Fuxin Love Qizhi Park [Rehabilitation Case] ​​He has been able to complete a variety of actions in the sensory integration training

He has been able to complete a variety of actions in the sensory integration training

The Seventeenth Story of Qizhiyuan Great Love Helping the Disabled

Written by Zhu Dan

Basic situation. Mingming, male, 2015. Autism. Date of training in the park, March 2019.

What I saw on the first day of training

Mingming's mother is a dentist and his father is an insurer. On weekdays, his grandmother helps to take care of him. On the first day of the sensory integration class, his mother, grandmother, and his arms came to class. The floor of the sensory system was lying on the ground softly, and the two parents couldn't pull him, because as soon as he was pulled, he would cry and kowtow with his head. After other instructions, his mother let go of his hand and walked into the sensory system, calling continuously: "Mingming, mother has come in, so come in too! After repeating this call several times, Mingming finally got up slowly. , went to his mother. Although he came in, he did not participate in the game we designed for him. He sat on the ground and watched his mother play big cage balls, jump on the bed, etc.

While playing, his mother called: "Ming Ming, come! Play with mom! "After shouting like this for a long time, he still didn't move his hand. So he asked Mingming's parents if he had any toys or items he liked to play with, and was told that there were building blocks, so we found small building blocks and sticks and placed them two distances from him. He took a few steps forward and touched the wooden stick with one hand. After a few minutes, we moved the blocks and plate a few steps forward and called him over again. He moved a few steps forward, and after repeating this a few times, the class bell rang. After thirty minutes of guidance, Mingming's mother and grandmother were already exhausted, even more scorched, and the rogue's face was dripping. He was sweating eagerly, sighed and shook his head with his hands on his tired waist, and then took the child to change the wet pants.

Analysis of the current situation

I feel incompetent in adjusting information, so I especially like familiar contacts. So he will be clingy, stubborn in certain behaviors, and the stereotyped behavior cannot be disturbed by the teaching aids that catch the eye. Once disturbed, his emotions will be very big. There are serious problems in the language, and the control of hands and feet is powerless. This is a typical case of autism: no language, poor language comprehension, participation, imitation, hand-eye coordination, behavioral problems There are serious obstacles such as

autistic children. Most of

children with autism have sensory integration and upper inhibition or difficulty in receiving, especially in the aspects of touch, vestibular sensation, hearing and vision. How to make effective functional adjustment is the most worthy of our concern and attention. Problem. Although we still don’t know enough about autism, autism is undoubtedly a disease caused by the incoordination of brain nerves and body senses. It seems that only comprehensive stimulation and adjustment through sensory integration can compare It is easy to have a substantial impact. For this reason, based on the on-site observation to understand Mingming and PEP measurement and other relevant information on autism rehabilitation guidance, the following training plan is formulated:

Training prescription

The first two-week plan: March 1— April 1st

training goal

1. I can walk into the classroom. 2. Participate in some simple projects including: walking on the tactile balance beam, lying on the big cage ball, climbing the sunshine tunnel, carrying small

balls, entering the ball pool, sitting Waiting on the jumping bed.

The focus of training guidance

1. The mother guides him into the classroom and gradually subsides. 2. Food is given to reinforce progressive and good behaviors. 3. It is natural. .

Home training guide points

1. Rolling on the bed, games, adult assistance. 2. Rubbing the skin, wrapping the towel in the cup and playing games. 3. Bathing, spraying the body with a spray head. The above trainings of

are all to increase the tactile stimulation information to relieve the heart The unease, eliminate the tactile sensitivity, and cultivate the automatic and spontaneous adjustment function. However, its adaptability is poor and it is stubborn. It must not be forced, and it must be a little patient. Taking the time to help him actively adapt, and guiding him to various changes and language stimuli during the game may be more helpful for his selection and processing of stimuli information.

training result

can enter the classroom in the second week of training, and can participate in some projects, lying prone on a large cage ball with a tactile balance beam. Others can not be completed, especially like the big cage ball. Home training feedback: not implemented (cannot be completed due to elderly care)

The second two-week training plan: April 1st - May 1st

Training goal

1. Understand the simple one-step instructions. 2. Retire food reinforcement, and turn to social evaluation to praise good progress. Such as: great, you are awesome. 3. Less stereotypes. 4. To do the following items: slides, balance beams, large cage balls, tactile balls, wave pools, sunshine tunnels, rolling pads, jumping on the ball (assistant), sticks, rotating cylinders, net cables, etc.

Guidance points

1. Adding vestibular system information stimulation to reduce the vestibular insufficiency caused by tactile sensitivity leads to excessive anxiety and tension. 2. Understand, observe carefully and gain his trust. 3. Change the training to listen to the instructions, the vocabulary should not be too much, follow the principle of step by step, and strengthen it step by step.

training results

can understand commands such as "pick up," "walk," "fast," "come," "give," and "stand up." The food reinforcement subsides, and the frequency of finger sucking decreases. The following items cannot be completed: slide, net cable, ball jump (assist), wave pool, tactile ball (press only). Other assistance can be completed.

's third two-week plan: May 1st - June 1st

Training goals

1. Build awareness of imitation Clapping hands, fingers, nose, ears, etc. 5. With assistance, you can participate in the following projects: standing on the balance platform, walking and shaking the balance beam, jumping on the bed, rolling mat, cylinder, skateboard

climbing, slide, etc.

Guidance points

Careful observation, patient guidance, assistance in place, praise in time, gradually fading assistance, cultivating their automatic self-regulation ability and building exercise planning ability, let them be familiar with the skills of each part, and promote "I want to do" "I must do it" ” sports planning ideas and abilities.

Training results

can do the following items with assistance: standing on a balance table, jumping bed, rolling mat and other exercises

Child's name: Ming Ming

Evaluation date: July 14, 2003

Actual age: 4 years old

Developmental age : 1 year 5 months

range

Existing ability: (P) has reached the highest level of ability in some skills (E) Suggested goals/activity with higher chance of success

imitation: 1 year 6 months 1 year old 9 months 1-2 years

perception: 9 months 1 year 5 months 0-2 years

small muscles: 1 year 10 months 2 years 4 months 1-4 years

large muscles: 1 year 9 months1 Age 9 months does not apply

hand-eye coordination: 1 year 9 months 2 years 8 months 1-3 years

cognition (understanding): 1 year 4 months 1 year 9 months does not apply

cognition (expression): Not applicable for 1 year old 1 year old

After several months of rehabilitation, Mingming has made remarkable progress. From the beginning of serious stereotyped behaviors requiring parents to accompany you in class, to the present, individual projects can be completed independently, and there has been a great change in emotion. No I was so impatient before, and it is acceptable to see fixed teaching aids in different positions. Seeing the progress of the child, the parents communicated with me on Saturday at the same time as 4 classes per week and added another class. It is worthwhile to see the progress of the child and the approval of the parents.

Source: Fuxin Love Qizhi Park