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Identifying sensory processing disorder in babies may help parents and
caregivers to understand “difficult” infants, and find ways to help them
When a baby has “colic” or is otherwise fussy and difficult to settle, it is worth considering whether a sensory processing disorder (SPD), also called sensory integration dysfunction, is the underlying cause.
I describe normal sensory processing and the different aspects of dysfunction in my main article, so if you are not sure what sensory processing is all about, pop over and read it and then come back *grin*.
Sensory processing disorder in babies may often present as a sensory modulation disorder, resulting in a baby who may be under-responsive to sensory stimulation (lethargic) or over-responsive (sensory defensive).
Other aspects of sensory integration dysfunction that may be less obvious in babies and toddlers are motor planning (praxis) delays, bilateral coordination delays and sensory perceptual disorders.
Here are just a few of the common symptoms. Remember, all infants and toddlers may show one or two symptoms at various stages – but when symptoms are persistent and affect the child’s relationships, well-being and general functioning compared to other children the same age, then help should be sought.
A baby who is sensory defensive may struggle to feed initially, because drawing the nipple into the mouth causes a gag reflex. Although the baby may eventually learn to tolerate the nipple or teat in order to survive, he/she may become a fussy eater later, gagging on different textures of food, and refusing to touch or handle finger food.
The smell of food may also be off-putting. The sensory defensive baby or toddler may prefer bland food with a similar texture, and may avoid foods where the ingredients are mixed up, such as stews and soups.
An sensory under-responsive baby may also have a degree of low muscle tone that makes it harder to suck, resulting in the infant tiring easily and perhaps not feeding effectively.
Later, the same child may be a messy eater, as placing the food in the mouth and chewing effectively is a challenge. Not being aware of the sensations in the mouth can also result in putting in too much food!
A toddler with low muscle tone or poor motor planning may struggle to know how much force to use to lift a cup of juice, and spills may be frequent. Poor motor planning or poor bilateral coordination may also result in messy and uncoordinated eating.
An oversensitive baby may become very distressed at diaper changes and clothing changes and need as little fuss as possible. Some babies will find warm bathwater soothing; others will fuss at all the added sensations.
An infant with sensory processing disorder may dislike being cuddled, swaddled, or may hate being moved through the air such as on a swing.
A toddler with sensory integration dysfunction may show his over-sensitivity to touch by being incredibly fussy about the texture and type of clothing such as long sleeves, polo necks etc.
Some may prefer to wear as little as possible and be barefoot; others may prefer to be covered from head to toe to protect the body from unexpected stimulation. Such children may also dislike walking on rough surfaces such as grass or sand.
Toddlers with SPD may also avoid messy activities such as finger-painting, playdough and making mud pies.
An sensory under-responsive infant or toddler, however, may seem to not notice the various textures of clothing and surfaces and may not even notice feeling hot or cold, or if the hands and face are dirty. This infant may be slow to react to pain and may not notice when small scrapes and bruises happen.
Although most babies get overwhelmed when they are in a noisy, busy environment for too long, infants with SPD may have a particularly low tolerance of noise, bright lights and busy places. They may also struggle to feed or sleep in an unfamiliar environment.
Sensory processing disorder in babies and toddlers can affect the way they play with toys.
An infant with sensory processing disorder may not play with toys in the same way as his peers. He may avoid exploring toys with his hands or mouth, or be limited in the movement he makes with the toy. Parents may notice that there are some toys (eg textured or noisy toys) that are always avoided.
Sensory processing disorder in babies may result in certain motor developmental milestones being attained slowly or not at all. Sitting, crawling and walking may be delayed, and crawling may be omitted, which may indicate a problem with poor postural control, delayed motor planning skills and/or poor bilateral integration skills.
These are only a few of the symptoms that may alert you to sensory processing disorder in babies and toddlers. Please know that these symptoms may also indicate other serious, underlying disorders, so please do not attempt to diagnose sensory processing disorder in your child.
Please use this checklist from an SPD website to get a clearer idea of your concerns, and then contact your nearest health professional/occupational therapist for treatment and advice.
If sensory processing disorder is diagnosed, then there are lots of wonderful books to guide you, the parent, through the childhood years. I have reviewed a few SPD books on this page of my site, and from experience with my own children, can testify that having a good resource book can be a lifeline in confusing situations.
With support, you will be able to help your child cope in a world that may otherwise seem overwhelming to both of you!
If your child is a little older, you may find these pages helpful to you:
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