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Practice Update: The Brain and Covid-19

A great clip from the BBC – with input from Dr Susan Whitbourne who has been providing insight into our behaviours throughout this pandemic.

Creating Sensory Ladders online during telehealth has been one way OT’s across the UK have been supporting the mental health of children, teens, adults and students manage their health and well-being during COVID lockdown. You can see some of these and read more here. http://www.sensoryladders.org

If you have made a Sensory Ladder during Covid-19 you are happy to share, please post to our Sensory Ladder FB page community or send to us via our Contact Us link on this website.

‘But, in our brains, there’s a lot of screaming going on right now…’

Whitbourne, Susan (2020)

You can read the full article here.

https://www.magzter.com/article/Culture/The-Walrus/Your-Brain-on-COVID-19

Dr Whitbourne’s commentary and views about why some people felt and may still feel that they won’t be affected by this virus is fascinating and will help healthcare professionals understand why some people struggle with the idea of lockdown and guidance on social distancing. https://www.psychologytoday.com/gb/blog/fulfillment-any-age/202004/why-do-some-people-think-theyre-invulnerable-covid-19

 

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Walking into the New Year

As we start the new year, with lots of hopes for a fresh start, often its the smallest most simple and achievable changes that work best. 

Amy Fleming talks to neuroscientist Shane O’Mara who believes that plenty of regular walking unlocks the cognitive powers of the brain like nothing else. He explains why you should exchange your gym kit for a pair of comfy shoes and get strolling

“Our sensory systems work at their best when they’re moving about the world,” says O’Mara. Read more here 

active dog walking enjoyment fun

 

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Research into Practice: A study of safety and tolerability of rotatory vestibular input for preschool children

The answer to a question on SI4OT, a FB group for OT’s curated by our social media team, includes this interesting article.

This study was focussing on the vestibular system, and the researchers tried to work out the exact amount of vestibular input needed in therapy. The results strongly suggest that it is very individualised and requires direct therapist observation to know. This is exactly in line with Ayres’ teachings. There is no exact amount that can be prescribed

A study of safety and tolerability of rotatory vestibular input for preschool children

The use of sensory input to support function, health and wellbeing is an art and a science.

The science is knowing for instance that habituation of tactile input to Ruffini nerve ending is usually fairly rapid – eg light touch as we put arms in shirt sleeves while habituation to pain receptors will vary a lot and maybe ongoing after tissue damage we can’t always see.

The art is that our response to sensory input to sensory systems will vary greatly and is very individualised. This response is not just linked to immediate registration and perception of the input – meaning and memory need to be considered too.  Think about happy smells and songs that stay in your head all day. Think too about the response to trauma when a person smells their abuser’s perfume.

There is no recipe for how much to give and when. This is the art and science of ASI. So many factors impact on what a person needs and when to have an adaptive response.

This is why sensory input is not just something you can prescribe someone by saying;

“Give Jane 20 mins on a swing 3x a day” 

gray swing

Essential to practice is the person’s response to sensory input – Do they have an adaptive response?

“Ayres (1972b) described the adaptive response as central to praxis intervention. Adaptive responses are purposeful actions directed toward a goal that is successfully achieved, and the production of adaptive responses is thought to be inherently organizing for the brain. Ayres (1972b, 1985) further emphasized that SI intervention was a transaction among client, task, and environment.”

Bundy, A. and Lane, S. [2019], Sensory Integration Theory and Practice, 3rd Edition, [Philadelphia]. Available from: FADavis.

Watching and seeing this response to input, alongside feedback from the parents/family/person is what we do to understand each person’s unique responses and pattern. However, knowing and remembering that many things can impact on this, day to day and even minute by minute is essential. 

 

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Research update: Forest design for mental health promotion—Using perceived sensory dimensions to elicit restorative responses

Forest design for mental health promotion—Using perceived sensory dimensions to elicit restorative responses, research into the qualities of the natural environment which promote restoration

forest design for mental health promotion - research update

download full article – open access pdf here  

 

gray bridge and trees

 

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The Importance of the Sensory Environment for Premature Babies

Read more about one family’s journey through neonatal intensive care and what they have learned about the impact of the sensory environment on the developing nervous system of premature babies in this blog post By Anna Lee Beyer

 

toddler s left foot