Sensory Processing and Integration

What is Sensory Processing?

Everyone experiences the world a little differently although we all experience the world through our senses. Our nervous system receives messages through specialised receptors and relays these messages to the central nervous system where meaning is given to the message. Our brain interprets that the colour is yellow, the sound is loud, the touch is soft, etc. Our brain tell us whether we are moving or still, the direction we are moving and whether we are accelerating or decelerating. In fact, our nervous system is so good at this process that we barely think about it unless we have difficulty processing some sensation or another and we need to pay attention. This is what we call sensory integration and enables us to do the things we need to do in our everyday life (such as getting dressed, eating, socialising, learning and working).

This link provides a video explaining the concept of sensory processing: https://youtu.be/P7_mCJzegi4

For most of us the development of sensory integration occurs when we are young, as part of our normal development. We develop via the things we do such as rolling, crawling, walking and in play. For others sensory integration is less well developed. This may be due to various factors including prenatal and birth complications and environmental factors. For example, children who are looked after or adopted often experience difficulties with sensory processing, due perhaps to restrictions in their early life experiences or poor prenatal care. Physiological factors at birth (low weight, prematurity, etc.) may also cause sensory processing difficulties.

As with any developmental and/or behavioural disorder, the causes are likely to be the result of factors that are both genetic and environmental. Only with more research will it be possible to identify the role of each. A preliminary summary of research into causes and how common these problems are is contained in Sensational Kids: Hope and Help for Children with Sensory Processing Disorder (New York: Perigee, 2014, 2nd edition).

What skills are affected by sensory processing difficulties?

Along with touch, hearing, taste, smell and sight the “internal” senses of body awareness (proprioception) and movement (vestibular) may be affected. Our brain may struggle to synthesise all this information coming in simultaneously, it’s like a traffic jam in your head. This results in difficulty making sense of the information.

For children with sensory processing difficulties, dealing with sensory information can be frustrating and confusing. Sensory Processing difficulties can show up as over OR under responsive to stimulation from sight, sound, touch etc. Things that should cause discomfort like being too hot or too cold prompt little response, and other things like a dog barking can cause a response akin to physical distress and extreme anxiety. Here are some aspects of processing that may be affected:

  • Resistance to change and trouble focusing: It can be a struggle for children with sensory processing issues to adjust to new surroundings and situations. It can take them a long time to settle into activities. They might feel stressed out when asked to stop what they’re doing and start something new.
  • Problems with motor skills: Kids who are under-sensitive to touch may avoid handling objects. This is a problem because playing with and manipulating objects is a crucial part of development – one that helps children master other motor-related tasks like holding a pencil or buttoning clothes. They might appear clumsy due to poor body awareness.
  • Lack of social skills: Oversensitive children may feel anxious and irritable around other children, making it hard to socialise. Under-sensitive children, on the other hand, may be too rough with others. Other children might avoid them on the playground or exclude them from birthday parties.
  • Poor self-control: Children who feel anxious or overstimulated may have trouble controlling their impulses. They might run off suddenly or throw a noisy new toy to the side without playing with it.
  • Activity level that is unusually high: Children may demonstrate hyperactivity or appear in constant movement. They are usually impulsive in behaviours.
  • These children are often known to break their toys while trying to manipulate them. Their attention span is quite short, often going from one subject to another in short time spans. Hyperactivity combined with distractibility is one of the reasons many children with sensory processing difficulties are sometimes misdiagnosed as having ADHD.
  • Intolerance to textures and certain clothing: some children cannot stand the way certain clothing feels on their bodies. They need simple styles with very few seams and have to have to labels taken out. They may not be able to wear certain fabrics like wool.
  • Intolerance to certain noises or loud noises: some children with SPD hate the sound of vacuums, sirens, or crying babies. These noises can cause what feels like physical pain to those with SPD, and make it difficult to concentrate or function.
  • Food textures and colours causing extreme responses: You may find that children will only eat certain foods and textures.
  • Coordination problems: These children appear clumsy with some having difficulty learning new motor tasks. They may regularly bump into things, seem to have trouble orienting themselves in space, or show difficulty with writing or catching a ball. These children need more practice time to learn typical activities such as bike riding or skating.

What do I do if I suspect my child has Sensory Processing difficulties?

Sensory processing difficulties can’t technically be “diagnosed.” But that doesn’t mean there isn’t a way to find out if your child has sensory processing difficulties. A good place to start is to take notes about the behaviours and symptoms you’re seeing in your child and when they occur. You might also ask your child’s teachers about behaviours and symptoms they’ve noticed at school. It may be useful to talk with your GP or other professionals you know to help support your observations and concerns.

To help parents determine if their child’s behaviour indicates serious sensory issues, Peske and Biel have created a detailed sensory checklist that covers responses to all types of input, from walking barefoot to smelling objects that aren’t food, as well as questions involving fine and gross motor function, such as using scissors (fine) and catching a ball (gross).

What can help with Sensory processing?

Occupational therapy can help children with sensory problems feel less overwhelmed and learn to cope with challenging situations. This may be available through your school, a private referral to an Occupational Therapist and, for adopted children, is also available
through the Adoption Support Fund.

Occupational therapy with a sensory integration approach typically takes place in a sensory-rich environment sometimes called the “OT gym.” During OT sessions, the therapist guides the child through fun activities that are subtly structured so the child is constantly challenged, but always successful. The basis of the therapy is a varied sensory “diet,” to stimulate all the senses. Since each child has his or her own sensory strengths and weaknesses, the sessions are tailored to the child, and change as she or he progresses. The goal of occupational therapy is to foster appropriate responses to sensation in an active, meaningful, and fun way so the child is able to develop their skills . Over time, the appropriate responses generalise to the environment beyond the clinic including home, school, and the larger community. Effective occupational therapy can enable children to take part in the normal activities of childhood, such as playing with friends, enjoying school, eating, dressing, and sleeping.

Adopted and looked after children who are transitioning to a new environment may temporarily demonstrate some of the behaviours in the article. If you are concerned that your child may have sensory integration dysfunction however, consider the frequency, duration and intensity of the concerning behaviours.

Research what you can about sensory processing and gain perspectives from others and professionals involved with the child. Some good books include ‘Understanding Your Child’s Sensory Signals’ by Angie Voss; ‘Raising a Sensory Smart Child’ by Lindsey Biel and ‘Sensory Child Gets Organized’ by Carolyn Dalgliesh.

Join a support group whether its something online or local. Connecting with others who are familiar with your situation is very beneficial. Regardless of how supportive your family is, there are some things they may not understand that others in a support group will. It will ease that “I’m alone” feeling.

See the world through their eyes. By putting yourself in their shoes, you become much more understanding of their feelings and needs. Being a detective is key to observe and figure out what they are trying to communicate.

Make yourself a priority – One of the hardest and most important things to do is to take care of yourself. Taking time for ourselves allows you to feel refreshed, recharged and able to handle the rollercoaster of emotions and be present for your family. It is not a selfish act. It is a necessity.

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