140-01 Sensory Integration: Theory & Practice, 2nd Ed. A.C. Bundy, S.J. Lane, E.A. Murray Learner Objectives: 1. 2. 3. 4. 5. 6.

List the three components, and their major postulates, of sensory integration theory Differentiate between modulation and praxis in sensory integrative dysfunction Identify five functional considerations of the Central Nervous System Categorize the steps involved in the assessment and intervention of sensory integrative dysfunctions Name four tests used in assessing sensory integrative dysfunction Select nine alternative and complementary programs for intervention

Course Information: Credit: 14 Hours. Included in this packet are all of the materials and information you will need to obtain the continuing education credit for this course. Return/Refund/Transfer Policy: If you are not completely satisfied, we will refund your money less shipping & handling fees if materials are returned in new condition within 30 days after you receive them. The original purchaser of this course is registered to receive CE credit. Transfer requests must be submitted in writing. Complaints & Grievances Policy: An effort will be made by the Director of Continuing Education to resolve the complaint or grievance to the satisfaction of the learner. Efforts taken to resolve a complaint/grievance may include issuance of a voucher for another Professional Development Resources, Inc. learning activity or other action suitable to the learner. All complaints and grievances must be submitted in writing. Submitted complaints or grievances should specify: • Name, address, phone and profession of person submitting complaint/grievance • Title of CE learning activity • Exact nature of the complaint/grievance Disclosure Statement: This homestudy was funded in its entirety by Professional Development Resources, Inc., a private, not-for-profit educational organization. Federal Tax ID: 59-3138625.

Instructions for Completing: 1. 2. 3. 4.

Read and study the homestudy course Answer the Posttest questions (this is an open book test) Complete the Program Evaluation Return the completed Posttest and Program Evaluation by mail or fax to:

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Professional Development Resources, Inc. P.O. Box 550659 Jacksonville, Florida 32255-0659 Fax: (904) 306-0045 or (904) 346-1762

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5. You must obtain a score of 80% or better in order to receive credit. Your test will be scored and a certificate sent to you within 7 days after we receive your test. If you do not pass, you may re-take it. 6. Only the original purchaser and any registered sharers are authorized to receive CE credit for this course. Transfer requests must be submitted in writing prior to completion. 7. Other Information: Lost exam replacement fee is $15.00. Duplicate certificates are $10.00, requests must be in writing. The exams do not expire unless material becomes obsolete. We date the certificate as of the date we receive your passing answer sheet. Copyright © 2005 Professional Development Resources, Inc. PO Box 550659 Jacksonville, FL 32255-0659 Phone: 904-346-0098 Fax: 904-346-1762 Email: [email protected] No portion of this course may be duplicated without written consent of the copyright holders. www.pdresources.org

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140-01 Sensory Integration - Posttest Multiple Choice: Mark your answers on the attached ANSWER SHEET 1. Sensory integration is a theory of brain-behavior relationships. Since theories are not facts; what is the value of this theory and how is it used? a. Explain why individuals behave in particular ways b. Plan intervention to ameliorate particular difficulties c. Predict how behavior will change as a result of intervention d. All of these 2. Which of these does NOT describe one of the components of sensory integration theory? a. Pertains to development and describes typical sensory integrative functioning b. Emphasis on treating self-defeating behaviors c. Defines sensory integrative dysfunction d. Guides intervention programs 3. Sensory integrative dysfunction manifests itself in what major way? a. Poor modulation b. Poor praxis c. Both a. & b.

d. None of these

4. In sensory integration theory, what does “praxis” refer to? a. The ability to plan new movements b. The ability to move against gravity c. The ability to follow directions d. The ability to maintain balance 5. Which concept did Ayres define as “the CNS’s regulation of its own activity”? a. Feedback b. Modulation c. Feedforward d. Regulation 6. Which system is thought to be of the utmost importance in determining behavior in sensory integration theory and is the first system to function in utero? a. Vestibular b. Auditory c. Tactile d. Trigeminothalamic 7. What is the generic term that refers to developmentally based practic disorders with a variety of etiologies? a. Dyspraxia b. Sensory integrative-based dyspraxia c. Somatodyspraxia d. Bilateral integration & sequencing (BIS) 8. Poor planning of both anticipatory, feedforward-dependent movements and actions that depend on sensory feedback are characteristic of which of the following disorders? a. Dyspraxia b. Sensory integrative-based dyspraxia c. Somatodyspraxia d. Bilateral integration & sequencing (BIS) 9. Which term refers to sensations of movement and joint position and is suggested that, under normal conditions, its role is to provide the motor system with a clear, unambiguous map of the external environment of the body? a. Ideation b. Planning c. Execution d. Proprioception 10. Miller and Lane define this term as encompassing “reception, modulation, integration, and organization of sensory stimuli, including behavioral responses to sensory input.” a. Sensory processing b. Sensory registration c. Synthesis d. Sensory integration 11. This dynamic CNS process is subject to the ebb and flow of continual input over multiple channels and is reflected behaviorally in sensory seeking and sensory avoiding. If inadequate, distractibility, impulsiveness, increased activity level, disorganization, anxiety, and poor self-regulation may manifest. a. Sensory integration b. Self dysregulation c. Sensory modulation d. Cognitive dysregulation 12. In 1980 Knickerbocker introduced this term to describe a disorganized response to sensory input resulting from an imbalance between inhibition and excitation within the CNS. a. CNS responsiveness b. Sensory defensiveness c. Self modulation d. Sensory dormancy 13. Several mechanisms exist to help us accurately interpret changes in our visual array; which one helps us to differentiate self movement from object movement? a. Optic flow b. Spatial constancy c. Motion parallax d. Optic expansion

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14. What is the highest level of topographical representation which makes it possible to make spatial inferences and allows the use of shortcuts, perspective taking, and the making of models or maps? a. Spatial schema b. Spatial cognition c. Wayfinding d. Perception of motion 15. What do the most common spatial errors in handwriting involve? a. Poor shaping or closure of letters b. Lack of uniformity in orientation c. Illegibility d. Incorrect and inconsistent spacing between units 16. Sensory Integration and Praxis Tests (SIPT) are the most comprehensive and statistically sound means for assessing some important aspects of sensory integration, most notable praxis and tactile discrimination, and can be used as the sole source of information when making diagnostic judgments. a. True b. False 17. Sensory integrative dysfunction is a diagnosis of ____________, because clients who have difficulties with motor planning or sensory modulation in the absence of any other known cause may be diagnosed with it. a. Unknown origin b. Complexity c. Exclusion d. Interest 18. One of the best methods of assessing vestibular and proprioceptive contributions to posture is through the evaluation of which of these? a. Prone extension b. Neck flexion c. Postural adjustments d. Equilibrium 19. Use of the SIPT is less appealing outside of North America due to the costs of training and administering, and because no norms have been developed for children outside North America. a. True b. False 20. Which of the following assessments is NOT supported for an evaluation of modulation disorders? a. Sensory profile b. TIE c. Evaluation of sensory processing d. BOTMP 21. Intervention consists of two phases, each one depending on the other for effectiveness. What are they? a. Assessment & Evaluation b. Planning & Implementation c. Observation & Planning d. Assessment & Implementation 22. Developing a plan to address the specific needs of clients with sensory integrative dysfunction is the most essential component of the intervention process. Which of these is NOT part of the plan? a. Setting goals & objectives b. Evaluating outcomes c. Determining type(s) of service delivery d. Developing preliminary ideas about intervention 23. When setting goals and objectives it is necessary to define a criterion for measuring if objectives were met. a. True b. False 24. Based on Neumann’s conceptualization, play is a transaction between an individual and the environment that is all BUT which one of these? a. Relatively intrinsically motivated b. Relatively internally controlled c. Relatively useless in therapy d. Free of some constraints of objective reality 25. After concluding that a client’s presenting difficulties can be explained in some meaningful way by sensory integration theory and setting objectives with clients and caregivers, what should the next step be in order to build a firm foundation for meeting those objectives? a. Deciding what to target first b. Incorporating competition c. Assuming pretend roles d. Modifying or discontinuing activities 26. Shirk and Russell used this term to refer to a type of relationship that enables clients to work purposefully on resolving their difficulties; shared goals and the sense that the practitioner will help are important aspects. a. Tactile defensiveness b. Therapeutic alliance c. Shared resolution d. Environmental change 27. What is the main purpose of establishing a safe environment for clients when applying intervention strategies? a. Preventing accidents b. Encouraging involvement c. Avoiding failures d. Engendering trust 28. Csikszentmihayli used the term “flow” to describe the experience that accompanied these activities that prompt clients to stretch a little beyond their current abilities but are not so difficult as to generate frustration. a. Playing b. Pretend roles c. Just-right challenges d. Instructions

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29. This important tool for achieving the just-right challenge allows the therapist to adjust and control task elements that are just beyond the client’s current skills. a. Leading b. Modifying c. Scaffolding d. Discontinuing 30. Which of these is NOT one of the three aspects of active movement that yield vestibular and proprioceptive sensation into therapeutic activities? a. Type of movement b. Duration of movement c. Speed of movement d. Resistance to active movement 31. This is one of the most devastating types of sensory integrative dysfunction, described as a “primal fear” response to changes in head position or disturbances to the base of support. a. Gravitational insecurity b. Tactile defensiveness c. Underresponsiveness d. Overresponsiveness 32. In which dysfunction do individuals have difficulty knowing both the precise locations of touch and the properties of objects they have touched? a. Sensory discrimination b. Vestibular sensation c. Tactile discrimination d. Body schema 33. What is a possible cause of the common school problem where a child cannot open a milk carton? a. Poor bilateral integration b. Decreased bilateral coordination c. Poor fine motor coordination d. Tactile defensiveness 34. A sensory diet is a treatment plan that involves eating assigned foods with specific textures at regular intervals throughout the day in order to stimulate oral adaptation. a. True b. False 35. Vygotsky introduced this concept to describe the process of emerging skills in child development. It helps to determine the tasks that children are ready to learn and where to target goals for intervention. a. Coping theory b. Neurodevelopmental intervention c. Targeting strategies d. Zone of proximal development 36. One method for decreasing an unwanted behavior is to remove any reinforcement observed to be maintaining this behavior. What is the process of removing a reinforcer referred to as? a. Extinction b. Punishment c. Conditioning d. Chaining 37. What is the assumption that the CNS has the capacity for change or is able to modify its structure and function? a. Sensory processing b. Velocity c. Neuroplasticity d. Neuromodulation 38. Which subsystem, in the USC Model of Human Subsystems that Influence Occupation, is concerned with the overarching sense of life meaning, purpose, and satisfaction the person experiences as occupations are orchestrated across a lifetime? a. Transcendental b. Symbolic-Evaluative c. Sociocultural d. Information Processing 39. What clinical reasoning model was developed originally for use in treating children with sensory modulation dysfunction and provides a structure to organize evaluation and intervention information and to effectively set priorities? a. SCSIT b. STEP-SI c. SIPT d. WISC 40. Which of the 4 major tests of praxis evaluates competency in perceiving, remembering, and executing a demonstrated sequence of unilateral and bilateral hand and finger positions? a. Postural Praxis b. Verbal Command c. Sequencing Praxis d. Oral Praxis

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140-01 Sensory Integration - Answer Sheet Instructions: Return this Answer Sheet and the Program Evaluation form only -- not the entire test. Keep originals for your records. CIRCLE the letter that indicates your answer for each question. 1.

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140-01 Sensory Integration - Program Evaluation Rating Scale: 1 = Strongly Disagree ↔ 4 = N/A ↔ 7 = Strongly Agree How well was each learning objective met?

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1. List the 3 components of SI theory 2. Differentiate between modulation & praxis in SI dysfunction 3. Identify 5 functional considerations of the CNS 4. Categorize the steps involved in assessment & intervention 5. Name 4 tests used in assessing SI dysfunction 6. Select 9 alternative & complementary intervention programs

Learning Format 7. Course material was organized & clearly presented 8. Course content was relevant to learner objectives 9. Test questions were clearly written & at an appropriate level of difficulty 10. The material will be useful to me in my professional activities 11. Overall rating on my experience with this course 12. I would do another homestudy written by these authors 13. I would do another homestudy provided by PD Resources 13. This method of learning is effective for me

Services 14. Overall rating of the customer service I received 15. My questions & concerns were addressed in a timely and effective manner to my satisfaction 16. The process of ordering was easy & efficient 17. Overall rating of company website (www.pdresources.org) 18. I will refer others to this CE site

Course Experience 19. How many hours did it take you to complete this activity? ___________ (Your response will not affect the credit you receive) 20. Please provide any other comments you have regarding our courses and services.

21. Please list topics you would like to see in future homestudy courses.

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