Sensory Processing (SP) |
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(Proprioceptive, Vestibular, tactile, auditory, visual)
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Registration |
SP-R |
Orients to sensations |
Discrimination |
SP-D |
Senses differences in sensory stimuli |
Modulation |
SP-M |
Hyper-reactive, hypo-reactive, or typical response |
Other |
SP-O |
Other sensory processing observations |
Postural Functions (P) |
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|
Postural stability |
P-S |
Maintains stable head/trunk control/postural orientation |
Postural adjustments |
P-A |
Muscle activation to maintain balance or prepare to move |
Postural transitions |
P-T |
Moving prone to supine to sit/quad/kneel/stand, vice versa |
Other |
P-O |
Other postural observations |
Bilateral Integration (BI) |
|
|
Crossing midline |
B-C |
Moving arm/leg across midline of body |
Symmetrical bilateral |
B-S |
Each side of body doing same movement at same time |
Reciprocal bilateral |
B-R |
Alternating movements between R & L sides of body |
Asymmetrical bilateral |
B-A |
Each side of body doing a different movement or action |
Other |
B-O |
eg,: Improved bilateral rhythm, etc. |
Visual Processing (VP) |
|
|
Visual attention |
VP-A |
Attend to relevant visual info, look at task at hand |
Joint attention |
VP-JA |
2 people attend to each other and to same object/event |
Vis motor integration |
VMI |
Eyes and hands work together in coordinated way |
Other |
VP-O |
eg,: Eyes crossed midline, vestibular-ocular reflex, etc. |
Praxis (PX) |
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|
Continues motions |
PX-C |
After practice motion faded or stopped, continues motion |
Imitation |
PX-IM |
Copies/imitates therapist or other person in room |
Ideation/motor plan |
PX-I |
Develops idea & executes motor action w/ no cues/assist |
Other |
PX-O |
eg,: Actively approximates intended movement |
Participation |
|
In transition/play/self-help/tx activities: trace to initiates
|
Adaptive behaviors |
PA |
Rights trunk/balances/protectively extends/motor plans/reaches/grasps/differentiates 2 sides of body/crosses midline/visually attends, localizes or tracks to particip |
Anecdotal observation |
ANEC |
Comments from team/parent on new participation in classroom/therapy/home/community activity |
Strategies (ST) |
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(Adaptations to increase assess to ASI or participation)
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Equipm/tools adapted |
ST-E |
To address postural, bilateral, praxis or visual issues |
Techniques adapted |
ST-T |
To address sensory, motor, and/or cognitive issues |
Praxis adaptations |
ST-P |
eg,: Wait time after cues, practice motions/fading assist |
Orthopedic adaptation |
ST-OR |
Due to decreased range of motion, scoliosis, etc. |
Weakness adaptation |
ST-W |
eg,: Therapist eliminates gravity, partial assistance, etc. |
Other |
ST-O |
Other strategy to increase access |
Interfering Factors (I) |
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(Interrupted engagement/participation, part-all session)
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Fatigue/sleepy/asleep |
I-F |
Lethargy, low energy, and/or dozing off |
Distracted |
I-D |
Attention diverted from activity at times |
Agitated |
I-A |
Upset by internal or external sensations |
Pain/sick/ill |
I-PS |
Discomfort from physical/medical issues |
Stereotypies |
I-S |
Involuntary, repetitive, purposeless hand movements |
Orthopedic challenges |
I-OR |
Joint contractures, scoliosis, stiffness, etc. |
Weakness challenges |
I-W |
Decreased strength affects stability or active movement |
Other |
I-O |
eg,: Discomfort, avoids prone, strict sensory preferences, gravitational insecurity, typical Rett symptoms such as poor praxis, involuntary release, stereotypies, etc. |