fidget to focus sensory system impact on adhd minnesota

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    How our Sensory System impactsADHD and Executive Functions

    Roland Rotz, PhDwww.DocRotz.com

    Education Minnesota Professional Conference

    October 15, 2009

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    Overview Learning is heavily influenced by activity in

    our sensory system.

    A gradual shift in the way children learn haschanged how we teach.

    Sit Still and Pay Attention~ Outdated!

    Mindful Learning: A shift in how to learn

    Fidget to Focus: Sensory strategies for

    attention and learning

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    Recent Innovations in

    movement for the Classroom

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    Traditional Learning

    Stillness is an essential element of attention

    Movement and variation of perspectivehamper attention and concentration

    Repetition and Just give me the facts!

    Governed by rule and routine Depends upon impressions drawn by others

    Passive vs. Active Learning

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    Rising Tide

    of Passive Learning

    Television and movies replace reading as

    primary source of entertainment

    Less practice actively imagining

    More practice passively watching

    Reading Comprehension scores decline Children everywhere: Im Bored!

    Simply sitting still and listening no longer

    engages the childs imagination

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    Mindful Learning (E. Langer,1997)

    The simple act of drawing novel distinctions

    A flexible state of mind

    Actively engaged in the present Noticing new things

    Sensitive to context

    Seeking alternative ways of knowing Rules and routine guide but do not

    predetermine behavior

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    Movement to Increase

    Attention Carson,Shih,Langer, 2001, J of Adult Dev. Study: Sit Still and Pay Attention? Students were asked to view and remember

    landmarks and locations on a world map 3 groups: Sit Still, Shuffle, and Walk

    Kids in the Walk group identified sig. more

    landmarks than kids in the Sit Still group 24% of Sit Still group reported: Distracted

    By varying perspectives attention & memory

    improve! ADHD moving kids did best!

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    Movement improves

    Attention and Memory Chewing gum improves memory and

    working memory. Wilkinson, L., Scholey, A. &Wesnes, K. (2002), Baker, J. R., et.al. (2004)

    Cardiovascular exercise improves attention,memory and many other functions.

    Ratey, J. Spark(2008)

    Doodling while listening helps memoryrecall.Andrade, J. (2009)

    Tanglesin the classroom: Found to help focus and

    improve concentration. Zawitz, R. (2009)

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    ADHD: Brief Definition

    Symptoms of Executive Function

    Inattention

    Impulse Control Hyperactivity

    We understand the neurology ofinattention and impulse control, but

    why do we fidget?

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    Why Do We Fidget?

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    Just one more

    round of Nintendo

    and Ill be donewith my

    homework!

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    Optimal Stimulation Theory

    Sydney Zentall Theory suggests: people actively seek someoptimal levels of stimulation.

    ADHD children and adults require more

    stimulation and novelty than others.

    They seek heightened levels of activity or

    stimulation through their environment.

    She conducted a series of tests demonstratingthat adding environmental and task stimulation

    improved the performance and behavior of

    children with ADHD.

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    Fidget to Focus:

    A Shift in Understanding! Critical areas of the brain are underactive

    and dysregulated

    Underactivity is experienced as boring ortedious

    Underactivity is intolerable

    Boredom is avoided by seeking stimulation Looks like Attention Surplus Disorder

    Some sensory strategies facilitate focus

    while other strategies interrupt focus

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    Allen Zametkin, NIMH

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    BOREDOM vs. INTEREST

    IMPORTANT

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    Fidget Strategy at its Worst

    Fidget by default

    Unplanned and unintended

    Interrupts rather than focuses

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    Facilitating

    Focusing Fidgets

    Simultaneous Sensory Stimulation

    Strategies Short term modulation of a disregulatedsystem: Usually when bored!

    Rhythmic

    Recent evidence of sustained changefrom persistent use of some of thesestrategies.

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    Facilitating

    Focusing Fidgets Which of your senses works best and

    which is worst for information gathering?

    Best sensory method = interest.

    Worst sensory method = boredom.

    Simultaneous application of worst andbest senses improves focus during tediousor underwhelming event.

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    Movement Strategies

    Running, walking, yoga, guided imagery

    Tapping fingers, wiggling legs or toes

    Rhythm of rocking, knitting

    Chewing, biting, sucking, smoking

    Doodling, spinning drumsticks

    Challeng ing Gravi ty Movements :

    Standing up or pacing

    Balancing on back two legs of a chair

    An arm extended in the air to fall asleep

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    Touch Strategies

    Tac ti le, Tex tu ral, or Temperatu re Quali ty

    Fidgeting with hair, skin, coins or keys

    Fidgeting with toys like Tangles

    Clicking a pen, mechanical pencil

    Tapping, drumming or rubbing fingers

    Knitting, sewing

    Cooking, kneading, stirring

    Silkies, blankies or favorite old shirt

    Cold showers or cool/warm air

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    Sight Strategies

    Television

    Video games

    Channel surfing Noticing details in a room

    Glancing out a window

    Watching a flickering candle or fireplace Watching a pendulum

    Using colorful tools ie. markers

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    Sound Strategies

    Music: familiar, often with a beat

    Drumming

    White noise

    Water fountains, waterfalls

    Whistling

    Humming

    Reading outloud

    Hearing passing cars

    Overhead fans

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    Taste Strategies

    Sweet/sour candies

    Mint flavors

    Spices in foods, like ginger Taste of Starbucks

    Flavored teas

    Taste of adrenaline

    Taste of fear

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    Smell Strategies

    Flavored pens

    Fresh crisp air

    Ammonia in smelling salts Aroma Therapy

    Lavender oil vs Lemon oil

    Perfumes and cologne Cinnamon rolls in the mall

    Smoke

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    Time Strategies

    I will never be the tortoise!

    Procrastination

    Time sprints

    Count down timers Timers on your computer

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    Companion Strategies

    Body double

    Study buddy, tutor

    Workout partner Family or parent

    Teacher

    Personal assistant Coach or Therapist or Organizer

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    Fidget Strategies:

    Parents

    Choose to be Interested and Interesting

    Blend to create the ideal vacation

    Be curious daily!

    Keep your promises in focus: Intensify them

    Walk and talk

    Markers on the mirror to communicate

    Family calendars

    Encourage passion: Daily

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    Fidget Strategies: School

    Multi-sensory teaching

    Reading to background music

    Standup desks or sitting on exercise balls

    Standing, swaying or chewing gum Respectful fidgeting with Tangle toys

    Reading aloud with enthusiasm

    Anticipating arousal shifts in transitions

    Brain Gym exercises

    Sprint strategies to manage time/projects

    Teach self-monitoring and self-regulation

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    Fidget Strategies:

    Falling Asleep

    Listen to iPod or CD: familiar music

    Listen to TV, fan, white noise

    Read a mildly interesting book Silkies or wrinklies

    Gentle, repetitive movements

    Guided imagery or Pzizz.com Arm balanced in the air

    Vibrating pillows, beds

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    Fidget Strategies:

    Waking Up

    Multiple alarms placed in strategic places

    Alarm to take medication hour early

    Nagging parent

    Vibrating, rolling, or flying alarm clock

    2 glasses of water at bedtime

    Promise to awaken a friend or ask a friend

    to wake you up.

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    Fidget Strategies:

    Summing Up

    Notice the natural rhythms around you

    Find your personal rhythm

    Listen to the rhythm of your senses, find yourstrength and your struggle

    Blend your senses to create focus

    Chose effective and respectful fidgets The selective rhythm of sensory movement is

    exercising for your brain

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    Fidget Strategies:

    Summing Up

    Living life with ADD is to be creatively eccentric

    Embrace the passion

    Notice the differences

    Expect the unexpected

    Find the rhythm in the chaos

    Fidget with Attitude

    Do it with respect for yourself and others

    Welcome to the fraternity of those who

    Fidget to Focus

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    Why do

    we fidget?

    Because

    we can!

    www.FidgetToFocus.com

    Roland Rotz, PhD

    http://www.fidgettofocus.com/http://www.fidgettofocus.com/
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    www.FidgetToFocus.com

    Join our blog at Fidget to [email protected]