GLOSSARY
                               definitions of terms commonly used at Children's Therapy Center

ATTENTION - Attention is a complex behavior that requires the integration of several areas of the brain.  The first component of
attention is "registration", our initial awareness of a change in sensory stimuli.  The second component of attention is "orienting", an
increase in our level of alertness.  The final component is involves "effort" or exploration of the stimulus.  For example, our effort
might be to listen to or watch the stimulus.

BILATERAL INTEGRATION - refers to the ability to use the two sides of the body together in a coordinated manner.  Examples of
bilateral tasks include:  running, skipping and jumping with both feet together.

COORDINATION -Includes both motor control and praxis (motor planning).  Motor control is the ability to move with precision and
smooth quality.  Praxis is defined below.

FINE MOTOR CONTROL -involves development of manipulation skills in the hands to eventually allow for efficient and precise
manipulation of objects.  Sensory motor skills must be well developed for this to occur, including postural control, sensory modulation
and praxis.  

MUSCLE TONE - This refers to the tension in  a muscle.  Muscle tone should be high enough to hold a position against gravity, yet low
enough to move a body joint through its full range of motion.  Abnormal muscle tone would be either extreme tension or lack of
tension in a muscle.

POSTURAL CONTROL - refers to the ability to sustain the necessary background posture to efficiently carry out a skilled task, such as
reading or handwriting.  The ability to stabilize the trunk and neck underlies the ability to develop efficient eye and hand movements.  

PRAXIS - This is the medical term used to describe motor planning.  It is defined by Dr. A. Jean Ayres as "The ability of the brain to
conceive of, organize and carry out a sequence of unfamiliar actions."  Inadequate praxis, Apraxia, is often a symptom of inadequate
sensory processing.  Long term problems noted in children with apraxia, include:  clumsiness, difficulty performing motor tasks at
age level, difficulty following directions and imitating movement.  A child with apraxia may need extra practice and instruction to learn
a new motor task.  Once he learns something, he may refuse to try it another way and appear "stubborn".

PRIMITIVE REFLEXES- There are movement reflexes that each baby is born with.  These "primitive" reflexes assist the infant in
successfully progressing through various  stages of movement so they may learn to roll, crawl, sit and walk, etc.  As a child matures,
these the child is able to move without the need of these reflexes and they become more integrated and do not predominate or direct
movement patterns.  Sometimes a reflex continues to direct or dominant movement after an age where it is normally integrated.   We
would consider this an abnormal reflex pattern.

PROPRIOCEPTION - This is information that the brain receives from our muscles and joints to make us aware of body position and
body movement.  Proprioceptive makes a strong contribution to praxis, to the child's ability to grade movement and to postural control.

SELF REGULATION - refers to the ability to attain, maintain and change your level of arousal appropriately for a task or situation.  
Arousal is considered a state of the nervous system and describes how alert someone feels.  To attend, concentrate and perform
tasks according to situational demands, the nervous system must be in an optimal state of arousal (or alertness) for the particular
task.  Adults use a variety of subtle sensory  techniques to maintain their arousal level.

SENSORY INTEGRATION - "is the organization of sensations for use.  Our senses give us information about the physical conditions of
our body and the environment around us.  Sensations for into the brain like streams flowing into a lake."  ...."The brain must organize
all of these sensations if a person is to move and learn and behave normally."(Dr. A. Jean Ayres, Sensory Integration and the Child,
Western Psychological Services, 1981, pg.5.)

SENSORY MODULATION - is the ability to regulate our responses in a manner proportional to the sensory stimuli.  There are children
who have an increased level of arousal and seem to be over responsive to sensory input.  This is described as sensory
defensiveness.  Children at the other end of the spectrum have a decreased level of arousal and seem to be under responsive to
sensory input.  This is referred to as sensory dormancy.  Both extremes of modulation may be seen in one child to the same type of
stimuli, but generally, one extreme tends to dominate.  Both, cause the child to have difficulty with allocation of attention and interfere
with the development of sensory processing skills.

TACTILE -  This refers to our sense of touch.  The sense of touch is a child's first way to learn about the external world.  It is a critical
sense to developing relationships with primary care givers and to giving comfort.  The sense of touch plays a very important role in
the child's development of body awareness  and is critical in the development of praxis (motor planning).

VESTIBULAR - This is the sense that allows us to recognize how we are moving in relationship to gravity.  Receptors in our ears sense
if we are upright, upside down, moving sideways, spinning, etc.  As a result of this sensory input, we make adjustments to posture
and to our eye movements.  Vestibular sensation has a strong impact not only on posture and eye movements, but also on: balance,
coordination of the two body sides, and emotional control.  Accurate vestibular processing is essential for the development of praxis.

VISUAL MOTOR SKILLS - refers to the development of smooth and efficient eye movements to allow for tracking of objects, focusing
on specific targets and shifting gaze from one object to another.  

VISUAL PERCEPTION - refers to the brain's ability to interpret and make sense of visual images seen by the eyes.  
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