Effective Mind-body Interventions for Improving Emotional Self-regulation in Children with Sensory Processing Disorder JENNY EUBANK, OTS Vision In Action.

Effective Mind-body Interventions for Improving Emotional Self-regulation in

Children with Sensory Processing Disorder

JENNY EUBANK, OTS

Vision In Action 1.23.2015

Presentation Outline

• Personal interest in Mind-Body-Spirit

• Define Sensory Processing Disorder

• Describe the research

• Discuss clinical experience

• Apply evidence to current practice

Sensory Processing Disorder- SPD• Difficulty processing and acting upon information

received through the senses

• Sensory signals don't get organized into appropriate responses

• Motor clumsiness, behavioral problems, anxiety, depression

• High risk for emotional, social, and educational problems

• These difficulties are chronic and disrupt everyday life.

• Unique diagnosis from ADHD & autistic spectrum disorders

Which mind-body OT interventions result in improved emotional self-

regulation in children with Sensory Processing Disorder?

Evidence Supporting Mind-Body Interventions• Very few studies on mind-body interventions in

occupational therapy journals

• Small sample sizes

• Self-report & subjective outcome measures

• Limited clinical diagnosis of SPD

• Researchers as stakeholders

Yoga & Nei Yang Gong

• Improved behavior (Koenig, 2012)

• Reduction in ADHD symptoms (Jensen, 2004)

• Reduced anxiety and improved self-care, socialization, and emotional regulation (Stoller, 2012)

• Improved self-control, a reduction in temper outbursts, and enhanced EEG activity in the anterior cingulate cortex (Chan, 2013)

Qigong Sensory Training (QST)

• Chinese medicine manual technique• Parents were trained to give their child the

QST massage daily.• Noticeable improvement in self-control

across contexts• Teachers observed significant

improvements in autistic behavior.• Parental outcome measures found a

decrease in maladaptive behavior and improved social and communication skills. (Silva, 2009)

Meditation & Mindfulness Awareness

• Executive functioning (EF)- management of cognitive processes

• Improvements in behavioral regulation, metacognition, & global executive control in children with lower EF scores (Flook, 2010)

• Strategies to control behavior and manage anger

• Feeling calm, strong, and focused at school (Case Smith, 2010)

Clinical Application- Level II Fieldwork

• Louisville Pediatric Therapy Center

• The Medical Center- Bowling Green, KY

REFERENCES

Case­­Smith,­J.,­Sines,­J.­S,­&­Klatt,­M.­(2010).­Perceptions­of­children­who­participated­in­a­school­­ based­yoga­program.­ Journal of Occupational Therapy, Schools, & Early Intervention, 3 ,­ 226–238.­ doi:10.1080/19411243.2010.520245

Chan,­A.­S.,­Sze,­S.­L.,­Siu,­N.­Y.,­Lau,­E.­M.,­&­Cheung,­M-c.­(2013).­A­Chinese­mind-body­exercise­ improves­self-control­of­children­with­autism:­A­randomized­controlled­trial.­PLoS ONE, 8,­ e68184.­doi:10.1371/journal.pone.0068184

Flook,­L.,­Smalley,­S.­L.,­Kitil,­M.­J.,­Galla,­B.­M.,­Kaiser-Greenland,­S.,­Locke,­J.,­.­.­.­Kasari,­C.­ (2010).­ Effects­of­mindful­awareness­practices­on­executive­functions­in­elementary­school­ children.­ Journal of Applied School Psychology, 26,­70-95.­ doi:10.1080/15377900903379125

Jensen,­P.­S.,­&­Kenny,­D.­T.­(2004).­The­effects­of­yoga­on­the­attention­and­behavior­of­boys­with­ attention-deficit/hyperactivity­disorder­(ADHD).­ Journal of Attention Disorders, 7,­205- 215.­ doi:­10.1177/108705470400700403

Koenig,­K.­P.,­Buckley-Reen,­A.,­&­Garg,­S.­(2012).­Efficacy­of­the­Get­Ready­to­Learn­yoga­program­ among­children­with­autism­spectrum­disorders:­A­pretest–posttest­control­group­ design.­ American Journal of Occupational Therapy, 66,­538–546.­ http://dx.doi.org/10.5014/ajot.2012.004390­

Silva,­L.­M.­T.,­Schalock,­M.,­Ayres,­R.,­Bunse,­C.,­&­Budden,­S.­(2009).­Qigong­massage­treatment­for­sensory­and­self-regulation­problems­in­young­children­with­autism:­A­randomized­controlled­ trial.­American Journal of Occupational Therapy, 63,­423–432.­doi:­10.5014/ajot.63.4.423

Stoller,­C.­C.,­Greuel,­J.­H.,­Cimini,­L.­S.,­Fowler,­M.­S.,­&­Koomar,­J.­A.­(2012).­Effects­of­sensory- enhanced­yoga­on­symptoms­of­combat­stress­in­deployed­military­personnel.­American Journal of Occupational Therapy, 66,­59–68.­doi:­10.5014/ajot.2012.001230

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