February 1, 2024

Understanding Sensory Processing Disorder: Vestibular System

The vestibular system plays an important role in sensory processing disorder. Read here for red flags and activities for SPD: The Vestibular System.

The vestibular system might not be one of the five basic senses we were taught as children, but it is arguably the most fundamental sense. It is the first sensation a fetus experiences prior to birth and as our other senses develop, they in many ways depend on the vestibular system to integrate properly. Along with the cochlea of the auditory system, it comprises the labyrinth of the inner ear. Movement of the fluids in these semicircular canals inform us of changes in our head position, gravitational pull, and direction and speed of movement. The vestibular system signals to our other senses when it’s necessary to make adjustments so that we can maintain balance, clear vision, adequate muscle tone, and coordination.

Difficulties with vestibular processing can make many aspects of everyday life challenging. These children may appear lazy, hyperactive, clumsy, inattentive, impulsive, or anxious. Dysfunction can present as hypo or hyper responsive and, much like the other sensory systems, a child may exhibit behaviors of both.

Signs of difficulty with vestibular processing include:

  • Dislike/fear or craving/seeking out activities requiring feet to leave the ground such as swings, slides, riding a bike, jumping or climbing.
  • Clumsiness or frequent falling
  • Often moving slowly/cautiously
  • Frequent motion sickness/dizziness
  • Appearing to never become dizzy with excessive spinning
  • Seemingly unaware of danger/risks or impulsively jumping, running, and/or climbing
  • Appearing frequently “lost” in their environment or having difficulty locating objects
  • Dislike of being moved to stomach or back as a baby or having their head tilted back
  • Rocking, spinning, twirling, or frequent head tilting. May also intently watch moving objects
  • Often prefers sedentary activities
  • Difficulty sitting still or unable to sustain attention without moving
  • Difficulty with reading, writing, and/or math
  • Often slouches, holds head up with hands, or prefers lying down

If you notice these red flags in your child, it is important to provide as many child-directed movement opportunities as possible. Be careful not to swing or spin your child excessively, as this can cause adverse reactions such as nausea or changes in breathing and heart rate. Consultation with an occupational therapist can help you identify activities that incorporate additional sensory systems while keeping in mind your child’s current level of security.

Below are just a few suggestions for important movement experiences to incorporate throughout your child’s weekly schedule:

  • Somersaults and cartwheels
  • Log rolling
  • Jumping rope
  • Bike riding
  • Swimming
  • Gymnastics
  • Lying on the stomach to complete activities
  • Climbing across or hanging upside down from monkey bars

More on the Subtypes of SPD:

  1. Sensory Processing Disorder: The Subtypes
  2. Understanding Sensory Processing Disorder: The Tactile System
  3. Understanding Sensory Processing Disorder: The Auditory System

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
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The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

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Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

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I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

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We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

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NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

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