Question 1

What is thought to be the cause of SI dysfunction?&#10;A) Blindness or deafness&#10;B) Traumatic brain injury&#10;C) Central nervous system (CNS) processing dysfunction&#10;D) Genetic abnormality

Accepted Answer

Children who have sensory integrative dysfunction have a cluster of symptoms that are believed to reflect dysfunction in CNS processing of sensory input, rather than a primary sensory deficit such as hearing or visual impairment.

Question 2

Why does the COTA provide a new activity on the swing during the treatment session using a sensory integration approach?&#10;A) To facilitate attention to new sensations.&#10;B) To prevent the COTA from becoming bored.&#10;C) To assure the child that the COTA is in charge.&#10;D) To reduce the structure of the session.

Accepted Answer

The introduction of new toys, sounds, smells, and even movement on a swing provides novelty to the interaction and elicits vigilance to new incoming sensations.Employing novelty does not necessarily mean changing the equipment (the toy) or, in the case of a writing activity, the size, shape, and color of the pen or the smell of the ink or the sound that the pen makes with pressure.Infusing activities with controlled novelty is similar to the way in which novelty is effective in managing sensory modulation disorder; only this time it is infused with opportunities to refocus on the variety of the qualities and characteristics of sensations.Additionally, novel activities should be approached with a variety of materials but not at the expense of needed continuation as expressed or observed.

Question 3

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?

A) Stewart will benefit from this carefully planned session.
B) Practicing a skill is not a principle used by occupational therapists.
C) The student has not fully analyzed the occupations of the child.
D) This is a typical sensory integrative session.

Accepted Answer

The practitioner may use other approaches (motor control/motor learning) if they deem necessary.

Question 4

Which statement most closely represents the role of the Certified Occupational Therapy Assistant (COTA) in sensory integration (SI) intervention?&#10;A) The COTA may not use SI intervention techniques.&#10;B) The COTA may use an SI approach under supervision.&#10;C) The COTA may only perform formal SI evaluations.&#10;D) The COTA may not treat children with SI dysfunction.

Accepted Answer

When an appropriately SI-trained and experienced pediatric occupational therapist is available only on a limited basis (or not at all), the COTA can contribute effectively to promoting sensory processing with practical intervention strategies.

Question 5

Which activity would best work on Stewart's poor shoulder co-contraction and endurance?&#10;A) Walking on a balance beam&#10;B) Spinning in a net&#10;C) Playing &#34;Simon Says&#34;&#10;D) Wheelbarrow walking

Accepted Answer

Observation of the endurance level as well as frustration tolerance, problem solving, and creativity is critical to guiding the intervention session.The OT practitioner adjusts the bar as necessary, raising or lowering it for challenges accordingly.Wheelbarrow walking involves co-contraction and endurance.The other activities may not challenge the child as needed.

Question 6

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?

A) Cognition
B) Constructional praxis
C) Developmental dyspraxia
D) Sensory modulation

Accepted Answer

Developmental dyspraxia: Children with this disorder represent some degree of motor planning difficulty, which is part of the diagnosis of severe developmental delay and is consistent with their development across the board.(a) The first and most fundamental process is the ability to register and organize tactile, proprioceptive, vestibular, and visual input in order to assemble accurate internal cognitive maps of the body and the environment with which the body typically interacts.(b) The second process, which is based on these constructions, requires the ability to conceptualize internal images of purposeful actions, termed ideation in the neuropsychological and rehabilitation literature.(c) The third process is the planning of sequences of movements within the demands of the task and environmental context, including the ability to program anticipatory actions within the next few seconds.

Question 7

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

Accepted Answer

Because of its complexity, only certain licensed rehabilitation professionals with a baccalaureate or graduate degree who have undergone documented rigorous training may administer the Sensory Integration and Praxis Test (SIPT).To become more familiar with the various components of SI evaluation, pediatric OTAs should have a qualified SIPT examiner administer this instrument to them and engage in a reflective discussion of their experiences.This will provide valuable insights about both the process of SI and its assessment.

Question 8

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) Bilateral integration dysfunction
B) Developmental dyspraxia
C) Sensory modulation disorder
D) Postural-ocular disorder

Accepted Answer

Postural-ocular disorder: Other related concerns frequently noted include poor protective, righting, and equilibrium responses during functional movement or clinical assessment and immature gait patterns such as the use of a wide base, with lateral weight shifting of the lower extremities.To compensate for low extensor muscle tone in the upper body, shoulder girdle positioning may be marked by scapular retraction, scapular elevation, and high-guard arm posturing.These postural patterns are typical in normal toddler and early preschool development but usually give way to mature postural organization, smooth bilateral-reciprocal movements, and normal lateral dominance during the period between the ages of 4 and 6 years.

Question 9

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?

A) Bilateral integration dysfunction
B) Developmental dyspraxia
C) Postural-ocular dysfunction
D) Sensory modulation disorder

Accepted Answer

Sensory modulation and discrimination disorders can be found in one or more sensory systems in any affected individual, namely vestibular, somatosensory, visual, auditory, and olfactory/gustatory.Henry is showing discrimination and sensory defensive behaviors (e.g., tactile, auditory, vestibular).

Question 10

Which statement describes the principles of sensory integration intervention?&#10;A) Provide controlled sensory input to elicit an adaptive response.&#10;B) Practice motor movements to repeat patterns.&#10;C) Desensitize the child so she or he can tolerate input.&#10;D) Provide fun and exciting activities to promote playfulness.

Accepted Answer

The central principle of this intervention approach is the provision of controlled sensory input, through activities presented by the therapist, to elicit adaptive responses from the child, thereby bringing about more efficient brain organization.

Question 11

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?&#10;A) Bob can become an active participant in problem solving.&#10;B) Charlene does not have to document the strategies.&#10;C) Bob's parents are not involved in the therapy.&#10;D) Charlene should not be discussing strategies with a child.

Accepted Answer

The answer of Charlene, the COTA, talks with 11-year-old Bob...

Question 12

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?

A) Motor control
B) Sensory diet
C) Sensory integration
D) Sensory modulation

Accepted Answer

The answer of Multiple choice questions 4 through 6 are...

Question 13

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?&#10;A) Ryan is processing vestibular input accurately.&#10;B) Ryan has attention deficit disorder.&#10;C) Ryan is showing signs of sensory shutdown behaviors.&#10;D) Ryan needs more sensory stimulation.

Accepted Answer

The answer of During a sensory integration session, Ryan, a...

Question 14

What is SI?&#10;A) The process of receiving, detecting, and making sense of input from the environment.&#10;B) Planning, designing, and executing movements.&#10;C) Discriminating between different textures within the environment.&#10;D) A fear of height, movement, or textures so that the child is unable to make an adaptive response.

Accepted Answer

The answer of What is SI?&#10;A) The process of receiving,...

Question 15

Which statement best describes the focus of sensory processing intervention?&#10;A) Desensitization of sensory input for tolerance&#10;B) Improved balance and equilibrium&#10;C) Organization of multiple sources of sensory input&#10;D) Organization of tactile input for fine motor skills

Accepted Answer

The answer of Which statement best describes the focus of...

Deck 25: Sensory Processingintegration and Occupation