Understanding The Sensory System in Children — PLAYRIGHT - Pediatric Occupational Therapy (2024)

The sensory system is foundational to how we perceive and interact with the world. In children, the development of this system is crucial for learning, behavior, and overall well-being. This article aims to shed light on the sensory system's development, common challenges, symptoms for parents to watch for, and some helpful strategies to help improve sensory processing function.

The Sensory System and Child Development

The sensory system encompasses several modalities, including tactile (touch), auditory (hearing), visual (sight), olfactory (smell), gustatory (taste), proprioceptive (body position), and vestibular (balance and movement). Each system plays a vital role in how children understand and respond to their environment.When our sensory system is out of balance, it can manifest in various ways, affecting children and adults differently.

Sensory Challenges

Here are some of the potential outcomes and issues that can arise from a sensory system that is not regulated correctly:

1) Difficulty with Daily Activities

An imbalance can make ordinary daily activities challenging. Individuals may struggle with tasks that involve fine motor skills, such as buttoning clothes or writing, as well as activities requiring gross motor skills, like climbing stairs or playing sports. This difficulty can stem from an inability to adequately process tactile, proprioceptive, or vestibular sensory input.

2) Overwhelm and Stress

Sensory processing issues can lead to feeling overwhelmed in environments most people find normal. Loud noises, bright lights, or crowded spaces can provoke anxiety or stress, leading to avoidance behaviors or meltdowns as coping mechanisms.

3) Social and Emotional Challenges

Individuals with sensory processing imbalances may find social interactions stressful or overwhelming, leading to social withdrawal or difficulty forming relationships. Sensory sensitivities can make engaging in everyday social activities hard, affecting social learning and emotional development.

4) Behavioral Problems

In children, sensory imbalances often manifest as behavioral issues. This can include tantrums, aggression, or self-harming behaviors in response to sensory overload or frustration. In adults, it may result in avoidance of certain situations, irritability, or difficulty managing stress.

5) Learning Difficulties

Sensory processing issues can affect learning and academic performance. Children may have trouble focusing in class, following instructions, or participating in physical activities. This can lead to delays in educational achievement and skill development.

6) Physical Symptoms

An imbalanced sensory system can also manifest physically. Symptoms can include:

  • Poor balance and coordination.

  • Sensitivity to foods or textures leads to picky eating.

  • Discomfort with physical touch.

Sleep disturbances are common due to the inability to regulate sensory input effectively.

7) Emotional Regulation Issues

Difficulty in processing sensory information can lead to problems with emotional regulation. Individuals might experience sudden mood changes, intense emotional responses to minor stimuli, or difficulty calming down after an upset.

8) Impacts on Family and Social Life

The effects of a sensory imbalance extend beyond the individual, impacting family dynamics, friendships, and social interactions. Families may need to adapt their lifestyles to accommodate the needs of a member with sensory processing challenges, affecting outings, gatherings, and daily routines.

Addressing Sensory Imbalance

Addressing sensory imbalance involves a multi-faceted approach, including therapy, environmental modifications, and support. Occupational therapy, particularly sensory integration therapy, is commonly used to help individuals better process and respond to sensory input. Creating sensory-friendly environments at home and school can also support those with sensory sensitivities. Education and awareness about sensory processing issues are crucial for understanding and support from family members, educators, and peers.

Individuals with sensory processing issues can lead fulfilling and productive lives with appropriate interventions and support.

Stages of Sensory Development

  1. Infancy:Babies explore their world primarily through tactile, vestibular, and proprioceptive senses. This period is critical for bonding, facilitated through touch and movement.

  2. Toddlerhood:As toddlers, children become more mobile and extensively explore their environments. Their sensory system helps them learn about danger, travel to new terrains, and develop motor skills.

  3. Early Childhood:This stage sees a refinement in sensory discrimination, allowing for more complex learning and social interactions. Children learn to process and integrate sensory information more effectively, aiding in tasks such as reading and writing.

  4. Late Childhood:Most children have developed mature sensory systems by this stage. However, children with sensory processing issues may continue to struggle and require support.

Common Sensory Challenges

Children may experience sensory processing issues, impacting their ability to interact with their environment effectively. These challenges include:

  1. Sensory Processing Disorder (SPD) is whenthe brain has trouble receiving and responding to information obtained through the senses.

  2. Sensory Overresponsivity:Over-sensitivity to sensory stimuli, leading to avoidance or distress.

  3. Sensory Underresponsivity:A lack of reaction to sensory stimuli can appear as disinterest or unawareness.

  4. Sensory-Seeking Behavior:An increased desire for sensory input can manifest as hyperactivity or impulsivity.

Symptoms to Watch For

Parents and caregivers can look for several signs that may indicate a child is experiencing sensory processing issues, including:

  • Extreme reactionsto sensory stimuli (e.g., loud noises, bright lights)

  • Difficulty with coordinationor appearing clumsy

  • Behavioral problems,such as tantrums or withdrawal in overstimulating environments

  • Trouble with attentionor focus, especially in busy settings

  • Dislike of textures,both in foods and clothing

  • Seeking out intense sensory experiences,like spinning or touching everything

Widely Used Solutions

1) Sensory Integration Therapy

This therapeutic approach is directly in the toolbox of most pediatric occupational therapists and is designed to help children better process and respond to sensory information. Through play-based activities, children are exposed to sensory stimuli in a structured manner, aiming to improve their sensory integration over time. Their reactions are monitored, and adjustments are made to promote progression without adding stress.

2) Occupational Therapy

Occupational therapists work with children to develop skills necessary for daily living activities, including those impacted by sensory processing issues. This can involve fine motor skills, self-care routines, and adapting tasks or environments to meet the child's needs.

3) Environmental Modifications

Creating a sensory-friendly environment can significantly impact children with sensory processing issues. This may include reducing background noise, using calming colors, and providing areas where the child can retreat when overwhelmed.

4) Sensory Diets

A personalized schedule of sensory activities designed to meet a child's specific sensory needs throughout the day. Activities include jumping, swinging, or tactile play, tailored to provide the necessary sensory input to help the child stay focused and organized.

5) Behavioral and Educational Strategies

Implement strategies within the home and school settings that help manage sensory-related behaviors. These strategies can involve routine, predictability, and visual aids to help with transitions and expectations.

6) Family Education and Support

It is crucial to educate families about sensory processing issues and provide them with strategies to support their child at home. Support groups and resources can also offer valuable insights and encouragement.

By recognizing the signs of sensory processing issues and implementing practical solutions, parents and professionals can help children function successfully.

Collaboration between therapists, educators, and families is critical to creating a supportive environment that addresses each child's unique needs. Remember, early intervention can significantly affect a child's developmental trajectory and overall quality of life.

Kimberley Arnett-DeSimone, a career pediatric occupational therapist in Huntersville, North Carolina, authored this post.

Understanding The Sensory System in Children — PLAYRIGHT  - Pediatric Occupational Therapy (2024)
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