Sensory Processing Disorder (SPD) Flashcards
Sensory processing disorder can also be known as…
- sensory integrative problems
- sensory integration dysfunction
Sensory processing disorder (SPD)
- not a specific problem
- group of patterns that emerge developmentally
- reflect differences in neural processing of sensory and motor systems (central nervous system, not peripheral)
- not currently identified as a disorder in the DSM
- all individuals process sensory information differently
- when it impacts occupations, that’s when it’s called SPD
Comorbidities of sensory processing disorder
- autism
- ADHD
- trauma
- anxiety/depression
- obsessive-compulsive disorder
- stand alone difficulty
Categories of sensory processing disorder
- sensory modulation problems
- sensory-based motor disorder
- sensory discrimination disorder
- praxis
Sensory reactive continuum
- hyper reactive to sensory input
- hyporeactive to sensory input
Sensory modulation occurs on a neurological threshold continuum
- under-responsive to input, high neurological threshold
- “just right” response to sensory stimuli
- over-responsive to sensory input, low neurological threshold
*not always consistent across the systems
Sensory modulation
- the ability to generate appropriate responses to sensory stimulation without over responding to under responding
- neurological thresholds = the amount of stimuli required for a neuron to respond
- nervous system responds quickly = low threshold for sensory input
- nervous system responds slowly = high threshold for sensory input
Sensory modulation depends on…
- habituation
- sensitization
Habituation
Recognizing familiar sensory information as unimportant
Sensitization
Heightened awareness to important sensory stimuli
Self-regulation
*an important skill
- the ability of people to manage their own needs in response to sensory input
- the ability to maintain a calm, alert state
- the awareness of and engagement in activities that keep one in a “just right” state for the activity
- may manage self-regulation by adding sensory input (ex: while studying, may be fighting, twirling hair, chewing fingernails, and listening to music to better attend)
- may manage self-regulation by reducing sensory input (ex: while studying, may need a quiet, distraction free environment)
Sensory over-responsiveness (SOR)
- these children over respond to typical sensory input within the environment, hyper-respond to sensory input
- overwhelmed by typical sensory input and react strongly, often with anxiety
- may not habituate to sensory input (ex: feeling of clothing)
- they may have a low threshold for sensory input
- overwhelmed by typical sensory input and react strongly, often with anxiety
- these children are the easiest to identify because the behaviors are easy to notice and report
- common for when people to think of sensory processing problems to only think of sensory over-responsiveness
Children can be over responsive in all sensory systems
- tactile over responsiveness
- vestibular over responsiveness
- auditory over responsiveness (cannot tolerate loud noises)
- over responsive to visual input
- over responsive to smell
- over sensitive to taste
- children who display over sensitivity in more than one sensory system are described as sensory defensive
Tactile over responsiveness
Tactile defensiveness:
- hyperactive to ordinary touch
- light touch is aversive (tolerate deep touch better)
- self-applied input tolerated better than touched by others
Vestibular over responsiveness
Gravitational insecurity:
- hyper reactive to vestibular input from the pull of gravity
- fear of movement
- moves slowly
- overwhelmed by changes in head position
- fear of heights
- decreased exploration
- feeling unsafe