Have you ever felt a sense of relaxation when someone gives you a big
hug? Sleeping under a weighted blanket is like getting a big, warm hug
all night long. Weighted blankets provide deep pressure/proprioceptive
input to an individual’s joints, muscles, and bones. In many cases, the
input is calming and leads to improved sleep. Weighted blankets have
been used successfully with individuals who have sensory processing
disorders.
When selecting a weighted blanket for a client with sensory processing issues, the treating
therapist
should carefully consider the client’s specific sensory needs. There
are no “official” research-based guidelines for selecting the weight and
size of a blanket, but based on feedback from occupational therapy
practitioners, 10% of the individual’s body weight is often effective
when using weighted vests or lap pads. The treating therapist may want
to start with 5 to 8% and make adjustments based on the reactions and/or
feedback from the individual. If the client is nonverbal, it may be
necessary to get feedback from the parents. For safety reasons, it is
critical that the user be physically capable of independently removing
the blanket. Most importantly, a weighted blanket should never be used
for restraint purposes. If the user does not like the sensation of the
blanket, use of the blanket should not be forced.
The blanket should fit evenly on top of the mattress so that no
weights are hanging over the edge of the bed. This could cause the
pressure provided by the blanket to be uneven. The blanket should NEVER
cover the individual’s head, and parents should always provide
supervision when using a weighted blanket with their child.
The effects of weighted blankets vary. Many parents have reported
that the first night of use resulted in a good nights sleep for their
child. However, it may take two to three nights to observe improvements
in sleep. If no changes are noted at that point, the treating therapist
may want to consider increasing the blanket’s weight. As stated
previously, there is no evidence-based research on weighted blankets,
but anecdotal reports from therapists and clients are generally
positive. For someone with a disorganized nervous system, a weighted
blanket may be the perfect solution for a good night’s sleep.
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