Reaching%20Sensory%20Processing%20Disorders:%20Working%20to%20Benefit%20ADD/ADHD%20to%20Autism%20through%20Structure%20and%20Function - PowerPoint PPT Presentation

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Reaching Sensory Processing Disorders: Working to Benefit ADD/ADHD to Autism through Structure and Function Charles W Chapple, DC, FICPA – PowerPoint PPT presentation

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Title: Reaching%20Sensory%20Processing%20Disorders:%20Working%20to%20Benefit%20ADD/ADHD%20to%20Autism%20through%20Structure%20and%20Function

Reaching Sensory Processing Disorders Working
toBenefit ADD/ADHD to Autism through Structure
and Function
  • Charles W Chapple, DC, FICPA
  • 360 E Irving Park RD, Roselle, IL
  • (630) 894-8778
  • Selected 2006-2008 Guide To Americas Top
  • 2008 Five Star Excellence Award in

What are Sensory Processing Disorders?
  • Any condition which demonstrates the inability to
    process information through the Senses.
  • Interestingly the DMSR only acknowledges the
    sensory component in ASD as a secondary finding(
    Diagnosed by language, social and behavioral

Inter-related Conditions?

  • Normal Children

  • ADD/ADHD 5 Million Children in USA alone
  • Autism Every 21 minutes another Child is
  • Challenged Child 12 to 30 of Children.

How is Information Gathered for Our Sensory
  • Through Senses
  • Through Reflexes
  • Reflexes and Sensory Processing Cant be Separated

Body Senses Include
  • Far Senses - Allow us to respond to stimuli
    outside our body
  • Hear
  • See
  • Taste
  • Touch
  • Smell
  • Near Senses - Or Hidden Senses Automatically
    respond within our body to stimuli
  • Body Position/Awareness
  • Movement/Balance

Reflexes and the Sensory System
  • Primitive Reflexes
  • Postural Reflexes

What are the Primitive Reflexes?
  • Primitive reflexes are automatic survival
    responses to stimuli (Sensory Input) which
    develop during uterine life and should be fully
    present at birth.

Anatomy of Primitive Reflexes
  • Within the brainstem
  • Oldest part of the brain (Reptilian or
    Pre-Cortical) gt Midbrain gt Cortical
  • Automatic vs Volitional
  • Stimulus elicited (e.g. A Chocolate Cookie)
  • Survival / Instinctual

Primitive Reflexes Charted
A Closer Look at Primitive Reflexes
  • Fear Paralysis Reflex
  • Fetal Tuck Reflex
  • Moro Reflex
  • Clasping Reflex
  • Facilitates the 1st Breath of Life
  • Only PR connected to ALL senses
  • Matures to Adult startle response Shoulders
    shrug w/ head turn
  • If underdeveloped maybe factor in SIDS
  • Palmar Reflex
  • Grasping Reflex
  • Related to early feeding (hand/mouth)
  • Stimulation bilaterally inhibits Moro Reflex
  • Matures to Pincer Grip
  • Plantar Reflex
  • Trouble w/Gait, Run, Toe Walk
  • Rooting/Suck Reflex
  • Cardinal Points Reflex
  • Hand-mouth neurologic link

A Closer Look at Primitive Reflexes Continued
  • Asymmetrical Tonic Neck Reflex
  • Kicking Vestibular reflex
  • In Utero provides continuous motion stimulating
    balance/ neural connections
  • Assists reinforces birth process
  • First eye-hand coordination
  • Integrates vestibular w/ other senses enhances
  • If underdeveloped maybe factor in SIDS
  • Spinal Galant Reflex
  • Spinal reflex
  • Assist birth process
  • Enables the fetus to feel sound
  • Reduced by Auditory Integrative Training

A Closer Look at Primitive Reflexes Continued
  • Symmetric Tonic Neck Reflex
  • Rolling reflex
  • First assistance of body to defy gravity
  • Influences body muscle tone in horizontal halves
  • Crawl assist hand-eye coordination essential for
    reading writing
  • Tonic Labyrinthine Reflex
  • Vestibular reflex Forward Backward
  • Backward emerges w/ Postural Reflexes
  • Early method of response to gravity
  • - Giving sense of direction based where in space
  • Shared circuit of eyes brain
  • Influences muscle tone throughout the body

What If Primitive Reflexes dont Integrate?
  • Primitive reflexes that remain and do not
    integrate, are Retained and therefore postural
    reflexes do not develop fully resulting in a
    Reflexive No Mans Land or A Reflexive
    Seesaw (e.g. Car stuck in the Snow).
  • Thus the body remains under the influence of
    involuntary responses instead of voluntary.
  • Retained Primitive Reflexes cause
  • Difficult voluntary movements and Balance
  • Irregular Visual Perception
  • Irregular Auditory Processing
  • Irregular Sensory Perception

Observing SPDs
  • An Individual defined as having SPD concerns
    exhibits variations of sensory activity in
  • Frequency Intensity Duration
  • Observed as either as a Hypersensitivity or a

The Sensitivity of the Seven Senses in SPD
  • Hypersensitive - requires less stimulation
  • Avoids sounds
  • Overwhelmed by intense visual
  • Object to textures and gag
  • Avoid textures and being touched
  • Avoids odors
  • Rigid and uncoordinated
  • Apprehensive running, climbing and swinging
  • Hyposensitive - requires more stimulation
  • Appears to ignore sound
  • Appears uninterested by visual
  • Tastes inedible objects
  • Chews and presses into objects
  • Unaware of unpleasant odors
  • Limp and clumsy
  • Craves rocking, twirling and fidgets

How SPD Presents
More Specific Symptoms of Retained Reflexes
  • Fear Paralysis Reflex
  • Oppositional Defiance
  • The Screaming Child
  • Moro Reflex
  • Aggressive or Withdrawn
  • Overactive (Ready-Fire-Aim)
  • Overemotional (Weeping Anger)
  • Learning Difficulty (Pupils problem w/ black
    print on white paper
  • Visual attention drawn to outside edges
    (Peripheral Vision)
  • Hypersensitive to ALL senses
  • Adrenal Fatiguegt Weak Immune
  • Overall effects emotional profile
  • Palmar Reflex
  • Poor Manual Dexterity (Thumb)
  • Speech Difficulties
  • Manual Tasks Inhibit Talking
  • Difficult writing (w/Mouth Motion)
  • Plantar Reflex
  • Trouble w/Gait, Run, Toe Walk

More Specific Symptoms of Retained Reflexes
  • Asymmetrical Tonic Neck Reflex
  • Easily Distracted
  • Poor Pencil Grip, Excessive Grip
  • Missing Visual Reading Fields
  • When reading
  • Difficult Distance Perception
  • Poor Ball Skills
  • Difficult cross crawling on stomach
  • (Barrier crossing midline)
  • Difficult tasks involving both sides of Body
    Favors same side motion since choice of side
    not automatic becomes unnecessary source of
  • Learning Difficulty
  • Tonic Labyrinthine Reflex
  • Poor Judgment of Balance, Space, Distance, Depth,
    Motion Time
  • Motion Sickness Dislike P.E.
  • Floppy or Rigid Child
  • Fatigue when Neck Flexed
  • Learning/Visual Difficulty (Mirror Write)

More Specific Symptoms of Retained Reflexes
  • Rooting/Suck Reflex
  • Difficult Chew, Speech and Dribble
  • Relation to manual dexterity
  • Spinal Gallant Reflex
  • Delayed Sitting
  • Abnormal Gait/Posture
  • Poor Bladder Bowel/ Bed Wetting
  • Ants in Pants Child
  • Poor Concentration Learning Difficulty
  • Symmetrical Tonic Neck Reflex
  • Poor Posture, (Ape like) Walk
  • W leg position w/ floor sitting
  • Poor Hand-eye coordination- eating
  • Swim better underwater w/ less gravity

The Next Developmental Step
  • As higher brain centers mature or the PRs
    Integrate more voluntary Postural Reflexes and
    Cortical development occurs
  • Postural Reflexes
  • The Righting Reflexes (Quadruped)
  • Equilibrium Reactions (Bipedal)

Developmental Movement Patterns
  • The Building Blocks of movement and understanding
  • Integrates all previous patterns Gains ability
    to intend
  • Differentiates right and left side of the body
    Gains mobility
  • Differentiates upper and lower halves of the
    body Gains the ability to act
  • Differentiates front and back of the body Gains
    the abilityto attend
  • Differentiation and connection
  • First limb to reach, grasp, hold and let go
  • Simplest ground of physical presence

The Significance of Primitive to Postural
  • Primitive Reflexes
  • Form foundations for later body functions
  • Postural Reflexes
  • Provide the framework within which body systems
  • The Integrity of one effects the Integrity of the
  • (The Model Home)

Learning Hierarchy
  • Academic Functioning
  • Development of logic and reasoning for
    schooling-reading, writing and math
  • Conception
  • Making sense of the world
  • Language
  • Development of speech
  • Perception
  • Development of sight, hearing and touch
  • Motor Patterns
  • Development of correct motor pattern, crawling
    and climb
  • Postural Reflexes
  • Development of ability to be in an upright
    posture and balance against gravity
  • Primitive Reflexes
  • Emergence and integration of survival reflexes
    along with hearing and touch competence

Difficulty with Senses and Reflexes
  • Difficulty with Skills
  • Motor/ Muscle Tone
  • Cognition
  • Communication
  • Socialization
  • Independence
  • Difficulty with Behaviors
  • Impulsiveness
  • Self Control
  • Distractibility
  • Frustration
  • Social
  • Emotional

SPD Expression
  • Cause
  • Difficulty with Senses
  • and Reflexes
  • Effect
  • Difficulty with Skills and Behavior
  • Low Self Esteem

  • Traditional
  • Treats causes as genetic, pre-postnatal trauma
    and unknown
  • Treatment is geared from outside the body to
    inside the body ( e.g. Behavioral Modification)
  • Reactive
  • (The Model Home)
  • Alternative
  • Treats the structure in order to improve the
    function as cause is a Sensory Reflex imbalance
    System Overwhelmed
  • Treatment is geared from inside the body to
    outside the body (e.g. Chiropractic and
    Craniosacral Therapy (CST)
  • Proactive
  • (The Model Home)

Controlling the Senses and the Reflexes
  • The Central Nervous System (CNS), comprised of
    the brain, brain stem, the cranial nerves, the
    spinal cord and the nerve attachments controls
    the senses and the reflexes.

CNS Involvement
  • HearCN 8 (Vestibular Cochlear)
  • See..CN 2(Optic)..CN 3(Occulomotor),
  • CN 4(Trochlear)..CN 6 (Abducens)
  • Taste..CN 9(Glossopharyngeal)
  • Touch..............................Afferent and
    Spinal Pathways
  • Smell..CN 1 (Olfactory)
  • Body Position...................CN 8, Brain stem
    and Spinal cord
  • Movement..Brain stem and Spinal cord

Cranial Nerves Involvement
CNS Structure and Function
  • The Cranium and Spinal Cord are the boney
    structures protecting the CNS.
  • Improper Improper
  • Structure Function
    Sensory and Reflex Processing
  • (Alignment and Position) (Motion
    and Nerve Communication)
  • Improve Improve
  • Structure Function
    Sensory and Reflex Processing

  • The CNS and its intimately related boney
    protective network form the profound link of
    communication and functional interaction between
    an individuals internal and external

Craniosacral Therapy (CST)
  • Focuses on relieving pressure on the brain and
    spinal cord through manual pressure techniques
    used at the cranium and sacrum.

The Craniosacral System
  • Consists of membranes and cerebral spinal fluid,
    which protect the CNS.
  • Restrictions in this system are detected, and
    corrections are identified through manual
    monitoring of the craniosacral rhythm (CSR).

The Bones to the Senses and Reflexes
The Bones in Motion
Variations in CSR.
  • Variations in the CSR (6-12 bpm) could indicated
    any number of motor, sensory, reflex or
    neurological impairments, as well as causes of

The Chiropractic Approach to the CNS
  • Chiropractors identify the necessity for the
    reduction of Subluxations, and utilize gentle
    spinal pressure techniques called Adjustments in
    order to remove Subluxations.

What are Subluxations?
  • CNS irritation characterized by
  • Irregular boney mechanics or spinal misalignment
  • Nerves imbalances
  • Muscle irritations
  • Tissue inflammation
  • Degenerative wear
  • The poor structure or mechanics involved in
    creating Subluxations results in poor motor,
    sensory, reflex and neurological function, as
    well as causes of pain.

Spinal Involvement
A Step in the Right Direction
  • 75 of imperfections from poor foot mechanics are
    transmitted up through the spine via
  • Digital Foot Scan. Orthotics

The Best of Both Worlds
  • CST and Chiropractic adjustments work to restore
    more appropriate motor, sensory, reflex and
    neurological input and therefore improve
  • Improve Structure Improve
  • Working inside to out and not outside to in.

Synchronizing Structure and Function
  • Primitive Reflexes
  • CST Chiropractic
  • Postural Reflexes
  • CST Chiropractic
  • Core Activation
  • CST Chiropractic
  • Presso-Receptors
  • Orthotics

Homework Primitive Reflexes
  • Starburst
  • Snow Angel
  • Stomach Fly
  • Stomach Twist

Homework Postural Reflexes
  • Gross motor function proceeds Fine motor
  • Exercise is in essence Gross motor function and
    correlates to higher academic achievement
  • Chiropractic has been shown to increase
    exercise performance 2 to 4xs when compared to
    exercise alone.
  • The Better Alignment, Motion, Balance and
    Strengthen.The Better the Posture, Health and

Measuring CNS Function
  • Health care practitioners are challenged to
    quantify variations of the CNS communication with
    SPD conditions.
  • Frequently conventional tests such as blood
    markers, MRIs and EEGs appear unremarkable.

The CNS Simplified
Noninvasive Testing of the CNS
  • Infrared Thermography
  • Measures temperature variations along the spine
    as indications of imbalances in the Autonomic
    nervous system which result from subluxations
    within the CNS.
  • Surface Electromyography
  • Illustrates the effectiveness of motor nerves by
    measuring the amount of current at the muscle,
    with imbalances being indication of subluxations
    within the CNS.

Infrared Thermography
Surface Electromyography
More Scans
  • There is no HealthCare that is guaranteed or
    without risk.
  • However, Chiropractic and CST are among the most
    safe effective in benefiting the CNS.

A Moms Story
  • Dear Parents,
  • After a frustrating year of indifferent doctors
    who ignored my concerns about my son, finding Dr
    Chapple was like a gift.
  • Over weeks of therapy he has improved
    considerably. He no longer cocks his head. Spins
    or presses his forehead onto me.
  • In Fact, we took him for a haircut, and for the
    first time he sat still for the whole thing.No
    unfinished haircut, frantic barber or parents.
  • Its sad, but I had never really noticed that he
    didnt run very much before. When he didhe ran
    on his toes with a very awkward gait. Now he
    races around on his little feet for the sheer joy
    of running that all children have.

More Resources

Some Help from Michelangelo
  • the danger that exist is not aiming to high and
    reaching it, but aiming to low and achieving it.
  • We can never aim to high for our children

The Structure and Function of Sensory Processing
DisordersWorking to BenefitfromADD/ADHD
to Autism
  • Charles W Chapple, DC, FICPA
  • 360 E Irving Park RD, Roselle, IL
  • (630) 894-8778
  • Selected 2006-2008 Guide To Americas Top
  • 2008 Five Star Excellence Award in

  • Reaching Sensory Processing Disorders Working
    toBenefit ADD/ADHD to Autism through Structure
    and FunctionSo frequently Sensory Processing
    Disorders ADHD to Autism, areaddressed through
    a variety of behavioral and biochemical
    approaches thatthe significance of the
    biomechanical aspects of these conditions can
    beunderestimated.  Experts state that if a
    cluster of irregular nervous system reflexes
    remain unaddressed they will prevent sustained
    long term improvement".This presentation
    introduces the importance of the nervoussystem
    with its biomechanical relationships to the spine
    and cranium, andthe noninvasive approaches of
    Chiropractic and Craniosacral therapy for
    thebenefit of individuals struggling with
    sensory processing concerns and
    retainedprimitive reflexes.
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