Sensory Integration Issues in Young Children

Sensory integration issues?

Hello, Dr.
Lin.
My child is 1 year and 10 months old, and I have recently been doing some sensory integration exercises with him, such as spinning, throwing, vertical acceleration, forward rolls, and backward rolls, which are forms of passive balance training.
However, I heard a report about a 1.5-year-old child who became a vegetable due to shaking, which has made me very fearful.
I am unsure whether I should continue these passive balance training exercises with my child.
Thank you!

Sherry, 30~39 year old female. Ask Date: 2005/01/28

Dr. Lin Wenxian reply Pediatrics

Dear Sherry,
The report you referred to likely pertains to "Shaken Baby Syndrome." This condition occurs when an infant's head is subjected to violent shaking, which can sometimes lead to internal bleeding in the brain.
The consequences can be quite severe, often seen in cases of child abuse.
However, parents need not panic excessively.
Generally gentle sensory integration activities are not likely to cause this syndrome.
When playing with your baby, please remember to avoid vigorous shaking of the infant's head to prevent such occurrences.
For example, the following actions should be avoided:
1.
Throwing the baby high into the air and then suddenly catching them as they fall.
2.
Swinging the baby back and forth like a swing and suddenly stopping.
3.
Grabbing the baby's shoulders and shaking them vigorously in all directions.
4.
Forcibly dropping the baby onto a mattress or sofa, causing them to bounce and shake.
Infants have relatively larger and heavier heads, and their bones and muscles are not as strong, making it difficult to control head stability, which increases the risk of injury compared to adults.
When an infant's head is violently shaken, the blood vessels in both the outer and inner layers of the brain can rupture due to excessive pulling force, and the neck bones and spinal cord may also be harmed.
These are important considerations for parents.
Tainan Hospital wishes you good health and all the best!

Reply Date: 2005/01/28

More Info

Understanding sensory integration issues in young children is crucial for their development, especially as they navigate their environment and learn to interact with the world around them. Sensory integration refers to the process by which the brain organizes and interprets sensory information from the body and the environment. This includes inputs from sight, sound, touch, taste, and movement. Children with sensory integration issues may have difficulty processing these sensory inputs, which can lead to challenges in behavior, learning, and social interactions.

In your case, your child is 1 year and 10 months old, and you have been engaging him in various activities aimed at promoting sensory integration, such as spinning, throwing, and rolling. These activities can be beneficial for developing balance, coordination, and body awareness. However, it is essential to approach these activities with caution, especially considering the concerns raised by reports of severe outcomes like a child becoming a "vegetable" due to excessive shaking or spinning.

Firstly, it is important to understand that while sensory play is beneficial, it should always be conducted in a safe and controlled manner. Activities like spinning or rolling can be enjoyable and stimulating for children, but they should be done in moderation and with attention to the child's comfort and reactions. If your child appears distressed or uncomfortable during these activities, it is advisable to stop and try different forms of sensory play that may be more suitable for him.

Moreover, the fear you mentioned regarding a child becoming a "vegetable" due to shaking is likely an extreme case and not representative of typical sensory integration activities. It is crucial to differentiate between safe, playful activities and those that could pose a risk of injury. Always ensure that the environment is safe, and supervise your child closely during these activities.

If you have concerns about your child's sensory processing abilities or if you notice signs of sensory integration issues—such as overreacting to sensory stimuli, avoiding certain textures or sounds, or showing difficulty in motor skills—it may be beneficial to consult with a pediatric occupational therapist. These professionals specialize in sensory integration and can provide tailored strategies and interventions to support your child's development.

In addition to professional guidance, you can also incorporate sensory-rich experiences into your child's daily routine. Activities such as playing with playdough, exploring different textures (like sand, water, or fabric), and engaging in music and movement can enhance sensory processing in a fun and engaging way.
Lastly, it is essential to foster an environment where your child feels safe and supported. Encourage exploration and play, but also be mindful of their limits and comfort levels. Every child is unique, and what works for one may not work for another. Observing your child's reactions and adjusting activities accordingly will help ensure that they are both enjoyable and beneficial.

In summary, while promoting sensory integration through various activities is important, it should be done with caution and awareness of your child's individual needs. If you have any concerns about your child's development or sensory processing, seeking professional advice can provide you with the support and resources necessary to help your child thrive.

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