Occupational Therapy Sensory Advice

You may find the following general sensory activity ideas helpful in supporting your child to feel more comfortable in their everyday environment.

Please note: Our service is not commissioned to offer sensory integration therapy or provide a formal sensory diagnosis.

This list of recommendations is not exhaustive and the strategies suggested are not tailored to your child’s individual needs. Some activities may not be suitable for all children, so we encourage you to try and adapt them based on what works best for your child’s abilities, needs and preferences.

Adult support and supervision is essential when trying these activities.

Understanding Sensory Processing

Sensory processing is the way our body receives and makes sense of stimuli through our senses. There are several sensory systems, these being:

  • Vision
  • Hearing
  • Smell
  • Taste
  • Touch

And the lesser known ones:

  • Vestibular (balance and knowing when the body is upright),
  • Proprioception (awareness of where our body is in space)
  • Interoception (awareness of our internal body conditions – hunger, thirst, temperature etc)

Hypersensitivity vs Hyposensitivity

Some people can have increased sensitivity to stimulus. This means that they may become easily bothered by or uncomfortable with external stimuli such as lights being too bright or noises being too loud. This in turn can affect the person’s engagement and/or concentration and they may appear as agitated, adverse, withdrawn or disengaged.

Examples of hypersensitivity may include:

  • Covering ears around loud noises
  • Not liking touch from others
  • Not liking certain food textures or mixing of foods
  • Dislike of and reaction to smells

Other people may have reduced sensitivity to stimulus and crave more feedback from the stimulus. The person may appear as hyperactive, however in reality they are seeking more opportunities to gain sensory feedback.

Examples of hyposensitivity may include:

  • Touching objects/people more than expected
  • Putting things in their mouth or licking items
  • Constantly being on the move or struggling to sit for a seated activity
  • Smelling people/objects

The sensory strategies below are general advice, which may provide ideas on how to support your child to cope and engage better within their environment. It is important to remember that the strategies are general advice and not specific to your child and need adapting to meet their needs, abilities and preferences.


person opening his right eye with blue iris

Visual (sight)

My child can become distracted by lots of visual input.

As they can become overwhelmed by a lot of visual input, keep the amount of visual information to a minimum, especially on worksheets or handouts.

Keep the amount of items on their  desk and the visually stimulating items around them whilst they are working to a minimum.

Keep the use of fluorescent lighting to a minimum.

Consider where your child is positioned in the classroom. Where appropriate, they may benefit from sitting towards the front of the class to minimise visual distractions from peers and away from the window to reduce the chance of outdoor visual distractions.

My child struggles to find things within a busy background.

Using a clear pencil case with only essential items may help your child if they have difficulty finding things. The visibility and reduced clutter can make it easier for them to locate what they need.

My child stares at light, objects and/or people.

Your child may benefit from being provided with regular strong bursts of visual sensory input in a sensory diet approach. For example, this could be achieved by playing with:

  • Flashing toys
  • Kaleidoscopes – Clear rainmakers
  • Spinning tops
  • Lava lamp / bubble tubes – Blowing bubbles
  • Glitter sticks
  • Mirrored / reflective items -Glitter paints
  • Maze activities
  • Dot-to-dot activities
  • Picture books
  • Holographic picture books

In school they also may benefit from visually stimulating work areas, with bright colours, reflective materials etc.

My child struggles to understand written instructions.

As your child does not always register visual sensory input, they may benefit from verbal direction in addition to visual directions for a task /activity. Consider reading out loud the written instructions when they are given.


a close up of a person's ear with a white background

Auditory (hearing)

My child doesn’t like loud noises.

Your child may benefit from being warned prior to activities that are likely to be noisy. They may also benefit from engaging in some calming movement activities such as wall push-ups, chair push-ups and pushing palms together with interlocking fingers so they are calmer and may be more able to tolerate auditory input.

Wearing headphones with preferred music and giving your child control of the choice and volume when going somewhere noisy.

Visit noisy places at quieter times of the day.

When going to busy / noisy events, such as birthday parties, be there first and let the noise build up around your child as they may cope better than arriving and joining a busy party.

My child struggles to understand long instructions.

They may benefit from directions for a task being broken down into stages and presented visually as well as orally (listening to them as well as seeing them). To do this you could use bullet points or pictures. A visual demonstration is also likely to be beneficial.

My child makes noises.

Your child may benefit from a sensory diet’ approach, which involves offering regular opportunities to engage in activities that provide strong auditory input throughout the day. These activities can help with focus, regulation, and overall sensory processing.

Examples include:

  • Use of musical instruments
  • Listening to music through headphones (choose calming or upbeat music based on your child’s needs)
  • Humming
  • Singing
  • Play ‘guess the sound’ games

My child is easily distracted by noises.

Try to minimise background noise where possible. Sit your child close to the front of class away from noise distractions.

My child doesn’t respond when their name is called.

Use a visual method to attract their attention, for instance waving or a touch on their shoulder in addition to calling their name.

My child doesn’t realise how loud they are speaking.

Use visual cues, such as a volume control dial, to enable them to have increased awareness of their own volume.


Olfactory (smell)

My child dislikes smells.

Your child may be able to tolerate unscented shampoos and deodorants more easily. Consider smells when using cleaning products around the home – maybe opt for products that don’t have a lingering scent.

Prepare your child prior to situations in which they are likely to encounter the smells they find it difficult to tolerate. Consider having a scented tissue on hand with a favourable smell so your child has easy access to cover smells they dislike.

My child smells objects and people.

Your child may benefit from a sensory diet’ approach, which involves offering regular opportunities to engage in activities that provide strong olfactory input throughout the day. These activities can help with focus, regulation, and overall sensory processing.

Examples include:

  • smelly pots
  • guess the smell games
  • smelly play dough (use calming smells (almond/vanilla) and alerting smells (peppermint/lemon) with appropriate children. Use of strong lavender smells/essential oils should be avoided.

They may benefit from the use of a social story to teach which items it is appropriate to smell and which should not be smelt.

Try distraction techniques to prevent your child from smelling inappropriate things.

My child does not appear to notice smells.

You may want to spend time at home drawing their attention to important smells to recognise such as burning.


Oral

My child mouths/chews /eats inappropriate things.

Your child may benefit from opportunities to engage in activities providing strong oral feedback at regular intervals throughout the day. Such activities could include:

  • Blowing bubbles
  • Crunchy snacks (may include fruit, cereal, cereal bars),
  • Chewellry or other chew toys

Your child may benefit from the use of a social story to teach which items it is appropriate to eat / put in mouth / chew and which should be avoided.

Try distraction techniques to prevent your child from mouthing / chewing on / eating inappropriate things.

Keep inappropriate foods out of reach from your child

My child is a fussy eater.

Your child may benefit from engaging in games with food where they are involved in food preparation and can present the food on their plate in a manner which is appetising to them.

When trying food which your child is avoiding, a graded approach (interacting with the food in stages) should be adopted. This technique involves encouraging them to firstly touch the food with their hands, then smell it, lick it and then hold it in their mouth before they are finally able to tolerate chewing and swallowing this food. Such activities could be made into a game. But his must be done gradually and persistence will be required.

At meal times, a self-service system could be adopted whereby each different food type is in a separate bowl on the table (i.e. meal on one plate, potato in one bowl, broccoli in one bowl, carrots in one bowl) and therefore visible and accessible to your child. This way they may decide to try the food of their own accord without having to be asked to try it.

When practicing the above-recommended strategies, ensure that force-feeding or starvation programmes are avoided.

Examples of food games you could try with your child:

  • Food painting – using sauces and runny foods for paint and celery sticks/bread sticks etc. for brushes
  • Food modelling – hold together with cocktail sticks (under supervision)
  • Food mosaic-cut up small bits of fruit/veg etc. and press into marzipan, home made play dough etc.
  • Potato printing – can also print with other foods e.g. lemons, apples, tomatoes
  • Pasta pictures
  • Hiding items in dried rice to find

My child doesn’t realise when food is too hot.

Your child may need prompting to let food cool down to avoid the risk of burning their mouth.


Touch

My child has a tendency to touch things.

Your child may benefit from the use of a fidget item during working periods as this may help them to focus. Items such as fidgets on the end of pencils, a ‘tangle’, or any other small item which they may manipulate without becoming too visually distracted may be beneficial. They may need to try a range of fidget items before they find an item which is the most suitable for them.

Your child may benefit from a ‘sensory diet’ approach being adopted whereby they are provided with opportunities to engage in activities providing strong tactile feedback at regular intervals throughout the day. For example:

  • Fidgets
  • Playdoh
  • Vibrating toys
  • Finger painting
  • Collaging and other hands-on craft activities

My child won’t wear certain clothes.

Having duplicates of clothing which they feel comfortable wearing is likely to be beneficial and ensures that you have something ready that they can wear.

My child doesn’t like messy play.

Your child may benefit from engaging in activities such as making shapes in shaving foam, hands on baking activities, modelling using play-doh or clay and playing with cooked and cooled spaghetti to make letters or shapes.

My child doesn’t like being touched.

Avoid touching them unexpectedly and always approach from the front so that they can see you and be more prepared. They may benefit from being warned prior to
engaging in activities that involve touch from others so they can choose whether they are comfortable with this.

My child doesn’t register temperatures easily – like hot and cold.

For bath time, your child may benefit from the use of a colour change plug so that there is a visual warning when the water increases in temperature. Use of such an item will also increase their independence with personal hygiene. School should be aware of their lack of temperature awareness and consider this in the risk assessment of engagement in related activities in school and on residential trips as adult guidance/supervision may be required.

Your child may need prompting as to when they need to put on additional layers of clothing such as socks or a jumper when it is cold or when to take off their coat or jumper to avoid overheating.

My child doesn’t like brushing their teeth

Your child may benefit from wiping around their mouth with the fingers or a flannel prior to tooth brushing and rubbing the gums with a finger or rinsing their mouth vigorously prior to teeth brushing as this will prepare the area for the tactile input.

My child doesn’t like nail cutting, hair cutting or hair washing.

Your child may benefit from providing themselves with deep proprioceptive touch (firm touch) before a problematic personal grooming activity. For instance, they could be encouraged to press their palms together or squeeze on a stress ball prior to activities such as nail cutting or a firm scalp massage prior to hair cutting/washing.

Your child should be encouraged to be as independent as possible in personal grooming activities and this way they can determine the pressure used.


Movement

My child is always on the move.

Your child may benefit from regular movement breaks throughout the day to provide them with the movement input they are seeking. For example jumping, running, hopping, spinning games, action songs, shaking arms in the air, out to the side and down to the ground etc.

Incorporate purposeful tasks which also provide movement into the child’s day where possible. This could be introduced by allowing the child to become a teacher’s assistant, assisting the teacher by handing out books, handouts, taking the register to the office etc.

The child may benefit from the use of a ‘Move and Sit’ cushion. This is an air filled cushion which due to its texture and consistency provides your child with constant sensory feedback. This may enable your child to maintain focus on activities whilst sitting down.

They could play with toys such as a bopper hopper, a trampoline or ‘sit and spin’ at home prior to occasions where they will be required to sit down for a period of time like mealtimes.

My child struggles to complete complex tasks/activities.

Try breaking down movement activities into smaller parts so they are easier to follow.

My child can become anxious when participating in certain activities.

They may benefit from receiving a firm touch at the hips. This will provide your child with deep tactile feedback which may help them to feel more secure whilst engaging in the activity. They should be warned prior to this touch input and they should determine how firm the touch is. If any signs of resistance are shown by your child this must be stopped.

Make movement activities predictable and talk your child through these movements so that they know what the activity will entail and when it will be finished. It may be necessary to break movement activities down into smaller stages.

Your child may benefit from a graded approach to movement (gradually completing in stages). They can be first encouraged to produce forward and backward movements, before progressing on to up and down movements, then side-to-side movements before finally progressing to spinning movements. Persistence will be required in gradually increasing the child’s tolerance of movement input. If any signs of resistance are shown by the child, the activity must be stopped.

Try to avoid sudden changes to your child’s sense of gravity.


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