SENSORY INTEGRATION ASSESSMENT INTERPRETATION TOOL =SIPT = EASI = SPM/SP = OTHER TESTS

Problems in Vestibular Bilateral Integration

Problems in Somatopraxis Problems in Visuopraxis Problems in Sensory Reactivity
Sensory Perception Sensory Reactivity
Vestibular Processing Proprioception Tactile Perception Visual Perception Sensory Hyper-Reactivity Sensory Hypo Reactivity
_____ PRN/VN ____KIN/Prop JT ___FI__LTS/TP: L ____ SV Signs of over or Signs of under or
(low score is a sign of ____Prop: F _____GRA/ TP: D _____FG/VP: S heightened responses: delated responses:
vestibular based problem) ___position awareness _____MFP/TP:S _____SPM ____SPM Bal & Mov’t.
____SPM H-61, P-60 ___use of force _____TP:O H-12, 16, 18, P-10, 11,13 H-56, 63,65:P-56,62,66 Observations of lack of
____signs of typical dizziness ___SPM _____SPM _____ other visual ____ PC awareness of motion
following movement H-46, 48, 50, 52, 55 H-40 perception tests (e.g. ____ SR-Motion/Gravity
_______ orientation in P-47, 49, 50, 51, 53, 54 ____poor ability to find DTVP, TVPS ____prolonged VN*
space (e.g., navigation, or manipulate objects ____ visual perception ---------------------------------- -------------------------------
spatial orientation scores on w/o vision abilities (e.g. puzzles, ____SPM Touch ____SPM Touch
VPr:D; VPr:C hidden figure games) H-30,32,33,34,35,36,38 H-31, 37, P-34, 36
P-20,21,23,24,26,27,28 ____Hypo tactile
Praxis & Motor Related Functions ____Hyper tactile reactivity TP tests
Postural/Ocular Postural Mechanisms Somatosensory-based Visuopraxis reactivity TP tests
_____SWB/Bal ____PC Praxis ____MAc ____ SR-Tactile
_____PC ____SWB/Bal _____ PPr/Pr:P ____DC/ VPr:D ----------------------------------- ---------------------------------
_____O: M & Pr _______other balance _____ SPr/Pr: S ____CPr/ VPr: C ____SPM Hearing ____SPM Hearing
_____other (e.g. BOT-2) tests (e.g. BOT-2) _____OPr H-22,23,25,26,27,29; H-24; P-22
_____ SPM _____ posture in _____SPM _____ other visual motor P-20,21,23,24,26,27,28
____ Hypo auditory
H-15, 57, 58, 59, 60 sitting & standing H-67, 68, 70, 71, 72, 75 tests (e.g. Beery VMI- ____ SR-Auditory
reactivity A:L
P-57, 58, 59 P-67, 69, 70,71, 75 Motor Coordination) -------------------------------- -------------------------------
________extensor tone ____SPM ____SPM Taste & Smell ____SPM Smell
Language-based Praxis
_______ righting reactions H-69, 73; P-68, 72 H-42,44: P-45, 46 H-45; P-44
_____ PrVC/ Pr:FD
Bilateral Integration--Midline Non-SI Scores/Data _____ ability to draw, ____ SR-Olfactory
____ BMC/BI Suggesting patterns other Ideation-based Praxis write, build, fold, etc. -------------------------------- ------------------------------
____ OPr than sensory integration _____ Pr:I ____SPM Vision ____SPM Vision
____High VN or PRN with _____ other H-11,14,20; P-16,17,19 H-18; P-13
____ SPr
low PrFD or PRVC and no (e.g. TIP) ____ other observations ____ other observations
____ (MFP/GRA)
other signs of dyspraxia _____ SPM H-74 or caregiver report on or caregiver report on
_____ability to coordinate
___signs of neuromotor ____ ability to plan over reactions to sensory under reactions to
both sides of the body
problems (e.g. high tone, novel actions input sensory input
_____ crossing midline/ tremor, ataxia, etc.) ____ ability to learn new (e.g. temperature, pain, or (e.g. temperature, pain
laterality without other signs of
skills/ coordination in other sensation) or other sensation)
_____ jumping jacks, sensory or praxis
tasks *Hyper reactive responses
skipping, etc. problems during or following rotation may
____Auditory: Localization ----other be observed, particularly in
New test-not yet classified conjunction with high VN