10 Red Flags for Poor Sensory Registration

When most people hear Sensory Processing Disorder (SPD), they tend to think of the child who cannot tolerate tags on clothes, covers their ears and screams at parades, and who pulls away from hugs at family parties. While these are all behaviors associated with SPD, they only align with one type. Blog-Sensory Registration-Main-Landscape

Hypersensitivity, or sensory defensiveness, occurs when a child has difficulty filtering unnecessary sensory input and therefore gets bombarded with a waterfall of input, overflowing his or her regulatory system. However, there is another side to the story that often surprises parents that I work with. Just like a child may be over-sensitive, they may also be under. Poor sensory registration, or hypo-sensitivity, is another common classification of sensory processing disorder and applies to children who do not absorb, or register, all of the input entering their body. They are therefore “missing out” on crucial information from their own body and the environment, which is used to make adaptive responses and learn.

Imagine a giant waterfall, filling a pool at the bottom to the “just right” level. Now imagine that waterfall has a giant strainer at the bottom, causing a tiny fraction of the water to pass through and barely filling the pool. While typically processing children naturally and efficiently take in information from the environment through their many sensory receptors and use this information to make adaptive responses, this is much more difficult for children who miss some of the information coming in. Using the waterfall metaphor again, think how much more water you would need to send through the strainer to fill up the pool. This explains why poor sensory registration is often (but not always!) associated with “sensory seeking” behaviors, as children attempt to obtain additional input so that they may better absorb it. These seeking behaviors can often be misperceived as having difficulty following directions or misbehaving, while children may actually be trying to “fill their pool.” Another possible presentation is that children might appear to “be in la la land” and are likely not noticing or absorbing the cues they need to respond appropriately.

While it is very important to identify poor sensory registration, it can be difficult to identify at times.

Below you will find 10 red flags for poor sensory registration, organized by sensory system, to help you identify potential sensory processing deficits in your child:

Touch (Tactile) Processing:

  1. Your child does not notice when his or her face has food, toothpaste, or other materials on it. He or she may not be registering that input and will not notice unless pointed out by someone else or by looking in a mirror.

Auditory Processing:

  1. Your child does not respond quickly when you call his or her name or needs to hear directions several times to respond. If a child does not have actual hearing impairment, being less responsive to auditory input can be a sign of poor registration of sound input.

Visual Processing:

  1. Your child has a particular difficulty finding objects in a drawer, toy box, or other storage space, even when the object is very visible. They may have visual perceptual deficits related to poor registration of visual information.
  2. Your child may perform writing, coloring, or other visual motor tasks in a way that appears careless and not notice their errors unless specifically pointed out. They may be having difficulty noticing the difference between good work and poor work.

Body Awareness (Proprioceptive Processing):

  1. Your child may have difficulty navigating through hallways without leaning against or rubbing their hands against the walls. This may be their way of compensating for decreased body awareness to help them understand where their body is in space.
  2. Your child may have difficulty maintaining upright posture, whether slouching in a chair, w-sitting on the floor, or leaning against a wall when standing.
  3. Your child may use excessive force when giving hugs or using objects (e.g. breaks crayons, throws balls too hard).
  4. Your child may prefer sleeping with very heavy blankets or prefer to keep their coat on indoors. This input gives them the weight he or she needs to better perceive where his or her body is.

Movement/Gravitational (Vestibular) Processing:

  1. Your child loves intense movement (i.e. spinning, rolling, or going upside down) and can do so for a significant period of time without getting dizzy or nauseous.
  2. Your child may appear clumsy when moving about and lose his or her balance unexpectedly.

Of course, as with any set of red flags, one or two red flags does not qualify for a sensory processing disorder. However, if quite a few of the sensory registration items above resonate with you, and if any of these items significantly interfere with your child’s daily functioning, it would be helpful to set up an evaluation with an occupational therapist.

Occupational therapists are specially trained to identify sensory processing disorder through parent interviewing and clinical observation of your child. If a disorder is identified, an occupational therapist can work with you to create a sensory diet, or prescribed set of sensory activities, to help your child get the input he or she needs to feel organized and calm to better learn and grow. They may also teach you strategies to help your child better attend to the input that is entering their body.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Sensory Tips for Crowded Holiday Spaces

The holidays are a festive, fun and exciting time to celebrate with family and friends; however, they also bring about a plethora of sensory stimuli everywhere you go! Between the sights, sounds, smells and crowds our senses are overloaded with the spirit of the holiday season. For some people, particularly children with sensory processing difficulties, this time of year can cause stress, anxiety and uneasiness. blog-holiday-sensory tips-main-landscape

In addition to increased environmental stimuli around the holidays, typical routines are thrown off due to breaks from school and travel plans. Children with sensory processing difficulties benefit from a schedule that is predictable, so they know exactly what to expect and how to plan for new or different sensory experiences.

Below are 8 sensory tips to help make the holidays and crowded holiday spaces more enjoyable for your whole family:

  1. Prepare your child for the various events that he will experience over the holidays including specific parties, shopping events or travel. Give explanations of where you are going, what you will do there, what he may see, hear or smell. This will help him to know what to expect at these different places without being worried.
  2. Practice! Before going to various holiday events or places, practice. Stop by the mall with your child for a few minutes a few times before the holiday season, spend time at family or friend’s houses that will be visited over the holidays or visit the airport a few times ahead of your travel day. Giving your child an opportunity to experience these places when they are not as crowded will help him be successful during the busy times.
  3. Use a visual calendar that identifies daily activities over the holidays so your child feels comfortable with their winter break routine. Review each day’s events prior to leaving the house, so your child can better prepare himself for what to expect.
  4. Review pictures or videos from the previous year’s holiday events to remind your child of the sights, sounds, smells and crowds he will experience.
  5. Be prepared! During over stimulating situations your child may benefit from sensory strategies such as headphones, ear plugs, sunglasses, weighted objects or a favorite toy. Be sure to be prepared with these items during crowded holiday events. These strategies will help decrease the intensity of environmental stimuli.
  6. Be proactive! If you see your child becoming upset or overstimulated, find a place to take a break from the situation (bathroom, car, quiet hallway) and help him calm down.
  7. Arm your child with strategies ahead of time to help him through a situation where he feels he is becoming upset or overwhelmed. Strategies such as deep breathing or counting to 10 may help decrease anxiety. Encourage your child to let you know when he feels he needs a break.
  8. Talk to family members and friends about the difficulties your child may have and educate them on how they can help.

Have a wonderful holiday season!

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Primitive Reflexes: What Are They and Why Do They Matter?

What are primitive reflexes?

Primitive reflexes are foundational motor responses to sensory input that appear in utero or shortly after birth for the purpose of defense and survival. They are the foundation for higher level motor, cognitive or intellectual processes that develop as a child matures and takes on increasing demands. blog-primitive-reflexes-main-landscape

Most primitive reflexes integrate within the first year of life meaning that complex, adaptive and purpose-driven actions can over-ride automatic responses. Postural reflexes, which typically begin to develop in the second year or life, are automatic reactions with a higher level response. They develop a child’s equilibrium reactions for balance and coordination as the child begins to sit, stand, walk and run. Their development is heavily influenced by the integration of primitive reflexes.

Each reflex is associated with development of a particular area of the brain and lays the groundwork for control of motor coordination, social and emotional development, intellectual processing, and sensory integration. When primitive reflexes do not adequately integrate, persistence of these patterns may interfere with related milestones. When a reflex is present, it can be viewed as a signal that function in that region of the brain is not optimized. When difficulties in a particular area of functioning exist, research has demonstrated a strong correlation with the persistence of reflexes originating from the area of the brain regulating those functions.

Why might some reflexes not be integrated?

There are many explanations for why a reflex (or several reflexes) may not be integrated. Factors such as genetics, unusual gestational or birth history, limited sensory-motor experiences, or early disease, illness, or trauma may contribute to persistence of reflexes. It is important to note that many children, and even fully functioning adults, do not have all of their reflexes fully integrated. It is when an individual displays a cluster of symptoms impacting sensory, motor, emotional, social or academic functioning that reflex integration becomes an important component to examine.

What happens if reflexes do not integrate?

Since primitive reflexes are major factors in motor development, a child with persistence of one or more primitive reflexes may experience a variety of challenges. Primitive reflexes are what help infants initially learn about their inner and outer environments, and are heavily linked to the sensory system.

If reflexes persist, they interfere with the development of higher level sensory systems (visual, auditory, tactile, taste, vestibular, smell, and proprioceptive). Interference with sensory systems can lead to learning, behavioral, and/or social challenges for children, especially in academic settings. Additionally, postural reflexes, which depend on the integration of primitive reflexes, are unable to fully develop. Underdevelopment of these reflexes causes delays in righting reactions related to balance, movement and gravity. An individual who has not developed efficient postural control will have to compensate for these automatic adjustments by expending extra energy to consciously control basic movements.

Below are just a few red flags of persistent primitive reflexes:

  • Emotional lability
  • Over/under-responsivity to light, sound, touch, and/or movement
  • Anxiety
  • Distractibility
  • Inflexibility
  • Difficulty with reading, spelling, math, or writing
  • Difficulty remaining still, completing work while seated, or frequent fidgeting
  • Poor posture
  • Poor grasping abilities. May grasp pencil too tight or too loosely
  • Difficulties with eating (pickiness, excessive drooling, messy eater)
  • Poor balance and/or coordination
  • Poor spatial awareness and/or depth perception
  • Difficulty knowing left from right
  • Poor bladder control and/or gastrointestinal issues

What do we do if reflexes are not integrated?

Activities and exercises that target specific reflex pathways can be introduced in order to strengthen particular neurological pathways. By developing these pathways, we aim to integrate the reflex and mature related functions.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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What Will My Child Experience in an Occupational Therapy Session?

Pediatric occupational therapy focuses on increasing your child’s level of participation in all the activities of their daily life. From teaching your child to sit still, play basketball or fasten buttons, occupational therapists can work with your child to make sure their needs are met in the areas of self-care, play, school/academic-related skills, attention and regulation.blog-occupational therapy-main-landscape

Develop Fine Motor and Visual Motor Ability

Fine motor skills involve the controlled movements of fingers and hands to carry out tasks. For a child with difficulty in this area, one of our occupational therapists might work on the following tasks with your child:

  • Holding a pencil properly
  • Fastening zippers
  • Putting on socks
  • Stringing beads
  • Transferring coins from palms to fingertips

Visual motor activities often go hand-in-hand with motor skills as they combine fine motor control with visual perception. Occupational therapy sessions targeting visual motor skills can include activities such as drawing and cutting out shapes, writing letters, completing puzzles, completing mazes and dot-to-dots.

Explore All the Senses

Occupational therapy sessions targeting sensory integration are designed to help your child take in, process and respond to sensory information from the environment more efficiently. Here are two examples of how sensory integration activities could benefit your child:

  • If your child is hypersensitive to tactile input, a session may involve encouraging your child to tolerate playing with sand, dirt or finger paint.
  • If your child seeks out constant movement, a session may involve providing deep pressure input through yoga poses, for example.

Improve Executive Functioning Skills

Executive functioning skills help guide your child’s brain to complete tasks. These includes: task initiation, planning, organization, problem solving, working memory and inhibition. In teaching these skills, your child’s occupational therapist will mimic real-life tasks to improve the ease at which these tasks are completed.

“For example, to work on planning and organization, your child’s session may involve planning for and carrying out a long-term project with step-by-step-completion,” “For a child who has trouble with task initiation, a homework routine or contract may be created with the use of auditory and/or visual timers or movement breaks.”

Build Strength and Coordination

Tying shoes. Sitting upright at circle time. Playing basketball at recess.

These might seem like simple activities, but upper body strength and coordination play a large role in your child’s ability to carry out these daily tasks. Here’s how our occupational therapists help address these issues:

  • Upper body strength: This may be addressed with activities such as manipulating “theraputty” or by playing with a scooter board.
  • Core strength: This is often addressed through tasks that challenge the core muscles. During these activities, children are encouraged to complete yoga poses or play “crab soccer” in a crab-walk position.
  • Coordination activities: These activities target the planning and putting together of movements, particularly those that use both arms and legs at the same time (throwing and catching a ball, jumping jacks or climbing on a playground ladder).

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help. Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates.


 

Sensory Processing Disorder and Fall Activities: Strategies to Promote Success at Apple Orchards and Pumpkin Patches

Fall is the perfect time of the year for children to explore apple orchards and pumpkin patches. These outdoor activities expose children to various sensory experiences. Children with Sensoryblog-sensory processing disorder-fall-activities-main-landscape Processing Disorder (SPD) may have a difficult time appropriately responding to the sensory input that they are exposed to at these community events.

Below are several strategies to help prepare for and promote a successful experience at apple orchards and pumpkin patches with a child with Sensory Processing Disorder:

Preparation

Prior to leaving for the orchard or pumpkin patch, prepare your child for what he or she is about to experience (especially if it is the first trip to these fall sites). Have your child look at pictures or books related to these fall activities. Share with them the activities that they will partake in, so they know what to expect (e.g. hay ride, mazes, drinking cider). Discuss safety and the importance of staying together (e.g. holding hands).

What to Bring

Pack the essentials:

  • Clothing for various weather changes
  • Sunglasses/hat for children who are sensitive to bright sunlight
  • Preferred and comforting food/drinks
    • Crunchy/chewy foods and drinks that involve sucking thicker liquids through a straw can help regulate the body
  • Familiar or soothing item from home to help calm your child down or a fidget to help keep hands to self (e.g. blanket, toy)

Hula-Hoop Space/Retreat Spot

Some children have a hard time being in close proximity to other people and objects. To help them avoid feeling overwhelmed by this experience in the orchard and pumpkin patch, encourage your child to create a ‘hula-hoop space’ with his or her arms arched in front of the belly and fingertips touching. This will help your child visually see and physically feel how much space should be between him or her and other people/objects. As a family, determine a ‘retreat spot’ at the orchard or patch that you and your children can retreat to help re-organize the body and take a break.

Regulating Heavy Work

Your child may seek out a lot of movement and take climbing risks. Heavy work activities can help organize and regulate the body. At an apple orchard or pumpkin patch you can encourage the following heavy work activities. Be sure to appropriately modify the weight your child pulls/carries/pushes based on his or her age and size:

  • Pull a wagon
  • Push pumpkins
  • Carry a sack of apples

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Making Back-to-School a Breeze with Classroom Sensory Strategies for Teachers

It’s that time of year again! Each new school year is an exciting time not only for students, but also for teachers! They have worked diligently all summer to prepare their classrooms in order to welcome their new students. Creating a learning environment to fit the needs of each unique student is a big task, but with an understanding of sensory processing and self-regulation and implementation of simple classroom strategies, back-to-school can be a breeze! Blog-Sensory-Classroom-Main-Landscape

What is Sensory Processing?

The classroom is a rich, sensory environment that enhances students’ development. For some students, however, their unique patterns of sensory processing may affect their ability to fully participate in activities. Sensory processing is the body’s ability to filter out important information that is taken in via many sensory pathways and utilize that information to provide appropriate responses within the environment. There may be some students who are over-responsive to input within the classroom, such as covering his or her ears when the fire alarm rings or avoiding art projects that include messy play. For other students, they may be under-responsive and seeking input within the classroom, such as difficulty sitting still at his or her desk and being too rough with peers or classroom materials.

What is Self-regulation?

Sensory processing has a profound impact on self-regulation, which is the ability to maintain an optimum level of arousal in order to participate in daily activities. Self-regulation is a critical component of learning, as it can impact a student’s attention, emotional regulation, and impulse control. Providing individualized sensory experiences increases self-regulation, attention, and overall participation.

Sensory Strategies to Increase Self-regulation Within the Classroom:

Auditory

  • Provide clear, precise, and short directions
  • Ask students to repeat directions back to you
  • Place felt pads or tennis balls on the bottom of chairs to decrease unexpected, loud noises
  • Use large rugs to absorb sound
  • Offer headphones, ear plugs, or calming music
  • Create a “cozy or quiet” corner

Visual

  • Minimize bright or florescent lights
  • Reduce “clutter” within the room, such as art projects or decorations on walls
  • Reduce the amount of words and pictures on worksheets
  • Provide directions on the student’s eye level to increase visual attention
  • Utilize visual schedules
  • Seat students near the front of the room or near you

Tactile

  • Incorporate messy play, including sand trays, finger paint, and shaving cream
  • Do squeezes with Play-doh
  • Utilize hand fidgets while seated at desk or circle time
  • Offer modifications to activities for over-responsive students

Proprioception/Vestibular

  • Incorporate heavy work into the daily routine. Heavy work is any resistive activity that provides deep pressure input to the muscles and joints which provides increased feedback about body position in space.
    • Wall or chair push-ups
    • Animal walks during transition times
  • Utilize sit-and-move cushion or therapy ball for seated work
  • Provide alternatives to sitting at a desk, such as standing to complete work
  • Implement group movement breaks
  • Assign classroom “helpers”
    • Carrying heavy items
    • Pushing in chairs
    • Picking up objects off the floor
    • Passing out papers

Remember, you know your students best! Get to know their individual characteristics and needs prior to implementing these strategies. Whenever possible, consult with an occupational therapist at your school! With the use of these simple strategies, your classroom will provide the best environment for all students to learn and grow!

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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A Sensory Friendly Fourth of July | Facebook Live Video

The 4th of July is a fun holiday and takes some preparation! Watch one of our expert Occupational Therapists who covered red flags and shared tips on how to ensure your child has a sensory friendly 4th of July.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Messy Sensory Play | Facebook Live Video

Have some fun and get a little messy! One of our expert Occupational Therapists discussed why messy play is important, provided tips for helping your child with touch sensitivities and even covered a few activity ideas for your kiddo to do at home!

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Sensory at Summer Camp | Facebook Live Video

Kids are having fun at summer camp and it’s time to do everything we can to make sure they’re getting as much out of it as possible! Join one of our expert occupational therapists for Sensory at Summer Camp!

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Sensory at the Pool | Facebook Live Video

Sensory At The Pool dove in to the world of a child’s sensory integration at a pool. Watch as one of our expert Occupational Therapists covered red flags, provided examples of what a child may experience (ex. walking across the cold, wet tile of a locker room floor) and shared some tips and tricks to helping your kiddo cope and make the best of summer!

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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