Comprehensive OT and Sensory Processing Strategies for Pediatric Practice

What sensory processing difficulty is MOST likely contributing to Joshua's refusal of showers and hair brushing?

Tactile over-responsivity

Which intervention is MOST consistent with Ayres SI principles for Joshua?

Child-directed sensory-rich activities

What is the MOST occupation-based intervention for Joshua who avoids the baseball uniform?

Practice tolerating fabrics during meaningful baseball activities

Joshua's difficulties are impacting which area primarily?

SEL participation

Which Ayres dysfunction category fits Joshua's distress when clothing tags touch his skin?

Sensory modulation dysfunction

In Nathan's case, which handling point is MOST proximal?

Pelvis

What does providing support at the pelvis during dressing practice demonstrate?

Proximal control

What should the OT do first when Nathan's parents ask about additional interventions?

Use evidence-based practice

Which strategy BEST supports motor learning for Nathan learning shirt donning?

Constant feedback

What does Nathan's daily practice of dressing demonstrate?

Task-specific training

Which Ayres dysfunction is MOST likely for Melissa who struggles with writing and cutting?

Somatodyspraxia

According to CO-OP, what should happen first for Melissa to learn to swing independently?

Melissa chooses goal

What is the therapist's question, 'What do you think could make the swing move?' an example of?

Guided discovery

Goal-Plan-Do-Check is an example of what type of strategy?

Global cognitive strategy

Which motor learning stage is Melissa in while learning the basic concept of pumping a swing?

Cognitive

When Melissa makes fewer errors and requires less feedback, she has entered which stage?

Associative stage

What is the therapist demonstrating when pumping on a swing?

Modeling

What does Melissa explaining her own strategy for swinging demonstrate?

Internalization of cognitive strategies

What does Danny's immediate run toward scooter boards suggest?

Intrinsic motivation

Which element is essential for Danny's therapist following Ayres SI?

Child-directed participation

Danny's tactile and auditory hypersensitivity most closely reflects which dysfunction?

Sensory modulation dysfunction

What should the therapist do FIRST when Danny's parents appear overwhelmed?

Build rapport and coach caregivers

Which executive function area may be affected if Danny struggles to follow multiple-step directions?

Working memory

What executive functioning skill may be contributing to Danny's difficulty remaining seated?

Inhibition

What does the therapist creating a sensory-rich obstacle course that Danny helps design reflect?

Active participation

Austin's goal of wanting a friend at school is primarily related to which area?

Social participation

Which SEL competency is MOST affected by Austin's struggle with understanding social rules?

Social awareness

Austin's lecturing peers about engines without noticing their interest level indicates difficulty with what?

Perspective taking

What would be the MOST evidence-based intervention for Austin?

Peer-mediated social groups

Helping Austin identify what another student may be thinking addresses which competency?

Social awareness

What is required to stop oneself from interrupting others?

Inhibition

Remembering three classroom directions involves which cognitive skill?

Working memory

Changing a strategy when one fails demonstrates what?

Cognitive flexibility

What does the 'fencer position' describe?

ATNR

What may a retained Moro reflex contribute to?

Increased sensitivity to sensory input

Managing emotions and behaviors is known as what?

Self-management

Developing friendships primarily reflects which skill?

Relationship skills

What is the MOST ethical OT action when an intervention has limited research support?

Explain evidence limitations to family

Which intervention is MOST occupation-based for Joshua?

Practicing baseball participation with Joshua

Why do OTs use theories and FoRs?

To guide clinical reasoning and intervention