Tuesday, February 8, 2011

Tactile Tips


     Children with sensory issues can be classified as having sensory defensiveness, registration problems, modulation issues, and sensory integration problems. In this entry, I’m going to share a little about sensory defensiveness, specifically tactile defensiveness. A child with general sensory defensiveness is overly sensitive to certain types of input from the environment, such as touch, textures (including food textures), sounds, lights (usually fluorescent), smells, and movement. When someone reacts negatively to touch in particular, that is called tactile defensiveness. Remember in the last post how I briefly explained the tactile system? Well, just imagine if this system was not functioning efficiently. All sorts of problems can present themselves!
        There are five sensory nerve receptors in the skin that let the central nervous system know what’s going on in the environment. These receptors are light touch (top of the skin), deep pressure, temperature (hot & cold) and pain. It is likely for one type of receptor to be overly sensitive and the other to not have a problem, which explains why some children may tolerate firm hugs, and then freak out when touched lightly. Here are some signs and symptoms that you might see with a child who is dealing with tactile defensiveness.
  • Frequently resists being held or cuddled by unfamiliar people
  • Dislikes water splashing or bath-time
  • Difficulty falling into a regular sleep/wake schedule
  • Dislikes being moved quickly such as being tipped in the air, swung around, bounced, or rocked suddenly
  • Difficulty with sucking, chewing, or swallowing new textures
  • Does not tolerate new foods or food textures – diet is limited
  • Exaggerated separation anxiety
  • Sensitivity to bright lights, loud noises, crowds
  • Dislikes hands or face to be dirty
  • Uncomfortable around strangers or unfamiliar people
  • Late with milestones such as talking, walking, sleeping through the night, etc.
  • Problems with reflux or allergies to foods
  • Must be in a familiar environment to fall asleep
  • Prefers to be swaddled tightly, likes weight and deep pressure
  • Toe walks
  • Dislikes shoes and socks
  • Does not crawl before walking
  • Craves movement such as swinging, rocking or bouncing

       If a child has tactile sensitivity, here are some activities to try. Any child's sensory system will benefit from these activities, defensive or not. Just be sure and remember to start slowly, and DO NOT force any input that your child resists. If your little one is extremely resistant, it’s probably time to consult your pediatrician and ask about the possibility of occupational therapy. There are more advanced treatments that can only be carried out under the supervision of a therapist. 
  • Spend a few extra minutes after bath time to vigorously rub the child with a towel, or guide them in doing so.  
  • Rub lotion or powder on the legs, hands and arms while singing (for distraction purposes). Let them also rub the lotion or powder on you, especially if they won’t tolerate it on their own extremities.
  • Pretend face washing or shaving- with different textures of cloth or towels.
  • Use a variety of textured materials such as corduroy, fur, terry cloth, etc. and rub on your child’s back, arms and legs.
  • Put textured mittens or puppets on child’s hands and let him or her take them off.
  • Encourage your child to play in binds of sand, rice, beans or popcorn. Hide items and have the child locate them, guessing what they are while still covered. If your child won’t touch the textures, provide cups and shovels for play.
  • Have the child roll up in a blanket or sheet, then play hot dog – press on mustard, relish, etc., and then have them roll out.
  • Put shaving cream, lotion, or pudding on a large piece of aluminum foil and have the child draw a picture or write spelling words. Be sure to get both hands messy!
  • Finger painting or body painting with water-based paints. 
  • Play in play dough or putty. Pulling, squeezing, rolling, etc.
  • Draw numbers/letters on the child’s back, arms, lets, etc. and have him identify. You can make it a multiple choice or yes-no question - Is this a 2 or a 5?
  • Provide activities that provide tactile input on the child’s entire body, such as a kid pool full of styrofoam, big soft pillows, or balls.
  • Games with physical contact are good – bear hugs, piggyback rides, wrestling, back rubs, petting animals.
  • Identifying objects with eyes closed – keys, comb, marble, block, coins, shapes, etc.

3 comments:

  1. I am on the opposite end of things. My son is severely, severely sensory seeking! It about does me in most days. Would these activities work for him, since I have heard that sensory seeking is caused by not getting enough input? Or is there a whole different approach for me?

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  2. Yes, these activities would be appropriate, especially the ones that provide deep pressure input, like the "hot dog" and the games with physical contact. I'd also expose him to movement activities such as bouncing and swinging. Sensory seeking is a type of sensory registration problem (under registration), and I'll be writing about that in my next post. Hope this was helpful!

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  3. Ramona--My son (4) is the same way. His school OT recommened the "hot dog" game as well as the physical contact games. The school OT also recommended this blog to us. We've also met with a child advocate who has said the same thing. We have been given a very special gift and we must do all we can to nuture and help our children in any way possible Best of luck to you.

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