14 - Sensory Diet Activity Guide Book - Your Kids OT
14 - Sensory Diet Activity Guide Book - Your Kids OT
Activity
Guide Book
Cindy Chuan
Occupational Therapist
yourkidsot.com
A Sensory Diet...
A "sensory diet" is a planned and scheduled activity program designed to meet a child's individual
sensory needs (Wilbarger, and Wilbarger, 1991). It is related to activities that a child performs through
their day to help them to "modulate" their bodies – It is not food related at all! Think about some of the
activities you do to relax - Do you go for a jog? soak in a hot bath? go for a massage? drink a warm
drink? Think of the activities that give you energy. The activities that might relax some people may
actually energize others.
We live in a world full of sensory information and some kids have difficulty coping with the sensory
information they receive in their daily lives (visual, auditory, vestibular, proprioceptive, tactile, taste, etc).
Some kids can be seek sensory information and others will avoid it. This can change for a child
depending on their environment or time of day.
A "sensory diet" aims to help a child level it all out and cope. It aims to prevent sensory and emotional
overload by satisfying the child's nervous system. If you are concerned that your child may have
sensory processing difficulties, contact an Occupational Therapist for an assessment. The assessment
typically involves an interview and questionnaire completed by parents and teachers as well as
observation of your child. This guide book is provided for those whose child's sensory needs have
already been identified and is not a diagnostic tool.
This guide book is also written for occupational therapists looking for additional suggestions to help
with the formulation of a sensory diet for their clients.This guide book provides examples of activities
that may be included in a "sensory diet" in a home or school environment where specialized equipment
may not be available. These activities are generally suitable for all children, however, professional
advice should be obtained if you are uncertain (particularly with the vestibular system) about which
activities or combination of activities to try. Consideration should also be made regarding your child's
age and cognitive abilities.
Whilst the activities in this guide book have been categorized, all the sensory systems are connected so
one system may affect another. After trialling the activities with your child, make note of the affect of
the activities. Does it calm your child, arouse them, over-arouse them? It should be noted that whilst
some activities may be calming for one child, it may alerting for another child. When creating a "sensory
diet"; you will need to consider which activities are appropriate, when they should be carried out, for
how long and how often.
There are over 100 activities that I have put together here so if you are overwhelmed don't feel like you
need to try them all in one day. Not all the suggestions will be suited to your child. It is best to look over
this list with your occupational therapist.
Cindy Chuan is a registered Occupational Therapist practising in Sydney Australia. She has two young children
who are a constant source of inspiration and learning. Cindy loves working creatively to help children to reach
their potential, finding opportunities in everyday living and making learning fun. Cindy is the author of the
Occupational Therapy blog Your Kids OT (https://www.yourkidsot.com).
Proprioceptive input can help to modulate arousal levels (ie. may help to increase arousal
or may help to calm and organize sensory systems). Heavy work activities can provide
proprioceptive input to the muscles and joints of the body. This may involve lifting,
pushing, pulling objects and a child's own body weight.
Proprioception helps integrate touch and movement sensations (tactile and vestibular).
The following activities are categorized into those that involve the whole body, hands and
fingers or oral proprioception.
PROPRIOCEPTION: Oral
Chewing on bubble or chewing gum Blowing popper toys
Chewing on commercial silicon grade Blowing bubbles
"chewy" products (eg. pendant, chewlery) Blowing a harmonica
Eating crunchy food (apple, carrot sticks, Blowing a party blower
corn on the cob, rice crackers, celery Blowing a whistle
sticks, dry cereal, pretzels, ice, froze ice Blowing up a balloon
blocks, etc) Blowing bubbles in water (eg. with a
Eating chewy food (steak, fruit roll ups, straw)
etc). Blowing a straw to push along a items
Chewing on bubble or chewing gum (eg. pom pom, cotton wool ball, ping
Poking out tongue pong ball)
Pushing tongue into cheeks Blowing a feather and keeping it up in
Puffing up cheeks and squeezing out air the air
Using a vibrating toothbrush (to brush Breathing in/out of brown paper bag
teeth or for massaging mouth) Make silly faces
Sucking water from a sports drink bottle Sucking a frozen ice block (popsicle)
The tactile system is closely related to the proprioceptive system (through deep pressure
input to the skin, muscles and joints). Both the tactile and proprioceptive systems work to
help with body awareness and motor control.
Many of the activities that are listed in the proprioception section of this reference sheet
will also help those with difficulties with the tactile system. Some of these activities will need
to be graded for those who are defensive to touch sensation.
Textures to try
on a sensory board.
Fidget tools are used for children who seek sensory input from their hands to help them to
focus on other tasks. Fidgeting may occur with a child moving their own body (eg. wiggling,
interwining fingers, tapping fingers, scratching, twirling hair etc.). Generally a child does not
need to look at the item that they are fidgetting with as it is an automatic response to a need
for tactile input.
When a child can not get enough tactile sensory input, then an external "fidget tool" may be
used. These tools should not distract the child from the main activity of focus and should not
distract others around them.
In recent years, mainstream shops have sold "fidget toys" which offer tactile input for
children. Fidget tools are not toys. They should not be "played with" as the fidget is used to
help focus on the main activity.
A child will often need to trial several fidget tools to find what best suits them and if it is
needed to help with attention and focus. There are usually other signs of fidgeting
observed. A child may only need a fidget tool for short periods of time. If they are fidgeting
throughout a whole lesson or over a long period of time, then other sensory systems may
need to be addressed.
The outer ear and cerebral cortex also help to process precise vestibular and auditory
sensations through the sensations produced by vibrations of movement and of sound.
The vestibular system has been described as necessary for the entire nervous system to
function effectively (ie. to help with the interpretation of other senses such as vision and
the feedback from the muscles and joints through proprioception).
Vestibular movement can be described as linear (up/down, forward/back and side to side
movements). Slow and low linear movements can have a soothing affect and often
parents introduce this to their babies in the form of rocking or gentle bouncing. Linear
movements which move in a bigger or faster arc may be more stimulating.
Vestibular movements can also be rotational (spinning around) and are enjoyed by most
children as they stimulate the vestibular system and feel good.
Vestibular movements may involve a child being upside down (defying gravity).
Upside Down
Balance challenges
T-Stool
Walking/crawling on unstable surfaces
Sitting, kneeling or lying on a gym ball
Standing on foot pods
Walking on a balance beam
Balancing rope courses
Move n sit cushion
Balance boards
Hopping games
Climbing on rope ladders
Children also use their eyes in combination with motor skills (ocular-motor) and this includes
fixation (steady attention on an object), saccades (movements from one point to another) and
smooth pursuits (tracking a moving object).
At a higher cognitive level, children use their vision to discriminate and refine what they see.
These visual perceptual skills are discussed in more detail in the Your Kids OT "Visual
Perception Reference Sheet".
A child's visual discrimination and visual-motor skills are closely related tot he other sensory
systems (especially tactile, vestibular and proprioceptive). Visual dysfunction may involve poor
movement, posture, body awareness or coordination with motor skills. When a child is
experiencing visual discrimination difficulties which are not related to movement then it is
unlikely that this is caused by sensory processing issues.
Multi- sensory learning uses more than one "sense" to teach a child a concept
or a motor skill. This may involve seeing and touching an object, moving
through space with this object and listening to instructions.
Social stories
Visual schedules
Colour coded timetables
Checklists
Maps
Writing plans
Calendars/diaries
First/then visual prompts
Visual timers
Desk strips
Placemats
Posters
Scheduling apps
Clock or watch
Babies develop a startle defensive sense of sound, reacting to loud or unexpected noises. As
they grow their auditory system develops so that they realize not all sounds will hurt them.
Over time children develop an understanding of where sounds are coming from
(localization), the ability to follow a sound (tracking), remember and recall sounds they have
heard before (auditory memory), place sounds in a logical order (auditory sequencing),
compare and contrast environmental sounds (discrimination), distinguish between
foreground and background sounds (figure-ground and the ability to relate to unfamiliar
sounds (association). All of these skills are then drawn together to find meaning to what is
heard which they can label with a name when speech has developed.
Auditory dysfunction may be due to a physical issue (eg. ear infection). A child's hearing may
be functional, however they may have difficulty with processing the information heard.
Here are some suggestions to assist with developing auditory skills and some environmental
modifications for those who are sensitive to auditory input.
Environmental Modifications
Listening activities
Try these at different volumes, with Help your child to manage unpleasant
headphones, in a small space (eg. car). sounds by anticipating them (eg. turning on
the vacuum, counting before using hand
dryer at shops or hair dryer)
Play commercial listening games (eg. Use headphones to listen to instructions
Cock-a-Doodle Moo) and block out other noises
Play listening games with sounds from Find a sanctuary in a noisy environment if
the environment (eg. garbage truck, siren, possible (eg. lift, library)
bell, clapping) Reduce the sound in a room by placing
Find soothing sounds for your child (eg. carpet or a rug
music, waves, white noise, etc) Seat child away from possible sources of
Listen to audio books (with or without noise (eg. fish tank, clock)
headphones)
If your child is a picky eater consult with a therapist trained in the SOS (Sequential Oral
Sensory) approach to feeding. This approach to feeding addresses the whole child, their
physical, oral motor, sensory, digestive and psychological needs when it comes to feeding. It
is an approach that works on increasing exposure to improve acceptance and then increase
dietary repertoire / quantity. It is a life skill building therapy.
Some children find the mouth a way to seek sensations to help with calming and
organizational skills through biting, chewing, sucking and blowing. They may chew
inappropriate objects (eg. pencils, shirt collars, etc).
Oral Desensitization
Bundy, Lane and Murray (2002) recommend providing infants and young children with
deep pressure to the roof of the mouth or gums with the therapist's fingers or other soft
rounded object (eg. Nuk toothbrush). They also suggest that older children and adults may
be taught to provide deep pressure to their own mouths using a variety of oral motor toys
(eg. using whistle, biting on knotted rubber tubing, blowing on a rubber strip).
The Paediatric Occupational Therapy Department from Abertawe Bro Morgannwg University
Health Board (2014) describe a protocol of oral desensitisation. This includes the following
progressive steps:
Apply firm pressure symmetrically to the area outside the child's mouth (from the forehead to
the chin and mouth) using hands or different materials.
Encourage your child to apply pressure (massage) to the roof of their mouth and gums (with
their finger or a soft, round object). This may begin with placing the child's finger on their lips
and then by rolling the finger inside the lip.
Encourage the child to dip the end of the toothbrush into a small cup of water and brush
their tongue, teeth, inside of the cheeks and roof of the mouth. Additional input with an
electric toothbrush may provided.
When the child is coping well with touch to their face and inside of their mouth, further oral
motor activities may be introduced involving sucking, blowing, biting, crunching, chewing or
licking.
© 2018 Your Kids OT. Sensory Diet Activity Guide Book.
Oral Motor Activities
Chewing on chewing gum
Chewing on commercial "chewy" products
(ie. chewlery, pencil covers, theratubing)
Eat crunchy food
Eating chewy food (steak, fruit roll ups, corn
on the cob, etc)
Poke out tongue
Puff up cheeks and squeeze out air
Push tongue into cheeks
Use a vibrating toothbrush
Blow bubbles in water, with a bubble wand,
using a straw
Blow bubbles in substances with different Crunchy Food
densities (eg. jelly)
Blow up a balloon apple
Blow into a straw to push a table tennis ball carrot sticks
Blow down a stack of plastic cups celery sticks
Blow a plastic or paper windmill dry cereal
Blow a feather rice crackers
Make funny faces corn thins
Tongue challenges (eg. try to touch your rice thins
tongue to your nose, tie a snake lolly with pretzels
your tongue, poke a hole through a ice cubes
marshmallow) frozen ice lollies (ie. ice block)
"Sucking" games (transfer a "m and m" or
piece of paper).
The sense of smell can affect emotions, behaviour, memory and thinking as the nose
receptors are connected to both the limbic system as well as the cortex. Finding the smells
that calm, arouse and over arouse will help to plan how to avoid or incorporate these smells
into your child's routine.
Disclaimer
The information in this guide book is general in nature and should be used for educational and entertainment
purposes. The activities are safe for most children, however, you should consult an occupational therapist or
health professional to address specific movement, sensory or other medical conditions. This guide book does not
replace formal therapeutic professional advice given by a health professional or medical practitioner.
Copyright
Your Kids OT
PO Box 3317
Putney NSW 2112
Australia
www.yourkidsot.com
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