Sensory integration intervention: Historical concepts, treatment strategies and clinical experiences in three patients with succinic semialdehyde dehydrogenase (SSADH) deficiency
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This paper is a review of clinical experiences providing developmental therapy services for three boys diagnosed with paediatric neurotransmitter disease. The clinical presentation of paediatric neurotransmitter diseases might parallel other diagnostic characteristics seen in a typical paediatric therapy clinic (i.e. hypotonia, motor and cognitive delays, coordination, expressive speech, and ocular motor difficulties.) From the clinical perspective of the author, sensory integrative function is but one aspect of a thorough evaluation and treatment plan for all patients. The manifestations of sensory integration dysfunction (SID), also known as sensory processing dysfunction (SPD), can occur alone or be concurrent with a variety of known medical, behavioural and neurological diagnoses. These manifestations of SPD can include, but are not limited to: hypotonia, hyperactivity, irritability, distractibility, attention difficulties, learning difficulties, clumsiness and incoordination, instability, poor motor skills, social-emotional difficulties, and behavioural problems. This paper summarizes the theory and practice applications of sensory integration. The author discusses clinical experiences providing occupational therapy services utilizing sensory integration methods and strategies with clients who were eventually diagnosed with SSADH deficiency.
KeywordsDown Syndrome Sensory Integration Ocular Motor Vestibular Input Developmental Coordination Disorder
paediatric neurotransmitter disease
Sensory Integration and Praxis Tests
sensory processing dysfunction
succinic semialdehyde dehydrogenase
The author wishes to acknowledge the Pediatric Neurotransmitter Disease Association, National Institute of Neurological Disorders and Stroke, and Office of Rare Diseases (ORD) at the National Institutes of Health (NIH) and The Johns Hopkins School of Medicine. This paper complies with the requests of NIH Grant # 1R13NS060363–01.
The author also wishes to acknowledge with deepest gratitude, the countless clients and their families who continue to graciously teach us how to fuse theory into practice within the clinic and community settings.
The Symposium was supported in part by R13 NS 60363 from the NIH NINDS and Office of Rare Diseases (ORD), and the Johns Hopkins University School of Medicine.
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