Spirited Conversations - Engaging and Elevating Pediatric OT

19. Sensory 'Seekers' - Vestibular Discrimination Part 1


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This episode is our first attempt to discuss some of the vestibular based contributions to why some children just never. stop. moving. In comparison to others, who seem to fear movement. We attempt to explore how both of scenarios are related to weakened vestibular processing. This is a part one episode, as we've only just scratched the surface of this topic.


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In this episode, Tracy, Cory and Michelle cover the following:

1. The importance and power of the vestibular system and its role in neurological functions, sensory integration and higher cognitive capacities.

2. Some ways to identify and assess vestibular processing issues in a child and the challenges of testing for this.

3. The importance of understanding the purpose of vestibular activation and how to effectively treat it in children.


Resources:

Check out DFX's learning journeys to build your clinical reasoning skills with Tracy --> https://dfxlearningjourneys.thinkific.com/

Full transcription of our episode is available on our website. 


Other episodes you'll enjoy:

17. Vestibular Based Treatment

https://youtu.be/jFHatI5lmyU


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YouTube: https://www.youtube.com/@spiritedconversations_OT

Website: https://www.spiritedconversationspodcast.com/


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Chapter Summaries:

[00:00:36]

We are going to talk about vestibular integration. When a child seems to be not registering the information from movement, how do we describe it? How do we talk about it?

[00:06:17]

Tracy: If you can help the sensory systems integrate with the vestibular system in a better way then that's likely to have improved impact on their function and development. The thing that changes all the time is the individual presentation of the behaviors that reflect the challenges with those underlying systems.

[00:16:55]

Tracy: If the person gets super activated by movement and then they might have a little bit of sympathetic activation. In the vestibular apparatus, as you move through space, you should have the fluidity and freedom of movement. But if you're not able to integrate and take in the details of space movement, that is more discrimination.

[00:21:36]

Cory: What's the difference between kids that have a hard time processing vestibular information and those that move all the time? Tracy: Focusing the conversation on that adaptive response is always a pivot point. And those kids are easier to treat because the treatment goes faster.

[00:31:04]

When things really come together for little developing kids, all of this circuitry just is sort of almost automatic. Sometimes we have to go a little bit slow to go fast. But if we remember to follow their lead, we can stick with them.

[00:37:50]

There is an indication that with prolonged Nystagmus that some of this treatment may have less efficacy. Most of the time, it's about discerning the relationship between the integrative partners. And the vestibular processing can change pretty drastically as the processing overall changes.

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Spirited Conversations - Engaging and Elevating Pediatric OTBy Tracy Stackhouse, Cory Dundon, Michelle Maunder

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