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Sensory Processing Dysfunction

The brain is like a computer that controls the body's functions, and the nervous system is like a network that relays messages to parts of the body. We take in, process and interpret information through our senses (touch, movement, smell, taste, sight, hearing, balance). How we organize and integrate that information is dependent on how well our CNS functions as an interactive whole. If any sense is out of balance, that can bias the whole system toward hyper or hypo sensitivity.

Below I am going to discuss the various Sensory Systems, paying particular attention to the ones that are out of sync with my daughter, Meaghan. I have highlighted all the symptoms that she exhibits.

THE VISUAL SYSTEM
http://www.spdaustralia.com.au/the-visual-system/

The Visual System is the part of the nervous system which allows organisms to see. It interprets the information from visible light to build a representation of the world surrounding the body. The visual system has the complex task of (re)constructing a three dimensional world from a two dimensional projection of that world. The psychological manifestation of visual information is known as visual perception.

The visual cortex is the most massive system in the human brain and is responsible for higher-level processing of the visual image. It lies at the rear of the brain (highlighted in the image), above the cerebellum. The interconnections between layers of the cortex, the thalamus, the cerebellum, the hippocampus and the remainder of the areas of the brain are under active investigation.


Visual processing disorder refers to a reduced ability to make sense of information taken in through the eyes. This is different from problems involving sight or sharpness of vision.  Difficulties with visual processing affect how visual information is interpreted or processed. A person with visual processing problems may have 20/20 vision but may have difficulties discriminating foreground from background, forms, size, and position in space. The person may be unable to synthesize and analyze visually presented information accurately or fast enough. The eyes look and the brain sees.

SIGNS OF VISUAL INPUT DYSFUNCTION (no diagnosed visual deficit):

1. HYPERSENSITIVITY TO VISUAL INPUT (over-responsiveness)

 
  • sensitive to bright lights; will squint, cover eyes, cry and/or get headaches from the light   
  • has difficulty keeping eyes focused on task/activity she is working on for an appropriate amount of time
  • easily distracted by other visual stimuli in the room; i.e., movement, decorations, toys, windows, doorways etc.
  • has difficulty in bright colorful rooms or a dimly lit room
  • rubs his/her eyes, has watery eyes or gets headaches after reading or watching TV
  • avoids eye contact
  • enjoys playing in the dark (likes going to bed).

2. HYPOSENSITIVITY TO VISUAL INPUT (under-responsive or difficulty with tracking, discrimination, or perception):
 
  • has difficulty telling the difference between similar printed letters or figures; i.e., p & q, b & d, + and x, or square and rectangle
  • has a hard time seeing the “big picture”; i.e., focuses on the details or patterns within the picture
  • has difficulty locating items among other items; i.e., papers on a desk, clothes in a drawer, items on a grocery shelf, or toys in a bin/toy box
  • often loses place when copying from a book or the chalkboard
  • difficulty controlling eye movement to track and follow moving objects
  • has difficulty telling the difference between different colors, shapes, and size
  • complains about “seeing double”
  • difficulty finding differences in pictures, words, symbols, or objects
  • difficulty with consistent spacing and size of letters during writing and/or lining up numbers in math problems
  • difficulty with jigsaw puzzles, copying shapes, and/or cutting/tracing along a line
  • tends to write at a slant (up or down hill) on a page
  • confuses left and right
  • fatigues easily with schoolwork
  • difficulty judging spatial relationships in the environment; i.e., bumps into objects/people or missteps on curbs and stairs


THE VESTIBULAR SYSTEM
http://www.spdaustralia.com.au/the-vestibular-system/

The Vestibular System, which is a contributor to our balance system and our sense of spatial orientation, is the sensory system that provides the dominant input about movement and equilibrioception. Vestibular sense provides information related to movement and head position. The vestibular sense is important for development of balance, coordination, eye control, attention, being secure with movement and some aspects of language development.

The vestibular system is composed of the vesibular receptors in the inner ear, the connections between them and other areas in the central nervous system.Together with the cochlea, a part of the auditory system, it constitutes the labyrinth of the inner ear, situated in the vestibulum in the inner ear (Figure 1). As our movements consist of rotations and translations, the vestibular system comprises two components: the semicircular canal system, which indicate rotational movements; and the otoliths, which indicate linear translations. The vestibular system sends signals primarily to the neural structures that control our eye movements, and to the muscles that keep us upright. The projections to the former provide the anatomical basis of the vestibular - ocular reflex, which is required for clear vision; and the projections to the muscles that control our posture are necessary to keep us upright.

Vision is an important component of the vestibular system. About twenty percent of visual neurons respond to vestibular stimulation (e.g. when spinning, head shaking, or rocking).   Adults who have suffered damage to the vestibular organs of the inner ear can learn to depend on visual information to maintain their balance.  However, If that visual information is removed or distorted (e.g. in the dark or when there is conflicting visual information about the horizon as when standing on a balcony), the individual will feel as if they are drifting or falling.

The auditory system is also highly involved in vestibular functions. The vestibular and auditory nerves join in the auditory canal and become the eighth cranial nerve of the brain.  Anything that disrupts auditory information can also affect vestibular functioning.   Blocked eustachian tubes in the inner ear, for example, create mild balance problems.

SIGNS OF VESTIBULAR DYSFUNCTION:

1. HYPERSENSITIVITY TO MOVEMENT
(over-responsive):

 
  • avoids/dislikes playground equipment; i.e., swings, ladders, slides, or merry-go-rounds
  • prefers sedentary tasks, moves slowly and cautiously, avoids taking risks, and may appear "wimpy"
  • avoids/dislikes elevators and escalators; may prefer sitting while they are on them
  • may physically cling to an adult they trust when frightened by surroundings
  • may appear terrified of falling even when there is no real risk of it
  • afraid of heights, even the height of a curb or step
  • fearful of feet leaving the ground
  • fearful of going up or down stairs or walking on uneven surfaces
  • afraid of being tipped upside down, sideways or backwards; will strongly resist getting hair washed over the sink
  • startles if someone else moves them; i.e., pushing his/her chair closer to the table
  • as an infant, may never have liked baby swings or jumpers
  • may be fearful of, and have difficulty riding a bike, jumping, hopping, or balancing on one foot
  • may have disliked being placed on stomach as an infant
  • loses balance easily and may appear clumsy
  • fearful of activities which require good balance
  • avoids rapid or rotating movements

2. HYPOSENSITIVITY TO MOVEMENT (under-responsive):
 
  • in constant motion, can't seem to sit still
  • craves fast, spinning, and/or intense movement experiences
  • loves being tossed in the air
  • could spin for hours and never appear to be dizzy
  • loves the fast, intense, and/or scary rides at amusement parks
  • always jumping on furniture, trampolines, spinning in a swivel chair, or getting into upside down positions
  • loves to swing as high as possible and for long periods of time
  • is a "thrill-seeker"; dangerous at times
  • always running, jumping, hopping etc. instead of walking
  • rocks body, shakes leg, or head while sitting
  • likes sudden or quick movements, such as, going over a big bump in the car or on a bike
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