Preliminary findings from a study of children with attention deficit hyperactivity disorder (ADHD) show that sensory intervention — for example, deep pressure and strenuous exercise — can significantly improve problem behaviors such as restlessness, impulsivity and hyperactivity. Of the children receiving occupational therapy, 95 percent improved. This is the first study of this size on sensory intervention for ADHD.

The Temple University researchers, Kristie Koenig, PhD, OTR/L, and Moya Kinnealey, PhD, OTR/L, wanted to determine whether ADHD problem behaviors would decrease if underlying sensory and neurological issues were addressed with occupational therapy. Their study, “Comparative Outcomes of Children with ADHD: Treatment Versus Delayed Treatment Control Condition,” was presented Friday, May 13, at the American Occupational Therapy Association meeting in Long Beach, Calif.

Children with ADHD have difficulty paying attention and controlling their behavior. Experts are uncertain about the exact cause of ADHD, but believe there are both genetic and biological components. Treatment typically consists of medication, behavior therapy or a combination of the two.

via TherapyTimes.com: Occupational therapy improves ADHD.

LBP’s focused sensory processing program for ADHD is a perfect fit for those looking to introduce a complete and complementary set of sensory exercises to their daily routine.

Auditory processing disorder in relation to developmental disorders of language, communication and attention: a review and critique – International Journal of Language & Communication Disorders.

This article describes the vagaries of diagnosis of auditory processing issues and shows how important work is being done to help make proper evaluations and treatment research widely available. It is not definitive but is a useful article for those orienting themselves to CAPD issues.

Background: Auditory Processing Disorder (APD) does not feature in mainstream diagnostic classifications such as the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV), but is frequently diagnosed in the United States, Australia and New Zealand, and is becoming more frequently diagnosed in the United Kingdom.

Aims: To familiarize readers with current controversies surrounding APD, with an emphasis on how APD might be conceptualized in relation to language and reading problems, attentional problems and autistic spectrum disorders.
Methods & Procedures: Different conceptual and diagnostic approaches adopted by audiologists and psychologists can lead to a confusing picture whereby the child who is regarded as having a specific learning disability by one group of experts may be given an APD diagnosis by another. While this could be indicative of co-morbidity, there are concerns that different professional groups are using different labels for the same symptoms.
Conclusions & Implications: APD, as currently diagnosed, is not a coherent category, but that rather than abandoning the construct, we need to develop improved methods for assessment and diagnosis, with a focus on interdisciplinary evaluation.

via The Role of Brain Fitness in Self Help Programs:

All of those programs involve regular practice of certain behaviors, and there are three behaviors we humans can hope to manage or control, our thinking, our feelings, and our behaviors, or how our body moves.

If you have read Mihalyi Csikszentmihalyi’s book FLOW, which is treatise on the psychology of optimal performance, then you know that we process sound, visual, touch, smell, and taste information at the rate of seven bits of data every 1/18th second, so self help programs need to be learned and implemented in a very short period of time. (1/18th second is twice as fast as I can blink my eyes).

Self help then must be a process of awareness and management of sensory processing done very quickly and very frequently.

I liken the process for my anger management clients to steering a car, you make thousands of small adjustments to the position of the vehicle on the road, and are paying attention to hundreds of variables at a given moment, traffic in front, behind, traffic lights, children, the policeman six blocks ahead, ect. As you do this, you keep the vehicle going in the direction you want, at the speed you want, in a safe way for yourself and other drivers. You avoid potholes.

Use It or Lose It: The Theory and Practice of Brain Exercise and Fitness for Cognitive Health – 1252th Edition | Health Blog.

When we exercise our brains, we put our Neurons and connections between neurons in action.

Given the diversity of functions outlined above, it is clear that different activities are going to activate different brain areas, which scientists now know thanks to neuroimaging techniques. There is no one magic bullet that is best (either crosswords puzzles, or computer-based programs, or physical exercise): we do need a variety of mental stimulation or “brain exercises”.

There have been a lot of articles on Sensory Processing Disorder (SPD) are out this week and I posted links via previous posts to a couple of good definitional articles. The article below is noteworthy because it goes into an even more useful discussion of how SPD relates to and is yet distinct from Autism (pointing out clearly that “although a sensory processing disorder is not considered a qualifying characteristic for a diagnosis of autism, I have yet to meet a person on the autism spectrum who does not have a challenge in this area.”)

What is Sensory Processing Disorder and How Is It Related to Autism? | Psychology Today.

The author also reminds us of the effort to have SPD included in the next Diagnostic and Statistical Manual of Mental Disorders, which is currently being drafted, and which we described as a really important step in our posting from March 4:

DSM-5 Being Updated.

The person leading that effort is Dr. Lucy Jane Miller, OTR and Founder of the SPD Foundation, who has recommended our program:

“The Learning Breakthrough Program is helpful to enhance clinical therapy for a wide range of sensory processing issues. The unique program lends itself to use with a variety of therapeutic approaches. Its ease of use allows your patients to follow through with therapeutic activities at home. I have integrated this program into my practice and encourage fellow OT’s to take advantage of the benefits this program has to offer.”

SPD is a difficult topic/diagnosis for people to get their heads around; parents, teachers, scientists, therapists…lots of people. But the awareness is growing that SPD it is a unique neurological disorder that impacts many people in important cognitive areas. Addressing SPD is an important part of any treatment program for those on the spectrum.

We strongly advocate a unique DSM classification for Sensory Processing Disorder. We have seen how the Learning Breakthrough Program has produced substantial results when used to treat sensory disorders and a is wonderful complement to other therapies. This goes well beyond addressing just SPD symptoms…the point is that improved sensory processing affects higher order cognitive processes and abstract reasoning well beyond the simple notion of a “traffic jam” in the senses – the simplified definition often associated with SPD.

Want to read a serious post that tries to give a good working definition of sensory processing disorder…take a look at this one. There is some opinion thrown in, but the information is very well described and useful for those looking for a good topical way to think about the term “SPD.”

Hartley’s Life With 3 Boys: What is Sensory Processing Disorder?.

Interview: Dr. Frank Belgau on How is Neuro Feedback Involved in Learning Breakthrough.

Dr. Belgau describes how neurofeedback is powerfully integrated with Learning Breakthrough’s pendulum ball activities as the brain regulates itself in response to the successful and unsuccessful cycles of working with the pendulum ball. The body reacts through its multisensory balance system to adjust to expected performance conditions. When paired with a precision balance challenge device like the Belgau Balance Board, the activities form a neuroplasticity development tool with unique value to the sensory processing treatment world.

Sensory Integration is a term that describes how we organize and fully process the information gathered from our senses. The study of sensory integration describes how the brain functions to instantly and automatically interpret where we are, what we see, what we feel, and what we hear in a meaningful framework. Efficient and accurate processing of sensory inputs is a key element of cognitive development and enables us to interpret abstract concepts. We assign meaning and extract value from contextual information of all kinds due to sensory integration and predictably, which is also how we learn what those meanings and values are, enabling the most basic cognitive concepts. Without well-functioning sensory processing abilities, the brain receives sensory signals that don’t get organized (integrated) into appropriate responses; which in turn leads to all sorts of challenges…including learning challenges.

But, why is it not possible for us to understand cognition by only evaluating one sense as it is necessary at the moment; why should they all need to work automatically and in unison at all times? To explain, let’s step out of the abstraction of developmental and neurological theory and into analogy.

Imagine, if you will, being present as a symphony prepares to play one of your favorite overtures. Your senses come alive; your vision tells you that they are getting ready to play as you see the woodwinds bring their instruments to their lips and your auditory senses tell you they have begun by the blast of sound that emerges on the first note. However, there is a problem—something is not quite right. Instead of hearing all of the instruments in full concert with one another, you can only hear the violins. The sounds of the other members of the orchestra are not allowed to reach your ears. Thus, what you are experiencing is much more like a solo than a symphony.  Without the support of the other instruments, what you hear is only the supplemental backdrop to a much grander tune.

Let’s take this analogy one step further. What if someone told you that the reason why you could only hear one instrument out of an entire symphony was because you simply couldn’t appreciate music—that you were incapable of knowing how to properly listen so that you could experience the full range of sounds? Chances are, this would bother you—you would instinctively know that the reason was not so simple or base. If this strikes you as an unfair thing to say, rest assured, it is. For those who lack full sensory integration and suffer from learning disabilities based on this deficit such as dyslexia, for instance, the problem has nothing to do with the subject matter to be learned (letters, words, sounds)—but is much more a matter of overcoming neurological barriers that keep sensory processes operating in isolation (i.e.- with poor levels of integration).

For anyone to fully hear the concert of sounds during a symphony or, for that matter, to adequately process the visual information of text into auditory, written, and other symbolic information, a well-calibrated set of sensory integration skills is necessary. If it is not present learning difficulties can occur simply because this relatively simple cognitive processing ability is lacking. However, it is possible for those with sensory integration problems to spark a new phase in their learning development. With proper training that orients sensory functions to the unchanging reference point of gravity, sensory integration and cognitive deficits can be overcome so that the full symphony can be heard in all its intended depth.