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Proprioceptive Dysfunction: The
REAL Reason He Keeps Crashing, Jumping, Tripping, Falling, Writing Too Dark, And
Breaking Things!
Trust me, you will KNOW when you see a child with proprioceptive
dysfunction! It is one of the saddest aspects of sensory processing
disorders, and will easily and quickly wreak havoc on a child's self-esteem.
If "proprioceptive" is a new term to you, then let me explain. It is
one of the "8 senses" I talk about in other articles . One of the best ways I
can explain it is within my
"Sensory Processing Disorders: How Does It Feel Like" article . Feel free to
read this, then come back.
You're back?... Oh good, because I have a lot more to say on about
proprioception dysfunction!
You see, in sensory integration theory (developed by A. Jean Ayres back in
the 70's) the proprioceptive sense refers to the sensory input and feedback
that tells us about movement and body position. It's "receptors" are
located within our muscles, joints, ligaments, tendons, and connective tissues.
It is one of the "deep senses" and could be considered the "position sense" (as
Carol Stock Kranowitz refers to it in her book entitled The Out-of-Sync Child... which is a must read for anyone dealing with sensory processing
disorders -- you can find it at
The Sensory Processing Disorder Store
So, if this proprioceptive sense is not receiving or interpreting input
correctly within these muscles, joints etc., then we refer to it as
PROPRIOCEPTIVE DYSFUNCTION.
When I say it is "one of the saddest aspects", it is because it manifests
itself as kids who are clumsy, uncoordinated, and have difficulty performing
basic normal childhood tasks and activities. They don't experience the world
like me and you.
Without proper messages regarding whether muscles are being stretched,
whether joints are bending or straightening, and how much of each of these is
happening, children will have the following "clinical" signs of
proprioceptive dysfunction...
difficulty "motor planning"; i.e. conceptualizing and figuring out
what each part of his body needs to do in order to move a certain way or
complete a task (what is an unconscious sense to us, becomes an active,
conscious, frustrating sense to them)
difficulty executing those planned movements: i.e."motor control"
(the brain may know what to do, but they can't figure out how to make
their body do it)
difficulty "grading movement"; knowing how much pressure is
needed to complete a task (i.e. hold a cup of water, hold and write with
a pencil, turn the page of a book, hit a golf ball into the hole, etc.)
difficulty with "postural stability"; i.e. the ability to hold
and maintain one's postural muscles and responses, giving you a sense of
security and safety during movement
As a result, proprioception is impaired and "emotional security" suffers.
Children with proprioceptive dysfunction, who are unable to move and use
their body effectively can become easily frustrated, give up, and lose
self-confidence. It is truly difficult to watch these kids try SO HARD
and not be able to do what they want to do. :0(
Keeping in mind the aforementioned difficulties a child will have if this
sense is not doing it's job correctly, you will quickly notice some of the
following...
Signs Of Proprioceptive Dysfunction:
If they are under responsive to proprioceptive input (i.e. sensory
seeking) they will...
walk to hard, push too hard, bang too hard write too hard, play with
objects too hard, etc.
be the loud ones, rough ones, crashers, movers, shakers, runners,
jumpers, and bouncers (i.e. an insatiable bundle of energy!)
shake his legs or constantly bang the back of his foot on the
floor/chair while sitting in class
play too rough (often hurting himself or others), jump off of or
crash into ANYTHING he can
crack his knuckles, chew on his fingers, bite his nails until they
bleed, chew on pens, gum, pencils, clothing collars, sleeves, or strings,
or inedible objects (i.e. paper clips, pieces of toys etc.)
enjoys TIGHT clothes (i.e. turtlenecks, tight belts, hoods, hats,
jackets zipped ALL the way up, tight pajamas etc.)
If they have poor motor planning, body awareness, or motor control,
they will...
have difficulty climbing, running, riding a bike, doing jumping
jacks, hitting a ball, roller skating, etc.
have difficulty tying shoes (this is a great resource..."Tie Your Shoes: Rocket Style/Bunny Ears ") or
knowing how to move his body when you help him get dressed/undressed
frequently bump into objects and people accidentally
trip and fall often
have difficulty learning to go up and down stairs, and may be
frightened by them (escalators too)
Signs of postural instability will include...
slumping at desk, dinner table etc.
appear to be "limp" and lethargic all the time
needing to rest his head on his hands or lay his head down on his
arm on the desk/table while working
having poor posture during motor tasks
being unable to stand on one foot and have difficulty with any
balancing tasks
As a result of proprioceptive dysfunction, and the struggles/challenges
these children must face everyday just trying to accomplish normal
childhood activities, they may become "emotionally insecure". They may
avoid many typical play experiences, become shy, be afraid to try anything
new, lack self-confidence and self-esteem.
If you have a child you think may show signs of proprioceptive dysfunction
(
Click here for the complete sensory processing disorder checklist ), then I
highly recommend you talk to an Occupational or Physical Therapist in your
community to see if your child may need an evaluation.
If you have, or know, a child who has a sensory processing disorder,
please understand there is a NEUROLOGICAL reason they are doing these things!
I know the "sensory seeking" kids can try our patience, but understand
one of the best ways we can help them is to give them appropriate and frequent
opportunities for "deep pressure" activities (A LIST OF THESE IS COMING SOON)
and
heavy work activities ...THEY NEED THEM! This WILL help them stay more
focused, calm, and within an optimal arousal level.
I also know the clumsy, uncoordinated kids can tug at our heart strings,
make us angry or frustrated, but know that if they get the proper treatment,
they CAN overcome (or adapt to) many of the "symptoms" of proprioceptive
dysfunction without losing too much self-confidence. Will they ever be a
professional baseball player, ice skater, or gymnast? Probably not. But, with
the right kind of help they will finally be able to button, tie, zip, hit a
ball, catch a frisbee, write out an assignment without breaking their pencil
tip, etc. and begin to fit in with their peers and gain self-esteem.
For their sake, get them the help they need. Their poor little hearts are
sad. They feel "different", left out, are struggling so hard, and losing more
self-confidence every day. Like I say, "if we can help even ONE child..."
Related Resources
Sensory
Rooms - Extremely therapeutic for both children and adults with, or without,
sensory processing/sensory integration disorders. What should we put in it?
Children's Bean Bag Chairs - Use children's bean bag chairs to calm and
relax your child (with or without a sensory processing disorder) and give them
the deep pressure, proprioceptive input they need and crave.
Play
Tunnels - Every child loves play tunnels, play tents and play huts; use them
for gross motor skills or as a personal sensory room for children with sensory
processing disorders
Visit The Heavy Work Games And Activities Store
Helpful Activity Ideas
Click Here For Ideas And Products To Help Develop Fine Motor Skills
Click Here For Tons Of Useful Sensory Integration Products
Click Here If You Want To Teach Your Child How To Ride A Bike In One Day (one
hour, for most!)
Leave Proprioceptive Dysfunction And Return To The
Sensory Processing Disorder Home Page

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