Module 5: Regulation and Sensory Processing

Responses to Sensory Information

Everyone is unique and has different responses and tolerances of sensory input. For example, noise level—the same noise level could be interpreted as too loud (over responsive), just right, or too quiet (under responsive).

Sense Under Responsive Examples Over Responsive Examples
Smell
  • Drawn to stronger scents
  • Smells people and things
  • Headache
  • Not be able to concentrate
  • Sneezing
Vision
  • Does not notice people, things in their environment
  • Overly focused on bright, reflective, or spinning lights
  • Uncomfortable in bright sunlight or lighting changes, such as coming in from recess on a sunny day
  • Distracted by visual information such as posters on the wall
  • Difficulty with visual tracking
  • Reading the non-verbal body language of others
Auditory
  • Enjoy loud noises
  • Don’t respond when their name is called, appearing not to hear
  • Cover their ears
  • Vocalize to mask the surrounding noise
  • Distracted
  • Difficulty following directions
Tactile
  • Try to touch other students or objects
  • Avoid touching certain textures or clothing
  • Dislike tags in clothing or seams in their socks
  • Strong reaction to being touched by others
  • Dislike sports or games that include personal contact
  • Avoid messy play activities, such as finger painting
  • Dislike certain textures of food
Taste
  • Ingest non-food items
  • Over fill their mouths
  • Seek out strong flavours
  • Selective about foods they agree to eat
  • Gag easily with certain flavours and textures
  • Prefer specific brands of food
  • Unable to tolerate different foods touching each other on a plate
Vestibular
  • Fidget, roll, rock or engage in fast and impulsive movements with little safety awareness
  • Unintentionally rough with others
  • Lose attention to the task they are engaged in when seated for prolonged periods
  • Movement may cause headaches, dizziness, or nausea
  • Uncoordinated and fearful of participating in PE or on the playground
  • Anxious when sitting on a chair or toilet with their feet off the ground and during transfers when their wheelchair is moved or tilted
Proprioceptive
  • Seek out movement, by bumping or pushing into walls, the floor, or people
  • Grasp objects with too much force
  • Enjoy rough and tumble play
  • Prefer jumping or stamping heavily rather than walking
  • Fear unexpected touch or movement
  • Appear uncoordinated or clumsy
  • Difficulty holding and using pencils or water bottles
  • Tire easily
Interoceptive
  • Unable to interpret when their body is hot or cold
  • Decreased awareness to being full, hungry, or thirsty
  • Difficulties with toilet training
  • Sensitive to internal temperature changes
  • Increased sensitivity to feeling full, hungry, or thirsty
  • Heightened reaction to pain
  • Strong emotional responses

Opportunity for Practice: Under and Over Responses

For each phrase, select whether it is a clue of under-responsiveness or over-responsiveness.

Example Under-responsiveness Over-responsiveness
Chews on pencils, erasers, or clothing
Covers ears
Cycling between jacket on and off
Feels itchy, looks uncomfortable in clothes
Fixates on bright colourful lights
Gags when eating
Increased sniffing of objects
Intentionally runs into wall, furniture
Rubbing clothing or textures
Sitting near a heat source without discomfort
Sneezing
Squinting
Vocalizes loudly
Yells out and cries when transferring
Clues of Under-responsiveness
  • Chews on pencils, erasers, or clothing
  • Fixates on bright colourful lights
  • Increased sniffing of objects
  • Intentionally runs into wall, furniture
  • Rubbing clothing or textures
  • Sitting near a heat source without discomfort
  • Vocalizes loudly
Clues of Over-responsiveness
  • Covers ears
  • Cycling between jacket on and off
  • Feels itchy, looks uncomfortable in clothes
  • Gags when eating
  • Sneezing
  • Squinting
  • Yells out and cries when transferring