The Tactile System
The hypo-responsive child needs more sensation and may:
Crave fast and spinning movements (swinging, rocking, riding on merry-
go-rounds) and not get dizzy
Move constantly, rocking, spinning, shaking hands or head, or fidgeting
Have poor balance; fall easily and often
Enjoy being upside down and playing games especially where eyes are
closed or covered
Need movement for optimal level of function
Have low self-esteem

The
hyper-responsive child avoids sensation and may:
Be excessively fearful of heights (gravitational insecurity)
Be slow to initiate action
Be intolerant of excessive movement, such as swinging
Experience motion sickness
Dislike playground activities
Become overexcited when playing outside
Hold head stiffly (to avoid changes in head position)
Avoid changing position quickly (retrieves objects on the floor by kneeling
with head up)
Not like head to be inverted, as in somersaults, tumbling, rolling
Avoids movement
Cling to walls, banisters, or an adult's hand
Be very tense and rigid
Have low self-esteem
The Vestibular System
Fundamental Sensory Systems
Involved in Sensory Integration
The Tactile System refers to touch and pressure on the skin.

Hyper and hypo-sensitive reactions to touch and pressure can result in behavioral, physical, and attentional difficulties.
The Proprioceptive System
The Proprioceptive System refers to the perception of joints and body movements as well as body position in space.  These children may
compensate for difficulties in their proprioceptive system by using their vision and/or other senses for feedback regarding body movement.  This
group of children will often give a detailed description of an action that they plan on executing but are not able to physically follow through with the
plan.
The hypo-responsive child needs more sensation and may:
Touch people and objects constantly
Have poor body awareness
Be uncertain where their body was touched (needs firm pressure to be sure)
Need to use visual clues to perceive body or objects
Be unable to discriminate objects by feeling them
Get hurt and not realize it
Be insensitive to room temperature
Not realize he has dropped something
Be a messy eater
Chew on inedible objects, such as fingernails, hair, toys, or shirt
Not sense that clothes are in disarray
Have poor peer relationships


The
hyper-responsive child avoids sensations and may exhibit a fight-or-flight response:
Be overly sensitive to unexpected, light touch (Tactile Defensiveness)
Rub off kisses or casual touches, push another person away
Have difficulty standing in line between children
Bump or strike out at other people to avoid closeness
Dislike messy activities such as finger painting, gluing, digging in the sandbox, or using
chalk or tape
Be picky about clothing fabric and styles
Dislike having skin exposed, always wearing long-sleeves or hats even in warm weather
Dislike having skin covered, wearing as little as possible even in cold weather
Become anxious or aggressive on windy days
Dislike certain foods (rice, chunky peanut butter) because of the texture
Prefer foods to be the same temperature, either hot or cold
Dislike bathing or having hair washed or cut
Squirm or sit on the edge of a chair
Have poor peer relationships
The child may:
Be stiff and uncoordinated in movements
Avoid running and fast-paced games, because of clumsiness
or fatigue
Bump into objects and furniture, apparently on purpose
Be clumsy, fall and trip frequently
Be unable to do ordinary things without looking (poor motor
planning)
Have difficulty orienting limbs for dressing and Simon Says
games
Manipulate toys and classroom tools so hard that they break
Have difficulty ascending and descending stairs
Flap feet when walking, crack knuckles (for additional
feedback)
Have low self-esteem
This sensory system is what allows us to feel movement, spatial orientation, gravity, balance, and equilibrium. Often, children who are candidates for
medications such as Ritalin or other psycho-stimulant drugs have vestibular dysfunction. A history of excessive ear infections or allergies may often
cause or be involved in vestibular dysfunction as well.

There are two categories of vestibular dysfunction:
Occupational Therapy Center, Inc
2500 Tanglewilde
Suite 330
Houston, Texas
77063

Phone: 713-789-0472
Fax: 713-789-2641
Praxis and Perception:
Praxis and Perception are not fundamental sensory systems, but are end products to sensory integration. Perception involves more than just what
the eyes perceive. Body perception involves knowing where the body is in space. For example,can you feel what position your foot is in with eyes
closed? Do you know if you are horizontal or standing? Body perception is important to daily life movement.
Practic ability is the body attempting to carry out the task once the brain sends the message. The brain may not interpret the message correctly
thus may send the wrong message to the body or the body misinterprets the message when sensory dysfunction occurs . Both ways cause the
body to incorrectly perform the desired task. Many children who have high IQ's can have practic and perception difficulties. They know what they
want to do but have difficulty making their body do what they want without extensive "thinking through" of the task. This takes time and energy
which can take attention away from the actual task. For example, if a child with praxis dysfunction tries to write a story, they may have to think
through how to hold a pencil, how to move their fingers to form the letters, how to sit properly for writing, etc. It is hard to stay focused on the story
when the child must go through all this effort. Many of these children may seem uncoordinated or resistive to trying new activities. They tend to
need structure and preparation before attempting a new task. For example, the child may not join in a party game of Pinata if they have never
played the game. They will most likely want to sit back and watch for a while and then may still not engage in the game. This can lead to social
difficulties.