Building Sensorimotor Systems in Children with Developmental Trauma

Building Sensorimotor Systems in Children with Developmental Trauma
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Sarah Lloyd. Building Sensorimotor Systems in Children with Developmental Trauma

Contents

Foreword

Introduction

The BUSS model

What I’m hoping this book will do

What this book won’t do

Don’t get mixed up between this model and sensory integration therapy

How the book progresses

Chapter 1. Introducing the. Foundation Systems

The foundation systems

The vestibular system

The proprioceptive system

The tactile system

The limbic system

These systems are underdeveloped, not broken

Development as a top-down process

Why is it important – what difference does it make?

Chapter 2. Beginning to Notice. Movement

It’s time for some action!

Useful resources

Getting an idea of whether BUSS is the right model to be using

What if there are other explanations for the difficulties?

Is this the right timing for this intervention?

How long will it take to work?

Chapter 3. The Sequential Nature of. Motor Development

Development of the baby in utero (in the womb)

The developing baby

The newborn baby

The beginnings of tummy time

Getting ready for crawling

Chapter 4. A BUSS Assessment

Measuring change

Some more ideas for noticing movement

Thinking with parents about their observations of how their child moves

Being prepared

The room

Noticing more than movement

Preparing children for a BUSS assessment

Preparing parents for the assessment

Materials

Chapter 5. The Tactile System

Feeding

Chapter 6. Assessing the Development. of the Tactile System

Part 1: Building up a picture of discriminatory tactile functioning – the child doing the touching. Feely bag game

Part 2: Building up a picture of discriminatory tactile functioning – the child being touched. Roller ball on the palm of the child’s hand

Simple figure on back

Cat on back

Part 3: Building up a picture of discriminatory tactile functioning. Taste games

Assessing the tactile system – a summary

Discriminatory tactile functioning

Defensive tactile functioning

Oral functioning

Other useful resources

Chapter 7. Ideas for Rebuilding. Underdeveloped Tactile. Systems: Touch

Getting the ‘just right’ challenge

Part 1: Using touch to increase discriminatory and decrease defensive tactile functioning – the child doing the touching

Feely bag game

To make the game easier

To make the game harder

The jigsaw game

To make the game

Other games the BUSS model uses to build discrimination

Part 2: Using touch to increase discriminatory and decrease defensive tactile functioning – the child being touched

The roller ball and drawing on back games

To make the game harder

Other (mostly parent-inspired) ideas around touch games

Chapter 8. Ideas for Rebuilding. Underdeveloped. Tactile Systems: Taste. and Oral Games

The games. The milk challenge

Building discernment

To make this easier

To make this harder

Building oral strength and stamina

Bubble mountain

Blow football

Blowing a ping pong ball around the bath

Blowing a train

Drinking a yogurt with a straw

Chapter 9. The Vestibular System: The. Foundation of All Systems

Indicators that might suggest a child’s vestibular system is underdeveloped. Core strength and stability

Gravitational insecurity

Chapter 10. Assessing the Development. of the Vestibular System: Core Strength and Stability

Assessing the development of the vestibular system. Part 1: Core strength and stability

Sitting at a table and drawing

Lying on the floor in a straight line

Prone extension

Chapter 11. Assessing the Development. of the Vestibular System: Gravitational Security

Activities to notice gravitational security

Activity 1: Walking up and down a flight of stairs

Activity 2: Tightrope walking

Making this activity harder

Making this activity easier

Activity 3: Jumping from cushion to cushion

To make this activity harder

Chapter 12. The Proprioceptive System

Growing into ourselves on a bodily level

Centrally programmed movement

Movement that requires conscious attention

Underdeveloped proprioceptive systems

Chapter 13. Assessing the Development. of the Proprioceptive System

Activities to notice proprioceptive functioning

Activity 1: Drawing

Activity 2: Tightrope walking

Activity 3: Walking down a flight of stairs

Activity 4: Jumping from cushion to cushion

Activities to notice whether the body is working as one unit

Activity 1: Commando crawling

Activity 2: Crawling

Chapter 14. Rebuilding Underdeveloped. Vestibular and. Proprioceptive Systems

Getting started

Tummy time

Commando crawling

Regular crawling

The exceptions…

Even rarer exceptions

Chapter 15. And Breathe: A Chance. to Catch Up

Sean’s assessment

Tactile system

Vestibular system

Proprioceptive system

Starting programme for the first four weeks. Tactile system

Vestibular system

Proprioceptive system

Review session with parents four weeks after the assessment

Tactile system

Vestibular system

Proprioceptive system

Other observations

Reflection

Elsa’s assessment

Tactile system

Vestibular system

Proprioceptive system

Other observations

Starting programme for the first four weeks

Tactile system

Vestibular system

Proprioceptive system

Review session with parents four weeks after the assessment. Tactile system

Vestibular system

Proprioceptive system

Chapter 16. Next Steps in Rebuilding. Underdeveloped Vestibular. and Proprioceptive Systems

Next steps

Sean

Next steps in building foundation systems. Tactile system

Vestibular system

Proprioceptive system

Reassessment eight weeks after first assessment. Tactile system

Vestibular system

Proprioceptive system

Other observations

Reflection

Elsa

Next steps in building foundation systems. Tactile system

Vestibular system

Proprioceptive system

Reassessment eight weeks after first assessment. Tactile system

Vestibular system

Proprioceptive system

Next steps – plan for the next four weeks. Tactile system

Vestibular system

Proprioceptive system

Reflection

Chapter 17. Over to Parents: Reflections. on Experiences of Using the. BUSS Model from Lenny, Amber, Nadia, Elsa and Percy

Lenny

Background

Assessment

Vestibular system

Proprioceptive system

Tactile system

Plan. Vestibular system

Proprioceptive system – crawling and commando crawling

Tactile system

Amber

Background

Assessment

Plan

Tactile system

Vestibular system

Proprioceptive system

Review

Next steps in building foundation systems. Tactile system

Vestibular system

Proprioceptive system

How are things now?

Nadia

Assessment

Plan. Tactile system

Vestibular system

Proprioceptive system

How did you get on? Tactile system

Vestibular system

Proprioceptive system

What did you notice?

Elsa

3–6 months post-intervention – bodily regulation. Vestibular and proprioceptive systems

Tactile system

3–6 months post-intervention – emotional regulation

6–12 months post-intervention – bodily regulation. Vestibular and proprioceptive systems

6–12 months post-intervention – emotional regulation

Percy’s BUSS journey

Background

Assessment

Post-assessment

Top tips

Percy’s favourite things

Chapter 18. Final Thoughts

When to stop

Bibliography

A neurodevelopmental understanding of the impact of early adversity on development

Child development

Assessments

Building underdeveloped sensorimotor systems

Attachment and building relationships

Sensory integration and children with sensory processing disorders

Other internet resources

For younger children

Subject Index

Author Index

Acknowledgements

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