an aversion to being touched and is uncomfortable with movement.He has poor penmanship, is unable to keep up with his friends on the playground, and shows poor self-esteem.Stewart has low muscle tone, a positive asymmetric tonic neck reflex in standing positions, difficulty tracking objects, and associative reactions.He has poor shoulder co-contraction and endurance.He wants to play soccer at recess with the other kids. The occupational therapy (OT) practitioner who is treating Stewart begins the session by playing swinging games in the net and inner tube swings.Together, they design an obstacle course, and Stewart hits balls with his head and runs around the course.Stewart jumps on a miniature trampoline and tries to make baskets.Stewart ends the session by participating in a finger-painting activity.What type of treatment approach does this describe?

COTAs can become certified in the administration and interpretation of the Sensory Integration and Praxis Tests (SIPT).