Photo by: Kristine Oakhurst

What Is Sensory Processing Disorder (SPD)?

Photo by: Kristine Oakhurst

Think of your brain like a computer where information is entered. The computer (brain) processes the information and then yields output in the form of behavior or motor skills. This is the concept of Sensory Processing Disorder (SPD). The brain organizes sensory information to create an adaptive response. This processing directly impacts the development of motor control, behaviors and emotional responses. SPD occurs when there is a “glitch” in the system which disrupts daily routines.

When we think of senses, we all know the five senses of sight, hearing, taste, smell and touch, but the two lesser know senses need greater attention. The vestibular sense obtained through movement and the proprioceptive sense obtained through our joints are very important senses and are precursors to the development of our visual and auditory systems.

There are three symptom clusters under SPD. Sensory Modulation Disorder may include over-responsivity, under-responsivity and sensory seeking. Sensory Based Motor Disorder includes dyspraxia and postural disorders. Sensory Discrimination Disorder affects vision, hearing, touch, taste, small, position and movement. Each category displays a specific set of symptoms & behaviors, which I would be willing to write to at another time.

My son has Sensory Modulation Disorder. Some things he is under-responsive to, like pain. Some things he is over-responsive to like noise. Most of the time he is sensory seeking, seeking input to meet his proprioceptive and vestibular needs. He also has mild hypotonia so he may fit loosely into Sensory Based Motor Disorder. He also has issues with auditory processing and may fit into Sensory Discrimination Disorder.

In the past we have seen several Occupational Therapists who claimed they worked with SPD, but issues were never adequately addressed. Now, we have a new OT and her complete focus is directed to SPD!

We have been involved in activities that meet his sensory seeking needs. One of the most profound activities has been therapeutic horseback riding. We have been riding for about 18 months and it has been incredibly successful.

We had been involved in a tumbling program as well. We had stopped because the instructor had left the program but most recently found a great drop in program where he can jump on trampolines, swing on a rope into a giant foam block pit, tumble along an obstacle course, etc. and he leaves completely satisfied, all sensory needs met. This fall we added Karate to the mix which address some of his sensory needs and also works with self discipline and self control.

For further information, I recommend the SPD Foundation and The Out of Sync Child and sensory diet ideas from The Out of Sync Child Has Fun.

Tiffani Lawton, RN is a mother to four boys, 19, 16, 5 and 4. Lawton’s 5 year old has sensory processing disorder. Lawton manages a daily home sensory diet to her son to help him regulate appropriately.

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14 Comments

Thank you for writing about this. The books you recommended were my lifeline 4 years ago when we were trying to figure out why our son would flop on the floor, bite other children in noisy situations, only eat food with certain textures, etc. We also sought OT, but many insurance companies do not cover services for sensory issues unless there is another underlying diagnosis like fine motor or gross motor delays...

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Thank you for the information and helpful links...I have wanted to check out the therapeutic riding programs. The book list...helpful..thanks again as we try to figure out everything with our son.

amanda
www.moderngranolamom.com

Thank you for writing about this. My son is also a sensory seeker and is under-responsive to pain. He has done OT for handwriting and is now in taekwondo for the same reasons you said about karate. I try to give him opportunities to spin, roll, wallow, etc now that I recognize how much he needs to do this. We sometimes do brushing, but I haven't been consistent with this. He starts kindergarten in Aug., and I hope he'll do okay.

My son sounds a whole lot like yours, with the specific symptoms in the Sensory Modulation category. I am an early-childhood educator, so luckily I noticed his "issues" when he was quite young, despite my pediatrician assuring me there was nothing to worry about. I took it upon myself to have him tested, and sure enough, he has SPD/SMD. We received OT services for him through the local school district when he was 2 and 3, but unfortunately, once he hit 4, they didn't offer services anymore...

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Thank you for this post. My sister is struggling getting help for her soon to be 3 yr old son. She just went through an evaluation through the school district and unfortunately the therapist didn't think there was a problem, though the nurse practitioner on the panel did. She also is having a hard time getting his pediatrician to refer him to an OT. My sister is desperate to get him help now instead of later when he starts kindergarten...

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My daughter, who is now 7, was diagnosed with SPD when she was 3/4 yo. We used to dread mornings because of all her "dressing issues" which ranged from hair style to shoes and socks. She wouldn't put anything over her head for 6 months! She was hyper sensitive to sound, eventhough she had perforated eardrums and her tolerance of pain is unreal...

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Your article was great! I like too see mom's passing on their expertise to other moms. Our son started having issues when he was about 6mo old, in the area of development. One of his early diagnosis's was SPD and hypotonia. As more issues arose with his development our search went on for more answers. Finally at 3 yrs old and a long fight with our insurance company we were able to get some genetic testing and discover it was not SPD or Autism alone but Fragile X Syndrome...

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Thank you for writing about SPD. Little by little the word seems to be getting out about SPD but there still is a lot more ground to cover. My 6 year old son's issues are mainly oral motor (aversion to certain textures), tactile and fine motor. He has made a lot of great strides with his latest OT but there are still a lot of struggles. He is in Tae Kwon Do and we try to squeeze some yoga in there or there - I think both are very helpful.

My son also has SPD. What a relief to finally have a reason for his "odd" behaviors! I struggled with "why can't he just do what all the other kids are doing?!" He's getting therapy at school and privately in the summer. He's making progress. He's wrapping up first grade. I struggle to remember that the world is very different for him and to approach things from his perspective. Social stories work very well for all of us to be prepared in handing new situations.

My premature daughter was diagnosed with SPD at age 18 months, and she is now 15 years old. We have had several rounds of intensive OT with a SPD specialist over the years. She also takes Ritalin to control her intense sensory seeking. I wanted to recommend some other excellent books:
Sensational Kids by Lucy Miller - Lucy is a world renowned researcher in SPD and is head of the task force to put SPD in the diagnostic manuals. She is also the sponsor of www.spdfoundation.net ...

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Nice introduction to SPD. My son has that too and "seeks additional sensory input." I'm not sure if OT is working, but we've been there only a couple months. The horseback riding is an interesting idea. I have The Out of Sync Child Has Fun on my desk but haven't had a chance to read it yet with all the other SPD books ahead on my list.

Thank you for the info. I have two of the books but have only gotten to read parts of them. Our OT therapist diagnosed my son, who is now 3 1/2, with SPD and he has been going to therapy since November - so many improvements have been made. He is not even the same child anymore.
Unfortunately, this is not our only diagnosis. He is way behind in his talking and has only recently started to imitate and we see a speech therapist twice a week, who has diagnosed him with Apraxia...

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Tiffany--thank you for sharing this with the mamapedia community.

I've got a couple of blog posts here about my son, particularly: http://www.mamapedia.com/voices/self-doubt-parenting-a-gi... and one thing that we have dealt with are Sensory issues.

At the beginning of the school year, he was engaging in a lot of stimming behaviour (mainly chewing on--and through!--his clothes) but it's settled down some...

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hi I have been reading all your comments but dont no if it relates to my grandson except for the comments on not feeling pain. I am very worried about him as he can really bang his head and not seem to feel it? he has just turned 1 yrs old

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