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Sensory

Auditory Intervention – TOMATIS®

exploreandsoar · 17 January 2024 · Leave a Comment

AUDITORY INTERVENTION – TOMATIS®

Recently the OT team at Explore and Soar participated in some professional development training that allows us to provide another auditory intervention to our clients and their families. We are pleased to announce that Explore and Soar is now a certified Level 1 TOMATIS ® Practitioner.

What is TOMATIS ®?

TOMATIS ® is a sound-based neurosensory education program that is used to enhance the connection of the ear, brain and body in order to work together and support the progression of all foundational skills for your child’s development. It is based upon the work of Alfred Tomatis (Tomatis® Method) using a special machine called the TalksUp® device, to produce the Tomatis® effect. 

This time last year we spoke about the complexity of the auditory sensory system and how it is linked to multiple other sensory systems, including the vestibular (movement) system. As such, our ear is regarded as both an auditory and motor organ within our body and is the doorway to our entire nervous system! The way it interprets and processes sensory information from the world around us impacts upon our emotional regulation, fine and gross motor skills, postural activation, spatial awareness and social skills. 

Did you know that one of the primary roles of the ear is to provide energy to the brain – 70-80% of all energy for our brain comes from our ear! 

Of this, 60% is from our auditory system (hearing) while 30% comes from our vestibular (movement) system. Thus, the ear requires both sound input as well as vibrational input for it to energise the brain and allow for sensory processing to occur at a very automatic level. The TOMATIS ®system is the only auditory system to provide both air (sound) conduction and bone (vibrational) conduction in order to simulate the brain. 

Here is a great video that demonstrates how this in fact works within our bodies.

So why would Explore and Soar use TOMATIS® over other auditory interventions?

TOMATIS ® is based on the principals of intensity and breaks. This means that each program lasts 14 days (intensity) with specific time durations (breaks) between the programs to allow for integration and progression of skills. Thus, it is a 14 day commitment, 4 times per year within the first year and minimum 2 to 4 programs upon the second year to complete the listening program of up to 80 miutes duration per day. However, the integration time outside of the listening stage is just as critical to the overall effectiveness of the program. The effects of TOMATIS ® are best seen over time (with multiple programs for increased results); whereas other auditory interventions can elicit an immediate response or change to behaviours or body awareness or require continued daily listening for up to 12 weeks. 

Explore and Soar clinicians apply their knowledge of each of the different auditory interventions we have access to, along with consideration of each individual’s goals, funds and family life to determine which interventions will be best suited for the individual. 

We’ve seen many children gain a range of benefits by completing the program alongside our clinicians. One of our clients who engaged with the Tomatis® method was previously unable to regulate emotions effectively, follow instructions, understand spatial awareness or movement through space. After completing his first 14 day program, the child became better regulated with a reduced recovery time, staying in his regulated state for longer, with a greater sense of awareness within his own space. He was able to engage and communicate his wants and needs in a healthy way, without lashing out and his creative play and expression exceeded all expectations. 

What benefits can TOMATIS® help achieve?

The changes mentioned here are some of the changes observed and reported by parents using the Tomatis® Method around the world. Responses will vary from child to child and can be difficult to predict; however patterns of development allow us to recognise and assist families in preparing for such changes. These benefits include:

  • A child can become either calmer or more alert depending on their sensory profile.
  • A child can appear more focused and more purposeful in their behaviour. 
  • Improved eye contact. 
  • More affectionate. 
  • Children begin to frequently seek their parents out and want to join in on more family activities. 
  • Show increased interest in non-verbal communication such as facial expressions and gestures.
  • A child may increase their self awareness, or become inquisitive about their own self.
  • They show more awareness of their environment around them and may start to notice things they seemed oblivious to before. 
  • Some of the sensory sensitivities that were especially heightened will start to decline.
  • Increased vocalisations or sounds such as babbling or baby sounds in children who are considered non-verbal.
  • Increased recognition of their name or when they are spoken to.
  • Ability to demonstrate an increased understanding of more complex sounds, words and phrases in children who are considered verbal.
  • Ability to understand and follow directions of varying complexities.
  • A child will have increased purposefulness in their communication, behaviours, play ideation and social interactions with others.
  • A child will be less in their own world and more willing to join our world. 

If you would like to know more about TOMATIS ® or the other auditory interventions Explore and Soar can offer as part of our ongoing therapy to assist your child in achieving their goals, please reach out to your treating clinician. 

Read more about the Tomatis® Method here.

Until next time,
Lori

ORIGINALLY PUBLISHED AUGUST 31, 2022

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Unpacking Sensory Processing Disorder

exploreandsoar · 13 January 2024 · Leave a Comment

UNPACKING SENSORY PROCESSING DISORDER

If you jump on Google, you’ll soon see that there is a plethora of information regarding all different strategies, ideas and ways to support children with Sensory Processing Disorders, ultimately striving to allow them to process the world around them optimally. 

It’s wonderful that there is so much information out there but often the knowledge provided doesn’t always suit your child’s specific needs. Parents have often expressed these concerns to me when seeking further information, finding that one piece of advice obtained online may relate to their child but the other 10 won’t. This can be a significant challenge with Sensory Processing. It’s important to remember that there is no one single best solution for every child – it’s unique to the individual and their needs. 

Reframe your perspective – Have Fun!

When it comes to dealing with sensory processing disorders, you may have tried numerous strategies that have failed to have a lasting impact and you’re starting to get frustrated – you’re not alone. The first thing I like to remind parents, is that everyone is different and each child has their own unique qualities and quirks meaning their body and mind require different needs. Trial and error with Sensory Processing techniques need to be framed in a fun and enjoyable manner. Parents, carers and teachers may find this challenging but if we can learn to laugh at the teaching moments, it will be an easier and more enjoyable process figuring out what your child needs at that point in time. It’s also important to remember that children are constantly evolving . What may have worked one week ago, may no longer interest or serve purpose to your child. Move intrinsically and pay attention to not only what your child needs but also what they want.

Know your options and do what’s right for you.

Believe it or not, there is more than one aspect to addressing Sensory Processing Disorder. By all means you can do extensive research and find more information. What I am going to detail below won’t cover all bases or avenues – so please keep that in mind and know that there are many other ways to address this issue! 

There are so many avenues of information and some great books with strategies! And better yet, if you’re struggling, contact a local occupational therapist (just like us!) and they will be able to help breakdown different aspects of your child’s needs and give specific strategies to add to your daily tool kit of options. 

Let’s talk about Sensory Defensiveness

Sensory Defensiveness is very unique and not as common as people may think. This process is when you perceive your world in a heightened state and it involves a fight, flight, fright and freeze survival response. It means that the individual is consistently on edge, cannot stand clothing, being touched, the textures of foods, and can additionally have symptoms of hypersensitivity to sounds (constantly covering their ears or beginning to cry when experiencing sounds around them). Sensory defensiveness can also involve extreme aversions to smell. When the body enters this process, individuals more often than not seek to control their environment, interactions, what they do, what they wear, and additionally what they eat. This way they feel as if they can control their inputs, in an attempt to avoid the constant uncomfortable and painful feelings they are experiencing on a day-to-day basis. 

Sensory Modulation Disorder

Sensory Modulation disorder is the most common and also most reported on, as it tends to be the most confusing and overwhelming. Many parents, carers and teachers have trialed a range of different sensory processing strategies to support their children with this disorder and it often hasn’t worked, or it has on one occasion and then stopped – which just outlines the true complexity of the modulating sensory input.

Every child consistently tries to self regulate and calm their body, to problem solve with strategies that feel good and grow through play. However in some children, when this is not occurring optimally different behaviours become apparent. For children with sensory modulation challenges, this is when they have difficulty grading the sensory input coming in, and responding with an appropriate output. This can be seen in their everyday behaviours; playing and assessing risks such as overshooting or undershooting when climbing or kicking a ball. 

For kids with sensory modulation challenges, the more they are fatigued, tired and emotional, the bigger the difficulty in grading their sensory responses. Additionally, as each day is different, their body responds to these sensory inputs differently – resulting in a different response or behavioural reaction to either the same or different sensory input each day! Now imagine how stressful that is for a child. It is equally as frustrating for parents trying to figure out what strategies work in order to feel calm, happy and performing at their best. Though it can be confusing, stressful and overwhelming for everyone, it’s important to remember that trial and error is a part of the process. It won’t always be easy but you and your child will make small improvements as long as you persist and pay attention to their needs.

Sensory Discrimination Disorder

Discrimination means interpreting additional information about an interaction or processing specific qualities of sensory stimuli and attribute meaning towards it. It can be described in many ways but it is more often than not the more intricate details, such as noticing different sounds in an array of competing noises, the ability to process background and foreground noise, identifying an object just by touch, visually identifying different characteristics of letters on a busy page.  Children who have Sensory Discrimination Disorder tend to miss the finer details or have small challenges with their gross and fine motor skills. They may miss some of the nuanced non-verbal and verbal skills required for emotional and social interactions at each age appropriate level. 

Additional to these two disorders, there is also another sensory processing disorder called the Sensory-Based Motor Disorder (SBMD), which we will talk more about in the future and break it down in more detail. 

Living with any of these sensory processing disorders is exhausting, scary and overwhelming for children. It’s important to remember that their expressions through their behaviour are them asking us as adults for help. As children they do not have the cognitive capacity to ask for help specifically in this way. This impacts them in many ways and they find it hard to learn, find joy and happiness in their everyday interactions but with ongoing love and support from their family, support networks and the individual supports and strategies from your OT’s, we can all work together to help our children reach their full potential in life. With the right support they can have independence and enjoy meaningful interactions with others and the world around them.

We are always here to answer any questions you may have! Happy learning and exploring through the senses!

Jess.

ORIGINALLY PUBLISHED OCTOBER 2, 2019

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