Tagged "Sensory Integration"


Ask a Therapist: The Child Refuses Tools

Posted by Deborah Grauzam on

Hello,

 

My son was using TalkTools products since he was about 4 months old until he was 2 years old.

 

He is now 3 years and does not like them at all. Gets really mad when I try to use the chewy things, Z-Vibe or straws. He really does not want anything inside his mouth or to get his face massaged. 

 

Any recommendations?

 

Any other tools that are recommended for kids with Down Syndrome?

 

Adriana

Hi Adriana,

These behavior can develop as children get older. In my class on Autism, I describe many factors that can contribute to behavioral challenges, sensory-motor challenges and moving forward in therapy.

First and foremost a predictable schedule with built in rewards is critical. Rewards need to be very frequent.

Secondly many kids need a sensory warm up. Consult with an OT/PT that specializes in sensory integration. Whole body movement, massage, music and sensory methods may be helpful prior to oral exercises.

Finally, without seeing your child myself I cannot recommend specifics; however at TalkTools not only do we support our work, but the work of Pam Marshalla, Debra Beckman and Diane Bahr, all have oral motor programs. I suspect the program may be too routine, so adding some massages, feeding programs and a more reinforcers may do the trick.

Robyn Merkel Walsh, MA, CCC SLP

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Ask a Therapist: Sensory Processing assistance with a client that has Down syndrome

Posted by Deborah Grauzam on

Hi Lori,
 
I am a speech pathologist working with Toddlers. A few years ago I attended your conference on feeding therapy. I haven’t had to use a lot of the techniques up until now, so I am a little rusty.  I currently have a little guy with Down syndrome who is not chewing a great deal. His mom told me that at home she is noticing a great deal of gagging and sometimes vomiting because of this. We have been trying different textures; however, nothing seems to be working. He is also pretty resistant to chewy tubes and allows them in his mouth for only a short time. He either lets go or will bite down and not let go. I have been looking at the chewing hierarchy, but tools are listed (e.g., z-vibe, etc.) that I can’t remember exactly what I am supposed to do with. Do you have any suggestions on how to target this or where to start? Thank you so much for your help. I appreciate it!
 

Hello and thank you for the questions.

As often occurs, I have a bunch of questions to start.

Does this little one have other sensory issues?  Is there an OT who specializes in sensory processing involved?  Have you made observations about what this little one is doing with his lips, cheeks and tongue (for purees, and for solids).

I would assume (based on the diagnosis) that you should probably be working on cheek mobility and bilabial closure for spoon, cup etc.  If a protrusion/retraction is the primary tongue movement, work on tongue lateralization.  Does the child tolerate vibration?  If so, use the vibe fine tip for the lateral tongue massage.  Try the vibe bite and chew XL head (looks like a yellow chewy tube) if he will not tolerate chewy tubes.  You may want to go outside the box and roll the tool from the lateral incisor to the first molar if this child does not like the tool on the molar ridge. By the way, I have just written a book which should be out in June if you need a review of the class (and updated exercises!!!!).

Best,

Lori Overland

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