Posts Tagged ‘Diagnosis’

Sensory Integration Dysfunction – What Is It, Diagnosis, And Treatment

March 20th, 2010



Is your child with autism over responsive to sensation which shows by withdrawing from touch, or getting upset by loud noises? Or is your child under responsive to sensations which shows by hyperactivity, unawareness of touch or pain, and likes loud sounds? Your child may have sensory integration dysfunction, which could be affecting their education and life. This article will discuss what sensory integration disorder is, and also about diagnosis.

Sensory integration refers to our ability to take in information through our senses (touch, movement, smell, taste, vision, and hearing), interpret that information, and respond to it. Sensory Integration Dysfunction (SID) is the inability of the brain, to correctly process information brought in by the senses. People with SID may misinterpret everyday sensory information such as touch, sound and movement.

Below are a few symptoms of SID:

1. Loves to spin, swing, jump-this may calm them down,

2.Complains that some clothing feels scratchy, or doesn’t like tags,

3. Picky eaters-doesn’t like how some foods feel in their mouth,

4.Over sensitive to smells or sounds-may sniff people or food-will frequently cover ears to sounds,

5. May have high pain tolerance,

6. Can be impulsive or distractible.

The Star Center puts out a checklist for Sensory Integration Dysfunction. The Star Center calls it Sensory Processing Disorder (SPD). Below are a few items on the checklist:

1. Difficulty eating,

2.Resists cuddling or holding,

3.Easily startled,

4.Over sensitive to stimulation,

5.Difficulty learning new motor tasks,

6.Constant movement,

7.Overreacts to touch noise or smell,

8.Appears clumsy and stumbles a lot, and

9.Avoids visually stimulating environments.

SID could be affecting your child in many different ways. There are two separate types of SID: Sensory Avoiding and Sensory Seeking. Children with sensory avoiding do not like to be touched or cuddled, they are fearful of fast movement, are cautious and unwilling to take risks or try new things, are very pick eaters and do not like to be in loud or busy environments. Children with sensory seeking can have hyperactivity, unawareness of touch or pain, take part in unsafe activities, enjoy sounds that are too loud.

Children with Sensory Integration Dysfunction may also have motor skill problems. These children may have: 1.Poor fine motor skills, 2.Poor gross motor skills, 3.Difficulty imitating movements, 4.Trouble with balance, and 5.A preference for seating activities, such as video games.

To determine if your child has SID, they should be evaluation by a SIPT qualified occupational therapist (OT). Many school districts hire occupational therapists, but may not be SIPT qualified, and therefore not qualified to test in this area. You may need to advocate for your child to have them tested by a SIPT qualified OT.

Treatment for SID is occupational therapy, by a qualified therapist. Check with your school district to see if there OT has experience with Sensory Integration Disorder. If they do not, consider getting an Independent Educational Evaluation (IEE) with a SIPT qualified OT. Make sure that the evaluator makes specific recommendations on amount of therapy needed, goals and objectives.

By understanding what Sensory Integration Dysfunction is, how it is diagnosed and treated you may help your child. SID can negatively affect your child’s life, but with proper treatment you child can reach their potential.

By: JoAnn Collins

Could the Boder Test of Reading Spelling Patterns Help Determine If My Child Has Dyslexia?

January 3rd, 2010



Do you have a child who is in first grade who receives special education services but is already struggling with reading? Have you been told by special education personnel that you are worrying too soon, and that your child does not have dyslexia? Many school districts have a very narrow view of dyslexia which is harming many children all over the USA! This article will discuss definition of Dyslexia as well as a tool called the Boder Test of Reading Spelling Patterns; that may be used as part of an evaluation, to determine if your child has dyslexia.

The International Dyslezia Association defines dyslexia as: A specific learning disability that is neurological in origin. It is characterized by difficulties with accurate and/or fluent work recognition and by poor spelling and decoding abilities. These difficulties typically result from a deficit in the phonological component of language that is often unexpected in relation to other cognitive abilities, and the provision of effective classroom instruction.

Many school districts do not define dyslexia this way, and many children go undiagnosed, which harms children. Why is this harmful? Because children are not able to get the special education services they need for their dyslexia, if they are not diagnosed properly.

A tool developed in the 1980’s called the Boder Test of Reading Spelling Patterns was designed to specifically aid in the diagnosis of dyslexia. The test is recommended to be included as part of a comprehensive (psychological) educational evaluation.

The test was developed to differentiate between the four subtypes of reading problems; one unspecific reading disability and to classify the three types of dyslexia. The three types of dyslexia are called: dysphonetic dyslexia, dyseidetic dyslexia and mixed dypsonetic/dyseidetic. Dysphonetic dyslexia means auditory dyslexia and Dyseidetic means visual dyslexia, and mixed dypsonetic/dyseidetic means both. Another article stated that this test is also used to provide guidelines for the remediation of all subtypes of dyslexia. This would be extremely helpful to parents and special education personnel.

As part of a comprehensive psychological evaluation the Boder test is helpful in determining if a child has dyslexia. A standardized achievement test like the Weschler Individual Achievement Test including the reading comprehension subtest, requires that the child engage in higher level comprehension, which could also show difficulties in reading. Also testing in the areas of: Speech/Language (receptive and expressive), visual and auditory perception, sensory integration, visual spatial, visual motor integration, occupational therapy, phonological awareness, phonological memory, rapid naming, work finding ability, nonsense word ability, reading comprehension, spelling and written expression will be needed.

All of this information can be used by the IEP team to help determine if your child has dyslexia, and determine type of remediation given. Research has shown that children with dyslexia need a multisensory reading and spelling program that uses a synthetic code emphasis approach. A few names of these types of programs are: Orton-Gillingham, Wilson, and Lindamood Bell, though you may find more by using a search engine such as Google.

Recommend this test to your school district as well as testing in the areas recommended above. You will well be on your way to helping your child learn to read and enriching the rest of their life. Good Luck!

By: JoAnn Collins

My Child has Autism! What is My Role in His Education?

January 1st, 2010



I am the proud mother of two young children that were diagnosed with Autism Spectrum Disorder a few years ago. One is now in grade one and the other will register for kindergarten in the spring.

As a teacher, I already had some experience with IEP (Individualized Educational Plan) meetings which helped me a great deal with my son’s first IEP. I was able to also inform my husband which also did a lot of research on the matter so he was already well prepared to face our son’s IEP.

Over the 17 years of teaching experience that I possess, I soon discovered that most parents tend to lack both information and confidence in their role and what type of services they can obtain for their child.

One of the sad things that I also have learned is that depending on the school, the services vary and if you do not ask for them, you will not necessarily have them offered to you either.

Both my children are situated on opposite ends of the spectrum, my daughter being on the higher end making her diagnosis “light Autism” while my son is non-verbal which puts him on the lower end, diagnosed with “moderate to severe Autism”.

Having both their special needs, they also need different services. For example, my daughter needed some physiotherapy but my son benefits from the use of the sensory room at school as he is hypersensitive in several areas.

What does the term “special needs” really mean? Well, it simply means that your child needs special services and material to help him grow and reach his full potential in life. Henry Winkler, the actor known as the Fonz in Happy Days, who gave an amazing presentation as a keynote speaker at the NMSA (National Middle School Association) annual conference held at Minneapolis two years ago, explained his challenges with Dyslexia and the way education and his parents helped him out succeed in life. He also made it clear that his Dyslexia made him a child with special needs. This child has grown up as a successful man and actor cherished by his fans. One of the things that I remember the most is the fact that he thanked both educators and his parents for not giving up on him.

All this made me realize that the role of a parent of a child with ASD is not only to raise him with love and patience but also to provide him with the best services, materials and tools possible to help him live a full and happy life. And one of the multiple roles that a parent has to fill is the role of advocate. It does not matter if your child is verbal or not, if his diagnosis is light, moderate or severe on the spectrum. You have to remember that your child has a disorder that affect his communication skills and makes him unable to fend for himself. But foremost, your child is four going on five years old and sees you as his voice. The person that he can trust will fight for him, his best interests and his rights.

As your child advocate, it is not only your role to fight for your child but also to research the various schools, their services and all the opportunities that are available to your child. Do not enter the meeting room like a bull in a china shop as doors will be closing on you…and your child. Don’t be shy! Ask questions; investigate the various services that can be offered to your child. Meet with various school administrators, school divisions and the people responsible for the special needs programs.

For instance, in several schools where I taught, the following services which are provided in my son’s school were never an option there. Such services are: Music Therapy, occupational therapy activities including: bowling, skating and swimming, sensory room, physiotherapy equipment such as a swinging beam, a modified bike, a weighted vest, a special chair, a pressure vest, the use of PECS (Pictures Exchange Communication System), the participation to Special Olympics activities and more.

Another tip that I can give you is to set up a meeting with the administrator of your school prior to the first day of school. Share with them your child’s habits, needs and explain to them how to deal with their frustrations, hypersensitivities issues, needs, routines and more. Introduce your child to them. At the IEP meeting, ask them for the creation of a social story book to introduce your child to his new surroundings by looking at various pictures in advance: future teacher(s), classroom, gym, teacher aid, music room, sensory room, secretary, administrators, etc. You will see the level of anxiety diminishing in both your child and you.

Let your love for your child guide you. Be your child’s advocate and his voice.

By: Sylvie Leochko