The first case is a 6 year old girl who
was referred to occupational therapy for what is termed, “tactile
defensiveness.” When someone experiences this sensory processing
disorder, s/he has a limited tolerance for things rubbing against their skin and
sometimes things in their mouth. Each case is different. In this
case this young girl has been unable to tolerate clothing around her neckline,
waist, groin, and feet. Straps of bike helmets bother her so much that as
much as she loves to ride her bike, she chooses a less irritating activity. Getting dressed and arriving at school on time has been traumatic for
both this child and her mother. Desperate and exasperated, the mother
called several weeks ago for an immediate appointment. Treatment began
including both the development of a sensory diet and behavior management. Each week the dressing got a bit easier but the last frontier was her
feet. Seamless socks and carefully chosen sneakers, put on only once her
sensory system was primed, allowed the breakthrough. I received a
breathless, excited, telephone message from this little girl thrilled to have
her socks and new sneakers on her feet. This week we will have a race
down the hall both clad in our sneakers and socks.
On a completely different front, a woman
came to my office, again about 3 weeks ago, with complaints of daily headaches.
The doctor felt sure it was not coming from her cervical spine and sent
her a headache specialist. Before seeing this specialist, we did an
assessment and found severe tightness of the muscles around her neck and upper
back, an asymmetry in her posture, and generalized weakness. We began
with soft tissue mobilization and neck exercises. After two such
treatments she reported that she hadn’t had a headache in three days although
she did have more neck pain. She also reports improved awareness of her posture
and neck position. Medication that she has been using over the last six
months was not needed. The appointment with the headache specialists was
cancelled.
Three treatments have eliminated the
need for expensive testing and money for pharmacological solutions. Back
and neck health move to the forefront. A woman, who came with certain
hesitancy, now leaves with a smile.
Therapy works. It is a
partnership between the therapist and the individual. It calls for hope
and draws on resiliency. The result is the ability to step back into life
more fully and with less effort.
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