Occupational Therapists' Experience Concerning Occupational Performance in Adults With Asperger Syndrome

Persons with Asperger Syndrome often seem to have difficulty performing everyday occupations. This study aimed to describe occupational therapists' experience concerning abilities to occupational performance among adults with Asperger Syndrome. Data were collected in interviews with eight occupational therapists and analyzed using a qualitative method. Results showed that clients with Asperger Syndrome often possess abilities but seem to have difficulties knowing when, where, and how they should use them. The ability to adapt behavior in accordance with cues from the environment was identified as the core category. Environment plays a major role in how these persons interact in different situations.     

Perceived Occupational Concerns and Sensory Processing Patterns of Mothers in a Temporary Assistance for Needy Families (TANF)-to-Work Program

In this study, the authors examine the perceived occupational concerns, typical daily routines, and sensory processing of mothers in a mandatory Temporary Assistance for Needy Families return to work program. Participants were five female members of a transitional work program for single parents with mental illness. The Canadian Occupational Performance Measure and the Adult Sensory Profile were administered. The study found that the most frequently identified occupational problems were leisure and self-care. All participants scored as having at least one atypical sensory processing pattern. Future research should investigate the efficacy of an occupational therapy intervention on this population's return to employment.     

Preliminary Evaluation of Sleepwise Program for Children With Sleep Disturbance and Developmental Delay

Sleep disturbances are very prevalent in children with developmental delay. Parental-assisted behavioral strategies have been used effectively in school-aged children; however, multimodal treatment for preschool-aged children is lacking. The current study is a preliminary investigation of the effectiveness of a parent group program called Sleepwise designed for young children with developmental delay and incorporating behavioral, communicative, and sensory strategies. Six parents attended three workshop sessions and implemented individualized treatment plans. Initial results revealed significant posttreatment reductions in child sleep disturbances and behavioral problems, with high treatment acceptability ratings by parents. Outcomes were generally maintained at 1-month follow-up.     

A novel approach to mechanical foot stimulation during human locomotion under body weight support

Input from the foot plays an essential part in perceiving support surfaces and determining kinematic events in human walking. To simulate adequate tactile pressure inputs under body weight support (BWS) conditions that represent an effective form of locomotion training, we here developed a new method of phasic mechanical foot stimulation using light-weight pneumatic insoles placed inside the shoes (under the heel and metatarsus). To test the system, we asked healthy participants to walk on a treadmill with different levels of BWS. The pressure under the stimulated areas of the feet and subjective sensations were higher at high levels of BWS and when applied to the ball and toes rather than heels. Foot stimulation did not disturb significantly the normal motor pattern, and in all participants we evoked a reliable step-synchronized triggering of stimuli for each leg separately. This approach has been performed in a general framework looking for “afferent templates” of human locomotion that could be used for functional sensory stimulation. The proposed technique can be used to imitate or partially restore surrogate contact forces under body weight support conditions.     

Effect of Sensory Deprivation on Maximal Force Abilities from Local to Non-local Digits

Abstract

The present study investigates the effect of sensory deprivation of the index and middle finger on motor function of all digits during maximal voluntary force production tasks. A total of 27 subjects performed maximal isometric pressing tasks by using different instructed finger combinations. Subjects completed the same tasks in two visits: a control visit when they had normal sensory feedback in all fingers, and an anesthesia visit when digital nerve blocks were performed on their right index and middle fingers. We evaluated three aspects of motor adaptation on both local (anesthetized) and non-local (non-anesthetized) digits during maximal force production: (1) task-relevant and overall force magnitude, (2) force directional application, and (3) digital individuation and force sharing. Our results indicate that selective digital anesthesia resulted in decreased maximal force magnitude, changed direction of force production, and significant changes extended to non-local digits. The motor weakness and inefficiency revealed in the non-local digits implies that sensory information from each digit can be shared across the digits to assist motor execution within the same hand.     

Making Sense of Their World: Sensory Reactivity and Novelty Awareness as Aspects of Temperament and Correlates of Social Behaviours in Early Childhood

This study examines the early emergence of sensory reactivity and novelty awareness and their relations to children's behaviours with peers. A total of 260 parents (242 mothers, 18 fathers) and 10 teachers of 260 children (131 male, 129 female; M = 63 months; SD = 8.80; range = 39–81) participated. Structural equation models indicate that sensory reactive children appear to be less social (i.e. prosocial and friendly), more likely to engage in solitary‐active play behaviour, and more prone to utilize instrumental aggression in peer interactions. Children scoring high on novelty awareness tend to be more social (i.e. prosocial, friendly, and control impulses), better able to appropriately and punctually comply with tasks given by teacher, less likely to engage in a number of solitary play behaviours (i.e. solitary passive and solitary active), less likely to utilize instrumental or reactive aggressive strategies, and more likely to dodge negative peer interactions by avoiding bullies. Furthermore, the associations between sensory reactivity/novelty awareness and children's behaviours differ from those of other dimensions of temperament (i.e. activity level and emotionality). This suggests that novelty awareness and sensory reactivity uniquely contribute to our overall understanding of children's temperament and its correlates. Copyright © 2012 John Wiley & Sons, Ltd.     

SENSORY EXTINCTION AND SENSORY REINFORCEMENT PRINCIPLES FOR PROGRAMMING MULTIPLE ADAPTIVE BEHAVIOR CHANGE

The role of sensory reinforcement was examined in programming multiple treatment gains in self-stimulation and spontaneous play for developmentally disabled children. Two phases were planned. First, we attempted to identify reinforcers maintaining self-stimulation. Sensory Extinction procedures were implemented in which auditory, proprioceptive, or visual sensory consequences of self-stimulatory behavior were systematically removed and reintroduced in a reversal design. When self-stimulation was decreased or eliminated as a result of removing one of these sensory consequences, the functional sensory consequence was designated as a child's preferred sensory reinforcer. In Phase 2, we assessed whether children would play selectively with toys producing the preferred kind of sensory stimulation. The results showed the following. (1) Self-stimulatory behavior was found to be maintained by sensory reinforcement. When the sensory reinforcer was removed, self-stimulation extinguished. (2) The sensory reinforcers identified for self-stimulatory behavior also served as reinforcers for new, appropriate toy play. (3) The multiple treatment gains observed appeared to be relatively durable in the absence of external reinforcers for play or restraints on self-stimulation. These results illustrate one instance in which multiple behavior change may be programmed in a predictable, lawful fashion by using “natural communities of sensory reinforcement.”     

Calibration of sensory and cognitive judgments: Two different accounts

The purpose of this study was to test predictions of two recent theories of realism of confidence. Ecological approaches to realism of confidence in one's general knowledge (Gigerenzer et al. , 1991; Juslin, in press a ; Björkman, in press) predict good calibration or, in the case of poor cognitive adjustment, overconfidence, within the cognitive domain. The subjective distance theory of confidence in sensory discriminations (Björkman et al. , 1992) predicts a pervasive underconfidence bias for sensory discriminations. Empirical data are reported showing that: (a) Calibration for sensory judgments is considerably poorer than calibration for well adapted cognitive judgements, a difference that can be entirely traced to underconfidence in the sensory domain. (b) While an initial overconfidence bias in the cognitive domain is removed by outcome feedback, the bias observed in sensory discriminations is unaffected even by a prolonged feedback session. It is suggested that the nature of confidence in sensory discriminations is different from the nature of confidence in cognitive judgments.     

Intersensory redundancy accelerates preverbal numerical competence

Intersensory redundancy can facilitate animal and human behavior in areas as diverse as rhythm discrimination, signal detection, orienting responses, maternal call learning, and associative learning. In the realm of numerical development, infants show similar sensitivity to numerical differences in both the visual and auditory modalities. Using a habituation-dishabituation paradigm, we ask here, whether providing redundant, multisensory numerical information allows six-month-old infants to make more precise numerical discriminations. Results indicate that perceptually redundant information improved preverbal numerical precision to a level of discrimination previously thought attainable only after additional months of development. Multimodal stimuli may thus boost abstract cognitive abilities such as numerical competence.