The assessment findings above indicate an underlying sensory integrative dysfunction. Kianah’s

1600 WordsApr 23, 20197 Pages
The assessment findings above indicate an underlying sensory integrative dysfunction. Kianah’s functional difficulties and presenting problems referred to throughout this protocol are an end result of inefficient and irregular sensory processing of specific sensory information by the brain. Ayres (2005:54) believed that, although the integration of sensory input develops together, some functions lead up to others and that there are many processes involved in integrating sensory information. The first level of integration occurs when the five major sensory systems are stimulated adequately and their impulses travel from the receptors to the brain. Integration primarily occurs within the vestibular, proprioceptive and tactile systems at…show more content…
Although she does not appear to be over- or under-responsive to proprioceptive input, she struggles to accurately receive proprioceptive feedback from her muscles and joints. She compensates for this by relying heavily on her vision to perform tasks with her arms and legs. Functionally, this impacts on her ability to accurately grade the force needed for gross and fine motor movements and develop an adequate sense of her body position in space. “The second level of integration is reached when the three basic sensations – tactile, vestibular, and proprioceptive – are integrated into body percept, coordination of the two sides of the body, motor planning, activity level, attention span, and emotional stability (Ayres, 2005:54). Although Kianah’s vestibular system is processing input efficiently, her tactile and proprioceptive systems are poorly integrated leading to inefficient somatosensory processing. This leads to several other difficulties and forms the underlying basis for her somatodyspraxia. Children with somatosensory deficits struggle to development a sense of body awareness or body scheme, and this affects praxis (Fisher et al., 1991:125). As a result of her inability to process somatosensory input efficiently, Kianah has a poorly developed ‘body map’ or body percept, which in turn, affects her ability to plan and execute novel motor actions. This leads to a somatodyspraxia

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