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Saturday, April 18, 2020

Vision therapy -Online Session

24 November 2019

-Dr. Rekha Chalapathi
Vision has three components sending the information to the eye processing of the information by the brain and making sense of the information
80% of information is Vision. Vision is motor occurs in the brain and is intra sensory.
vision therapy is a top down approach where we start from the brain.
In the visual system is of two types the central system and the peripheral system
when the central system is compromised we see behaviours like rocking back and forth while reading , side vision etc . most of our visual testing checks for this central system.
06% of our vision is central vision and 94% of our vision is peripheral vision which goes undetected it is this peripheral vision which manifest as
level one reading difficulties difficulties in sports like catching the ball
level two visual organisation in depth perception
Central visual compromises results in behaviours like difficulty in copying from the board and running into things
Compensatory functions include bringing things close to notes to walking et cetera
The first step before beginning vision therapy is to check power this is the basic visual skill.
it is very important to check in kindergarten . after checking the power the check is carried on focusing skills which Includes the amount of time we focus and the ability to shift the focus from distance to near and Vice versa.
Treatment for this is based on trial and error and tints are used and polarity is also changed.
Fixation is the next skill that is checked this manifests as poor eye contact, lack of focus and difficulty in decoding linger words.
Pursuit or slow tracking is the next skill that is checked. this is the ability to track the object and manifest as bad handwriting and Inability to catch the ball.
Saccadic eye movements which is the ability to converge vision is the next assessment .
The complete assessment takes two sessions of 20 minutes each
.
Vision therapy is all about observation. Double vision occurs due to a distortion in the overlap at the brain level . it escapes the central vision test and most of the children compensate by using monocular vision.
IT mean what is the ability of both the eyes to form meaningful picture this is correct in wet patch in the eye
.Prism lenses and yoke lenses works wonders .
vision therapy can work for adults as well.
In Bangalore Shankara Eye Hospital at Whitefield and Narayana Netralaya at Rajaji Nagar are the two centres offering vision the

ARTS BASED THERAPY-ONLINE SESSION


An overview of Arts-based therapy -Online session
A complimentary health practice
Gitanjali Sarangan

When we are looking at intervention we are looking at well-being as the foundation. It is a therapy that uses multi art form like music drama dance and play to help the child to meet the academic and therapeutic goals. The basis of a ABT is subtle energy guide . the subtle energy guide includes mindfulness and self-awareness. ABT is rooted in eastern mind science.
ABT Addresses the functions of body , attention,  cognition , narration , social and expressive skills .
It is noticed that when the motor domain is activated their verbal expression is increased. Arts is used used as a language to achieve skills. Goals need to be specific and sometimes as we are working the client may go beyond the specified goal. For example rhythm is used to develop motor planning and auditory integration. Kids are good with rhythm and patterns. Drumming is taught through a template. The children are given counts to begin and to end.This Helps in impulse control.
Story is used to develop  Descriptive speech . puppets are used to develop Eye contact and attention span. Mirrors also help to teach boundaries.
Gradation and grids are put down to understand and plan a program . the four major areas are artistic skills combine art and learning and metaphors.

It is important for practitioners to practice self renewal before starting the session. It helps in aligning for the day. It also creates an intent and achieves the goal.

Each program is divided into a pilot session and an action research session. For group work there is 15 hours of pilot session and 35 hours of action research. For a one-on-one session there are six sessions of pilot and 12 sessions of action research.

The pilot phase helps to get rating or assessment. The intervention is planned at the action research phase.
Home visits are done where one family in the group invites the other members of the group . parents and caregivers are also encouraged to participate and to do drumming and dancing.

Multi-Therapy Session

Conducted by SERPA on 20th October 2019. The session was attended by 23 people (special educators, mainstream teachers and parents). The session which was a one day session covered topics on Occupational Therapy by PREETI PARIKH & INAYATH ULLAH and speech therapy by PONMUKIL VIDHYA. It was an interactive session which explained the therapy process, case studies and also questions of participants were answered by the speakers. .





Annual General Body Meeting-2019

The board members of SERPA had an AGM where the upcoming events, the current status and proposed projects were discussed. The meeting lasted for four hours with many brainstorming sessions to taking collective informed decisions. It has been very fruitful.

Sign Language workshop by Nataraja

13th & 27th July 2019
Summary:

To be truly inclusive, one must take as many steps as it takes! SERPA’s first face to face workshop was conducted over two Saturdays and saw interactive and engaging sessions. The participants had an opportunity to learn and practice sign language. Participants ranged from children to special educators to parents.

humdrum-rudiments of music

8th June 2019

Serpa conducted an interactive online session for special educators & parents of children with special needs, a one of a kind session which helps communicate and bond with children, especially non verbal.  Who needs words when actions can speak? This session was an answer to the question “ How do I interact / engage with this child who won’t talk?”. 

VISUAL ARTS- Online Session

By:- Anajanadevi Badrinath .
18th May 2019
Summary:
SERPA conducted a session on ‘Visual Arts for for teachers/ special educators/parents Anajanadevi
Badrinath . The webinar was attended by 20 participants. The session began with a quote by Tolstoy on Art. What was Visual Art? How is it different from Crafts? Why is art education important? And How to plan an IEP and use art to remediate were discussed with sharing of case study and videos.
Practical tips that one could easily apply were shared. The session also was interactive, and
participants posed their questions which were responded to.
The session handouts have been shared with the participants for their reference.

Healing through animals: An Introduction to Animal Assisted Therapy-online session

Summary Report on the AAT Online Session.
17 March 2019 
Speakers: Subhadra Cherukuri, Unnati Hunjan, Rachel Isaac 

The online session on Healing through animals was hosted by SERPA on 17 March 2019.
The aim was to provide an introduction to animal assisted therapy. 
The session was organized around five main topics: 
  1. Animal Assisted Intervention 
  2. The different perspectives of AAT
  3. Case Studies 
  4. Who comprises of the AAT team?
  5. Procedure/ Process 

Animal Assisted Intervention 
Animal assisted Intervention is the use of animals in improvement of general health and well-being of the individuals. It is especially effective in dealing with issues like depression, stress and anxiety. There are two types of intervention: 
Animal Assisted Activities: Activities for schools, corporates and other groups of individuals aimed at bringing about a sense of positivity and relaxation. 
It is very useful in dealing with issues like depression, anxiety, stress, learning delays. Research studies have pointed out that special educators observed an improvement in learning in students with learning difficulties when there were animals present in the room as it created a positive, non-judgmental environment for the students. 
Animal Assisted Therapy: Activities to help individuals with- Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, Post- traumatic Stress Disorder, Cerebral Palsy, Multiple Sclerosis, Spinal Cord injuries, Strokes and Delayed development of motor skills. 
Some sample therapeutic goals in AAT include:
  • Activities to improve balance, endurance 
  • Fine motor and gross motor development 
  • Improvement in cognition, memory and problem solving, 
  • Sensory stimulation 
  • Improvement in speech and reading skills 
The different perspectives of AAT
The Psychological Angle 
  • Biological System
Brain imaging studies have shown that working with animals or being with animals lead to release of two important neuro-transmitters: Serotonin and Dopamine. Serotonin is associated with feelings of happiness and dopamine is associated with feelings of reward. This is not only beneficial to the humans but to the animals as well. 
  • Psychological System
Working with animals acts as a catalyst for emotions. It leads to cognitive development (improvement in the executive functioning of the brain), improved assertiveness. The presence of animals have also lead to decrease in abusive behavior, risky- suicidal behavior, reduces the feelings of boredom, worthlessness and guilt. 
  • Sociological System
It is based on the theory of Biophilia – which suggests that humans possess an innate tendency to seek connections with nature and other forms of life. Studies have shown that the presence of animals have made individuals move anxiety from oneself to other stimulus in the environment and regulate themselves in a better way. 
Animals have shown to act as a social mediator – Example, you may be someone who have social inhibitions and have difficulty interacting with others but the presence of the animal will make you more confident when someone approaches you to talk to the animal. It leads to improved outlook towards life, makes you confident, in control of the environment and contributes to the overall improvement in well-being. 

 The Physiological Angle 
Equine therapy/ Hippotherapy/ Canine therapy
·       It leads of better physical co-ordination and proprioception 
·       It leads to improvement in hand-eye awareness, balance, and muscle tone. 
·       It aids speech therapy 
·       Improvement in touch and tactile sensations 

Case Studies 
Case Study 1: 
An 11 year old boy with ASD, Non-verbal, Hyperactivity, Poor Eye contact 
Equine therapy was started with him and initially he would sleep on the horse, lie in one position but eventually he started sitting upright, holding the reins of the horse, walking the horse, getting off the horse. The movement of the horse improves vestibular sensation and at the end of 3 months the following were observed:
  • Hyperactivity was negligible
  • He responded well to instructions 
  • Improvement in eye contact and speech 
Case Study 2:
A 72 year old man with stroke, non-mobile, reduced motor skills and speech, signs of depression. 
Canine therapy was started with him and the main goals of the therapy were to improve his speech, range of motion and better psychological well-being. 
After 6 weeks of AAT the following were observed: 
  • Improvement in motor functioning - He could throw a ball; he was able to button his shirt, brush the dog, hold a tea cup.
  • He started enjoying his time in the park. 
  • He would whistle to call the dog which he was unable to do after the stroke.  

Who comprises of the AAT team?
Neurologists, Psychiatrists, Psychologists, Special Educators, Animal therapists/handlers, Therapy dog/horse trainers, Therapy dogs and horses 

Procedure/ Process 
Animals are assessed themselves for phobias at a very young age (fear of traffic, lights, certain sounds etc.). They are assessed for sensitivity to touch, presence of certain objects, to understand their level of response to human beings. 
They are further trained to follow instructions, sit in certain positions, and perform certain actions. Post- training, they are further assessed before starting therapy sessions. 
Horses are also assessed for their temperament; their reaction to human’s tantrums, sudden outbursts, people in wheelchairs etc. Horses are usually re-trained for therapeutic reasons as generally they are used for races. 

Question- Answer Session: 
  1. Is special training given to animals before doing therapy? 
·       Yes they are given specific training to handle different reactions from humans. 

2.                  Any particular breeds suit the best for therapy?
·       There is a misconception that only Labradors, Golden Retrievers are used for therapy but any breed can be used as long as they are trained.  

3.                  Is there minimum number of sessions required? 
·       Yes a minimum of 2 sessions per week is required. 

4.                  Any particular animals used for particular diagnosis? 
·       No. The diagnosis is broken down into individual symptoms and those are addressed in the session. 

5.                  What if the child has tactile hypersensitivity? 
·       The therapist need to ensure that certain parts of the animal doesn’t touch the child if they are uncomfortable. 

6.                  What are some precautions to be taken in the sessions?
·       Even though, for example, dogs are trained, it is important to have a constant eye on them. It is important to cut down on the sessions if there are too many continuous outbursts. With regard to equine therapy, it is important to take all the safety measures including using helmets, using the right kind of shoes, ensuring the straps and seat belts are working properly, measures to de-mount the child quickly if there are any incidents. 

7.                  Is there a retirement age for therapy animals? What happens post-retirement?
·       For dogs – 7-8 years 
Horses- 15 years 
Fortunately there are many families and organizations coming forward to take care of the retired animals. 

8.                  Can street dogs be trained to become therapy dogs?

·       Yes, street dogs can be trained after careful evaluation/assessment. 

Summary of the online session on SYLLABICATION

26th January 2019
SERPA conducted a 1-hour online session on ‘Syllabication’ for teachers and special educators on 26th January 2019. It was presented by our board member Ms. Jayasree Venkatesh, Educational Therapist, Mediator and Special Educator. The online session was attended by 42 participants.
The session addressed one of the main areas that concern teachers when it comes to reading and spelling. The session was interlaced with activities which helped drive home the concept. One could take back home the importance of syllables and the need to use it in classroom.
It was a practical session with tips on how syllabication could be practiced in classroom, the kinds of activities that could be done, worksheets for children, Charts for Class room etc.

It was interesting to also learn how important it was to let children know about the “exceptions” to the rules. The session also was interactive, and participants posed their questions which were responded to. The session handouts, References have been shared with the participants for their reference. 

The Virtual Leap

Circa early 2020. Rainforest skit was ready. Songs were set to tune. Props were ready and so were our children to act their script to a T. D...