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Sensations are the way that we take in information from our environment
(internally and externally) and then process them to make sense of what is
going on in us and around us. What makes sensory processing so complex is
that it is not an all or nothing “thing.” No one is really perfect at sensory processing, and most people have some ability to integrate through at least some
of their senses. An example of someone who might be considered to possess
good sensory processing might be an Olympic gymnast. An example of

someone who might be considered to possess poor sensory processing might
be an individual with severe autism. So, in essence, we are looking on a
sensory integration “spectrum”—sensory processing along a continuum. To
help people gain a better understanding of how sensory input is processed,
professionals often break sensory processing down into different components; for example, sensory registration, sensory modulation, and sensory response.
To clarify these terms, we will refer to sensory registration as the conscious or
unconscious perception of one or more sensory signals; sensory modulation
as the modification or alteration of the perception of a sensory signal (e.g.,
level of arousal) before it is processed for appropriate action; sensory response
as the behavior that is driven by the integration of the registration and modulation of the sensory input. The following provides a brief look at a few
examples of behaviors you might see in a child experiencing difficulties with
sensory processing.

  • Difficulties with sensory registration: may appear under-reactive to
    movement or touch, can appear lethargic, may exhibit a delayed
    response to sensory input. Or may appear over-reactive to
    movement or touch, may exhibit heightened response to sensory
    input.
  • Difficulties with sensory modulation: may be upset with changes in
    routine, have a high level of distractibility, have a high activity
    level, experience difficulty with transitions, or may appear
    “detached”, “withdrawn” or “shutdown”.
  • Difficulties with sensory response or “integration”: may have problems
    with motor planning, may have a poor quality of motor responses
    (especially controlled motor responses and/or “protective”
    responses), may have poor body awareness, may have trouble
    coordinating the two sides of the body.
    Some professionals include sensory defensiveness when addressing some of the
    common sensory processing problems. A child showing sensory defensiveness may resist or even strongly refuse certain types of activities or touch, may
    appear to be very emotionally labile or “fragile,” may be considered to have
    “odd” or “unusual” eating habits or be considered a “picky eater” or a “difficult” child at meals.
    In other theories, sensory processing has been broken down into different
    components. For our purposes, we prefer to break down sensory processing
    into the following components:
  • registration of sensory input
  • orientation to sensory input
  • interpretation of sensory input
  • organization of a response to the sensory input
  • execution of response.
    It is important to note that these components in sensory processing will be
    influenced by several other factors, including the modality (the channel it
    took), the intensity (how strong it was), the duration (how long it lasts), and
    the location (where it occurred) of the sensory input.
    Understanding the role and importance of sensory processing can
    become increasingly important as you begin to take a closer look at behavior
    with perhaps a different approach to interpreting it. Two examples:
    A 6th grader, Michael, is standing in line waiting for a turn at the water
    fountain after gym, when another student accidentally brushes his shoulder
    (sensory registration). Now, Michael has to figure out where on his body this
    sensation came from (orientation), then decide what it was—an accidental
    brush, light tap, hit, punch, or stab (interpretation). Michael perceives this
    sensory input as an accidental brush and pauses to glance behind him (orga￾nization of a response). Michael then continues to wait for his turn (execution
    of a response). How might you have interpreted this behavior if you had not
    considered the importance of sensory processing? How might you interpret
    this behavior now? Is it the same? Is it different?
    A 6th grader, Marco, is standing in line waiting for a turn at the water
    fountain after gym class when another student accidentally brushes his
    shoulder (sensory registration). Now, Marco, has to figure out where on his
    body this sensation came from (orientation) and then decide what is
    was…accidental brush, light tap, hit, punch, or stab (interpretation). Marco
    perceives this sensory input as a hard punch in the middle of his back. So,
    Marco quickly spins around with a clenched fist in the air (organization of a
    response). Marco loudly and furiously threatens to find the kid who punched
    him and punch him back (execution of a response). How might you have
    interpreted this behavior if you had not considered the importance of sensory
    processing? How might you interpret this behavior now? Is it the same? Is it different?
  • Sensory integration is what turns sensation into perception. Perception
  • defines reality to an individual! Again, sensory integration defines reality, not
  • your reality, not our reality, his reality—and his unique perspective on the world around him

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