Your Parenting Mojo - Respectful, research-based parenting ideas to help kids thrive
090: Sensory processing disorder
42 min•12 maj 2019
Om avsnittet
This episode comes to us courtesy of my friend Jess, whose daughter has Sensory Processing Disorder (SPD) and who is on a mission to make sure that as many parents as possible learn about it. She says that every time she describes it to a parent they realize that they know someone who exhibits behavior that looks like SPD that warrants following up.
I have to say that I was highly ambivalent about doing this episode, because I don’t usually deal with topics that result in medical diagnoses as I’m (obviously) not a doctor. But the more I looked into this the more I realized that helping parents to understand the mess of research on this topic is exactly the kind of thing that I usually do on this show, and that an episode on this topic could probably be useful to a number of you.
And here’s the love letter to John McPhee that I mention in the episode
Jump to highlights
01:21 The story behind this episode: a listener's daughter and her path to an SPD diagnosis
03:19 Origins of the field: Dr. A. Jean Ayres and her book Sensory Integration and the Child
05:33 Dr. Lucy Jane Miller's three main pattern types and subtypes of SPD
08:16 Where SPD is thought to come from, and why parents shouldn't blame themselves
09:37 Distinguishing SPD from Dr. Elaine Aron's highly sensitive person concept, and a note on unintegrated reflexes
12:19 SPD and autism comorbidity
12:36 Why SPD isn't in the DSM-5, and problems with Dr. Ayers' own diagnostic test
20:11 What SPD treatment looks like in practice: hammocks, brushing, weighted play, "heavy work"
26:57 A 2014 meta-analysis of 27 studies: some positive signals, but hampered by small samples and weak methods
28:57 A meta-analysis narrowing 11,619 citations down to just four studies on the Wilbarger protocol
35:19 Why insurance companies like Aetna classify sensory integration therapy as experimental
38:50 Practical guidance: how to approach treatment like a scientific study if you decide to proceed
References
Aetna. (2018). Sensory and auditory integration therapy. Author. Retrieved from http://www.aetna.com/cpb/medical/data/200_299/0256.html
American Academy of Pediatrics (2012). Sensory integration therapies for children with developmental and behavioral disorders. Pediatrics 129, 1186-1189.
Anderson, S. (2017, September 28). The mind of John McPhee: A deeply private writer reveals his obsessive process. The New York Times Magazine. Retrieved from https://www.nytimes.com/2017/09/28/magazine/the-mind-of-john-mcphee.html
Aron, E.N., Aron, A., & Jagiellowicz, J. (2012). Sensory processing sensitivity: A review in the light of the evolution of biological responsivity. Personality and Social Psychology Review 16(3),262-282.
Aron, E.N. (2002). The highly sensitive child: Helping our children thrive when the world overwhelms them. New York, NY: Three Rivers.
Ayres, A.J. (2005). Sensory integration and the child: Understanding hidden sensory challenges. Los Angeles, CA: Western Psychological Services.
Bhopti, A., & Brown, T. 92013). Examining the Wilbargers’ deep pressure and proprioceptive technique for treating children with sensory defensiveness using a multiple-single-case study approach. Journal of Occuaptional Therapy, Schools, & Eaerly Intervention 6(2), 108-130.
Bodison, S.C., & Parham, L.D. (2018). Specific sensory techniques and sensory environmental modifications for children and youth with sensory integration difficulties: A systematic review. The American Journal of Occupational Therapy 72(1), 1-7.
Gieysztor, E.Z., Choinska A.M., & Paprocka-Borowicz, M. (2018). Persistence of primitive reflexes and associated motor problems in healthy preschool children. Archives of Medical Science 14(1), 167-173.
Hall, L., & Case-Smith, J. (2007). The effect of sound-based intervention on children with sensory processing disorders and visual-motor delays. The American Journal of Occupational Therapy 61(2), 209-215.
Hebb, D.O. (1955). Drives and the C.N.S. The Psychological Review 62(4), 243-254.
Hoehn, T.P., & Baumesiter, A.A. (1994). A critique of the application of sensory integration therapy to children with learning disabilities. Journal of Learning Disabilities 27, 338-351.
May-Benson, T.A., & Koomar, J.A. (2010). Systematic review of the research evidence examining the effectiveness of interventions using a sensory integrative approach for children. The American Journal of Occupational Therapy 64(3), 403-414.
James, K., Miller, L.J., Schaaf, R. Nielsen, D.M., & Schoen, S.A. (2011). Phenotypes within sensory modulation dysfunction. Comprehensive Psychiatry 52, 715-724.
Konicaraova, J., & Bob, P. (2013). Asymmetric tonic neck reflex and symptoms of attention deficit and hyperactivity disorder in children. International Journal of Neuroscience 123(11), 766-769.
Konicarova, J., Bob, P., & Raboch, J. (2013). Persisting primitive reflexes in medication-naïve girls with attention-deficit and hyperactivity disorder. Neuropsychiatric Disease and Treatment 9, 1457-1461.
Koziol, L.F., Budding, D.E., & Chidekel, D. (2011). Sensory integration, sensory processing, and sensory modulation disorders: Putative functional neuroanatomic underpinnings. The Cerebellum 10(4), 770-792.
Lane, S.J., & Schaaf, R.C. (2010). Examining the neuroscience evidence for sensory-driven neuroplasticity: Implications for sensory-based occupational therapy for children and adults. The American Journal of Occupational therapy 64(3), 375-390.
Mailloux, Z., May-Benson, T.A., Summers, C.A., Miller, L.J., Brett-Green, B., Burke, J.P., Cohn, E.S., Koomar, J.A., Parham, L.D., Roley, S.S., Schaaf, R.C., & Schoen, S.A. (2007). Goal attainment scaling as a measure of meaningful outcomes for children with sensory integration disorders. The American Journal of Occupational Therapy 61(2), 254-259.
Masgutova, S., Akhmatova, N., Sadowska, L., Shackleford, P., & Akhmatov, E. (2016). Progress with neurosensorimotor reflex integration for children with autism spectrum disorder. Journal of Neurology and Psychology 4(2), 14.
McPhee, J. (1993). Assembling California. New York, NY: Farrar, Straus and Giroux.
McPhillips, M., Hepper, P.G., & Mulhern, G. (2000). Effects of replicating primary-reflex movements on specific reading difficulties in children: A randomized, double-blind, controlled trial. The Lancet 355, 537-541.
McPhillips, M., & Sheehy, N. (2004). Prevalence of persistent primary reflexes and motor problems in children with reading difficulties. Dyslexia 10, 316-338.
Miller, L.J. (2006). Sensational kids: Hope and help for children with sensory processing disorder (SPD). New York, NY: Putnam.
Miller, L.J., Anzalone, M.E., Lane, S.J., Cermak, S.A., & Osten, E.T. (2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. The American Journal of Occupational Therapy 61(2), 135-140.
Miller, L.J., Nielsen, D.M., Schoen, S.A., & Brett-Green, B.A. (2009). Perspectives on sensory processing disorder: A call for translational research. Frontiers in integrative neuroscience. Volume 3(22), 1-12.
Miller, L.J., Coll, J.R., & Schoen, S.A. (2007). A randomized controlled pilot study of the effectiveness of occupational therapy for children with sensory modulation disorder. The American Journal of Occupationoal Therapy 61, 228-238.
Schaaf, R.C., Dumont, R.L., Arbesman, M., & May-Benson, T.A. (2018). Efficacy of occupational therapy using Ayres Sensory Integration®: A systematic Review. The American Journal of Occupational Therapy 71(1), 1-10.
Schaaf, R.C., & Lane, A.E. (2015). Toward a best-practice protocol for assessment of sensory features in ASD. Journal of Autism and Development Disorders 45, 1380-1395.
Schoen, S.A., Miller, L.J., & Sullivan, J.C. (2014). Measurement in sensory modulation: The Sensory Processing Scale Assessment. The American Journal of Occupational Therapy 68(5), 522-530.
Smith, T., Mruzek, D.W., & Mozingo, D. (2015). Sensory integration therapy. In R.M. Foxx & J.A. Mulick (Eds). Controversial Therapies for Autism and Intellectual Disabilities (2nd Ed.) (pp.247-269). New York, NY: Routledge.
Taylor, M., Houghton, S., & Chapman, E. (2004). Primitive reflexes and attention-deficit/hyperactivity disorder: Developmental origins of classroom dysfunction. International Journal of Special Education 19(1), 23-37.
Walbam, K.M. (2013). The relevance of sensory processing disorder to social work practice: An interdisciplinary approach. Child & Adolescent Social Work Journal 31, 61-70.
Weeks, S., Boshoff, K., & Stewart, H. (2012). Systematic review of the effectiveness of the Wilbarger Protocol with children. Pediatric Health, Medicine and Therapeutics 3, 79-89.
Wisconsin Department of Health Services (2015, April 24). Treatment intervention advisory committee review and determination: Determination of Masgutova Method or Masgutova Neurosensorymotor Reflex Integration as a proven and effective treatment for individuals with autism spectrum disorder and/or other developmental disabilities. Author. Retrieved from https://www.dhs.wisconsin.gov/tiac/masgutovanri.pdf
American Academy of Pediatrics (2012). Sensory integration therapies for children with developmental and behavioral disorders. Pediatrics 129, 1186-1189.
Anderson, S. (2017, September 28). The mind of John McPhee: A deeply private writer reveals his obsessive process. The New York Times Magazine. Retrieved from https://www.nytimes.com/2017/09/28/magazine/the-mind-of-john-mcphee.html
Aron, E.N., Aron, A., & Jagiellowicz, J. (2012). Sensory processing sensitivity: A review in the light of the evolution of biological responsivity. Personality and Social Psychology Review 16(3),262-282.
Aron, E.N. (2002). The highly sensitive child: Helping our children thrive when the world overwhelms them. New York, NY: Three Rivers.
Ayres, A.J. (2005). Sensory integration and the child: Understanding hidden sensory challenges. Los Angeles, CA: Western Psychological Services.
Bhopti, A., & Brown, T. 92013). Examining the Wilbargers’ deep pressure and proprioceptive technique for treating children with sensory defensiveness using a multiple-single-case study approach. Journal of Occuaptional Therapy, Schools, & Eaerly Intervention 6(2), 108-130.
Bodison, S.C., & Parham, L.D. (2018). Specific sensory techniques and sensory environmental modifications for children and youth with sensory integration difficulties: A systematic review. The American Journal of Occupational Therapy 72(1), 1-7.
Gieysztor, E.Z., Choinska A.M., & Paprocka-Borowicz, M. (2018). Persistence of primitive reflexes and associated motor problems in healthy preschool children. Archives of Medical Science 14(1), 167-173.
Hall, L., & Case-Smith, J. (2007). The effect of sound-based intervention on children with sensory processing disorders and visual-motor delays. The American Journal of Occupational Therapy 61(2), 209-215.
Hebb, D.O. (1955). Drives and the C.N.S. The Psychological Review 62(4), 243-254.
Hoehn, T.P., & Baumesiter, A.A. (1994). A critique of the application of sensory integration therapy to children with learning disabilities. Journal of Learning Disabilities 27, 338-351.
May-Benson, T.A., & Koomar, J.A. (2010). Systematic review of the research evidence examining the effectiveness of interventions using a sensory integrative approach for children. The American Journal of Occupational Therapy 64(3), 403-414.
James, K., Miller, L.J., Schaaf, R. Nielsen, D.M., & Schoen, S.A. (2011). Phenotypes within sensory modulation dysfunction. Comprehensive Psychiatry 52, 715-724.
Konicaraova, J., & Bob, P. (2013). Asymmetric tonic neck reflex and symptoms of attention deficit and hyperactivity disorder in children. International Journal of Neuroscience 123(11), 766-769.
Konicarova, J., Bob, P., & Raboch, J. (2013). Persisting primitive reflexes in medication-naïve girls with attention-deficit and hyperactivity disorder. Neuropsychiatric Disease and Treatment 9, 1457-1461.
Koziol, L.F., Budding, D.E., & Chidekel, D. (2011). Sensory integration, sensory processing, and sensory modulation disorders: Putative functional neuroanatomic underpinnings. The Cerebellum 10(4), 770-792.
Lane, S.J., & Schaaf, R.C. (2010). Examining the neuroscience evidence for sensory-driven neuroplasticity: Implications for sensory-based occupational therapy for children and adults. The American Journal of Occupational therapy 64(3), 375-390.
Mailloux, Z., May-Benson, T.A., Summers, C.A., Miller, L.J., Brett-Green, B., Burke, J.P., Cohn, E.S., Koomar, J.A., Parham, L.D., Roley, S.S., Schaaf, R.C., & Schoen, S.A. (2007). Goal attainment scaling as a measure of meaningful outcomes for children with sensory integration disorders. The American Journal of Occupational Therapy 61(2), 254-259.
Masgutova, S., Akhmatova, N., Sadowska, L., Shackleford, P., & Akhmatov, E. (2016). Progress with neurosensorimotor reflex integration for children with autism spectrum disorder. Journal of Neurology and Psychology 4(2), 14.
McPhee, J. (1993). Assembling California. New York, NY: Farrar, Straus and Giroux.
McPhillips, M., Hepper, P.G., & Mulhern, G. (2000). Effects of replicating primary-reflex movements on specific reading difficulties in children: A randomized, double-blind, controlled trial. The Lancet 355, 537-541.
McPhillips, M., & Sheehy, N. (2004). Prevalence of persistent primary reflexes and motor problems in children with reading difficulties. Dyslexia 10, 316-338.
Miller, L.J. (2006). Sensational kids: Hope and help for children with sensory processing disorder (SPD). New York, NY: Putnam.
Miller, L.J., Anzalone, M.E., Lane, S.J., Cermak, S.A., & Osten, E.T. (2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. The American Journal of Occupational Therapy 61(2), 135-140.
Miller, L.J., Nielsen, D.M., Schoen, S.A., & Brett-Green, B.A. (2009). Perspectives on sensory processing disorder: A call for translational research. Frontiers in integrative neuroscience. Volume 3(22), 1-12.
Miller, L.J., Coll, J.R., & Schoen, S.A. (2007). A randomized controlled pilot study of the effectiveness of occupational therapy for children with sensory modulation disorder. The American Journal of Occupationoal Therapy 61, 228-238.
Schaaf, R.C., Dumont, R.L., Arbesman, M., & May-Benson, T.A. (2018). Efficacy of occupational therapy using Ayres Sensory Integration®: A systematic Review. The American Journal of Occupational Therapy 71(1), 1-10.
Schaaf, R.C., & Lane, A.E. (2015). Toward a best-practice protocol for assessment of sensory features in ASD. Journal of Autism and Development Disorders 45, 1380-1395.
Schoen, S.A., Miller, L.J., & Sullivan, J.C. (2014). Measurement in sensory modulation: The Sensory Processing Scale Assessment. The American Journal of Occupational Therapy 68(5), 522-530.
Smith, T., Mruzek, D.W., & Mozingo, D. (2015). Sensory integration therapy. In R.M. Foxx & J.A. Mulick (Eds). Controversial Therapies for Autism and Intellectual Disabilities (2nd Ed.) (pp.247-269). New York, NY: Routledge.
Taylor, M., Houghton, S., & Chapman, E. (2004). Primitive reflexes and attention-deficit/hyperactivity disorder: Developmental origins of classroom dysfunction. International Journal of Special Education 19(1), 23-37.
Walbam, K.M. (2013). The relevance of sensory processing disorder to social work practice: An interdisciplinary approach. Child & Adolescent Social Work Journal 31, 61-70.
Weeks, S., Boshoff, K., & Stewart, H. (2012). Systematic review of the effectiveness of the Wilbarger Protocol with children. Pediatric Health, Medicine and Therapeutics 3, 79-89.
Wisconsin Department of Health Services (2015, April 24). Treatment intervention advisory committee review and determination: Determination of Masgutova Method or Masgutova Neurosensorymotor Reflex Integration as a proven and effective treatment for individuals with autism spectrum disorder and/or other developmental disabilities. Author. Retrieved from https://www.dhs.wisconsin.gov/tiac/masgutovanri.pdf
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