Combining Neuro-developmental Treatment and Sensory Integration Principles: An Approach to Pediatric Therapy Paperback –
by Tina M. Botticelli (Author) Erna I. Blanche (Author) (Author)
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Combining Neuro-developmental Treatment and Sensory Integration Principles: An Approach to Pediatric Therapy.
Neuro-Developmental Treatment and Sensory Integration
In the early 1980s, a clinician trained in neuro-developmental treatment had the opportunity to observe an evaluation performed by Dr. A. Jean Ayres. The child being evaluated, an 8-month-old girl, had been referred because of delayed motor development. The assessment conducted by Dr. Ayres concluded the following: slow or absent righting and protective reactions, and a 2-to 3-month delay in gross motor development.
Dr. Ayres's proposed explanation for these findings was a dysfunction in the vestibular system: the child did not adjust her posture because she did not register her movements in space and in relation to gravity. The clinician, who perceived the child's problems in a different way, debated Dr. Ayres's findings. The clinician felt that the child had a neuro-motor dysfunction, which interfered with the movement production in response to gravity. Dr. Ayres maintained her position and recommended intervention that incorporated sensory integration (SI) as well as neurodevelopmental treatment (NDT) principles.
The clinician did not hear about the case again until five years later. During those five years, the child received therapy utilizing sensory integration and neuro-developmental treatment approaches. The child had also been diagnosed with right hemiparesis. This diagnosis suggested that the delayed responses could have a neuro-motor base. However, although the neuro-motor deficit was present clinically, the child exhibited signs of severe hyporesponsivity to vestibular/proprioceptive input. The inadequate postural reactions and delayed gross motor development observed five years earlier were probably a result of the vestibular dysfunction rather than the neuro-motor problem.
The above case represents the dilemma that faces therapists when determining the optimal therapeutic intervention to address a child's specific problems. It is important to identify the primary or most fundamental problem hindering normal development before deciding on the most appropriate intervention. The question that guides the assessment process is often, Are the signs of dysfunction primarily due to disorders in sensory processing, neuro-motor functioning, cognitive abilities, or socioemotional well-being? The answer to this question determines the appropriate treatment approaches to be used in the intervention. Sensory integration and neuro-developmental treatment theories provide two important frames of reference that contribute to understanding the child's problems and how they affect the child's functional performance.
Paperback: 175 pages
Publisher: Pro-Ed (1998)
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