Vision In Action 1.23.2015 Effective Mind-body Interventions for Improving Emotional Self-regulation in Children with Sensory Processing Disorder Jenny Eubank, OTS
Presentation Outline Personal interest in Mind-Body-Spirit Define Sensory Processing Disorder Describe the research Discuss clinical experience Apply evidence to current practice
Sensory Processing Disorder- SPD Difficulty processing and acting upon information received through the senses Sensory signals don't get organized into appropriate responses Motor clumsiness, behavioral problems, anxiety, depression High risk for emotional, social, and educational problems These difficulties are chronic and disrupt everyday life. Unique diagnosis from ADHD & autistic spectrum disorders
Which mind-body OT interventions result in improved emotional self-regulation in children with Sensory Processing Disorder?
Evidence Supporting Mind-Body Interventions Very few studies on mind-body interventions in occupational therapy journals Small sample sizes Self-report & subjective outcome measures Limited clinical diagnosis of SPD Researchers as stakeholders
Yoga & Nei Yang Gong Improved behavior (Koenig, 2012) Reduction in ADHD symptoms (Jensen, 2004) Reduced anxiety and improved self-care, socialization, and emotional regulation (Stoller, 2012) Improved self-control, a reduction in temper outbursts, and enhanced EEG activity in the anterior cingulate cortex (Chan, 2013)
Qigong Sensory Training (QST) Chinese medicine manual technique Parents were trained to give their child the QST massage daily. Noticeable improvement in self-control across contexts Teachers observed significant improvements in autistic behavior. Parental outcome measures found a decrease in maladaptive behavior and improved social and communication skills. (Silva, 2009)
Meditation & Mindfulness Awareness Executive functioning (EF)- management of cognitive processes Improvements in behavioral regulation, metacognition, & global executive control in children with lower EF scores (Flook, 2010) Strategies to control behavior and manage anger Feeling calm, strong, and focused at school (Case Smith, 2010)
Clinical Application- Level II Fieldwork Louisville Pediatric Therapy Center The Medical Center- Bowling Green, KY
References Case Smith, J., Sines, J. S, & Klatt, M. (2010). Perceptions of children who participated in a school based yoga program. Journal of Occupational Therapy, Schools, & Early Intervention, 3, 226–238. doi:10.1080/19411243.2010.520245 Chan, A. S., Sze, S. L., Siu, N. Y., Lau, E. M., & Cheung, M-c. (2013). A Chinese mind-body exercise improves self-control of children with autism: A randomized controlled trial. PLoS ONE, 8, e68184. doi:10.1371/journal.pone.0068184 Flook, L., Smalley, S. L., Kitil, M. J., Galla, B. M., Kaiser-Greenland, S., Locke, J., . . . Kasari, C. (2010). Effects of mindful awareness practices on executive functions in elementary school children. Journal of Applied School Psychology, 26, 70-95. doi:10.1080/15377900903379125 Jensen, P. S., & Kenny, D. T. (2004). The effects of yoga on the attention and behavior of boys with attention-deficit/hyperactivity disorder (ADHD). Journal of Attention Disorders, 7, 205- 215. doi: 10.1177/108705470400700403 Koenig, K. P., Buckley-Reen, A., & Garg, S. (2012). Efficacy of the Get Ready to Learn yoga program among children with autism spectrum disorders: A pretest–posttest control group design. American Journal of Occupational Therapy, 66, 538–546. http://dx.doi.org/10.5014/ajot.2012.004390 Silva, L. M. T., Schalock, M., Ayres, R., Bunse, C., & Budden, S. (2009). Qigong massage treatment for sensory and self-regulation problems in young children with autism: A randomized controlled trial. American Journal of Occupational Therapy, 63, 423–432. doi: 10.5014/ajot.63.4.423 Stoller, C. C., Greuel, J. H., Cimini, L. S., Fowler, M. S., & Koomar, J. A. (2012). Effects of sensory- enhanced yoga on symptoms of combat stress in deployed military personnel. American Journal of Occupational Therapy, 66, 59–68. doi: 10.5014/ajot.2012.001230
What questions do you have? Email: jeubank@spalding.edu