The Out-of-Sync Child Quotes

“Activities to Develop the Tactile Sense Rub-a-Dub-Dub—Encourage the child to rub a variety of textures against her skin. Offer different kinds of soap (oatmeal soap, shaving cream, lotion soap) and scrubbers (loofah sponges, thick washcloths, foam pot-scrubbers, plastic brushes). Water Play—Fill the kitchen sink with sudsy water and unbreakable pitchers and bottles, turkey basters, sponges, eggbeaters, and toy water pumps. Or, fill a washtub with water and toys and set it on the grass. Pouring and measuring are educational and therapeutic, as well as high forms of entertainment. Water Painting—Give the child a bucket of water and paintbrush to paint the porch steps, the sidewalk, the fence, or her own body. Or, provide a squirt bottle filled with clean water (because the squirts often go in the child’s mouth). Finger Painting—Let the sensory craver wallow in this literally “sensational” activity. Encourage (but don’t force) the sensory avoider to stick a finger into the goop. For different tactile experiences, mix sand into the paint, or place a blob of shaving cream, peanut butter, or pudding on a plastic tray. Encourage him to draw shapes, letters, and numbers. If he “messes up,” he can erase the error with his hand and begin again. Finger Drawing—With your finger, “draw” a shape, letter, number, or design on the child’s back or hand. Ask the child to guess what it is and then to pass the design on to another person. Sand Play—In a sandbox, add small toys (cars, trucks, people, and dinosaurs), which the child can rearrange, bury, and rediscover. Instead of sand, use dried beans, rice, pasta, cornmeal, popcorn, and mud. Making mud pies and getting messy are therapeutic, too.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“The Out-of-Sync Child Has Fun (Perigee, 2006), The Goodenoughs Get in Sync (Sensory World, 2010), Growing an In-Sync Child (Perigee, 2010), and In-Sync Activity Cards (Sensory World, 2012).”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“Perceptual motor therapy provides integrated movement experiences that remediate gross-motor, fine-motor, and visual discrimination problems. Activities, including sensory-input techniques, stimulate left/right brain communication to help the child interpret incoming information to the nervous system. Goals are to develop more mature patterns of response to specific stimuli, improve motor skills and balance, and stimulate alternate routes to memory and sequencing for those children who do not respond to the methods taught in the conventional classroom.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“An occupational therapist will usually evaluate the child in her office. The evaluation is ordinarily a pleasant experience. While costs vary, expect to spend several hundred dollars. This will be money well spent, and it may be covered by health insurance. Here are some of the areas an OT investigates: Fine- and gross-motor developmental levels Visual-motor integration (doing puzzles or copying shapes) Visual discrimination Neuromuscular control (balance and posture) Responses to sensory stimulation (tactile, vestibular, and proprioceptive) Bilateral coordination Praxis (motor planning)”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“Bilateral (from the Latin for “both sides”) coordination means that we can use both sides of the body to cooperate as a team. A well-regulated vestibular system helps us to integrate sensory messages from both sides of our body. By the age of three or four, a child should be crossing the midline. For the child who avoids crossing the midline, coordinating both body sides may be difficult. When she paints at an easel, she may switch the brush from one hand to the other at the midway point separating her right and left sides. She may appear not to have established a hand preference, sometimes using her left and sometimes her right to eat, draw, write, or throw. It may also be hard to survey a scene or to track a moving object visually without stopping at the midline to blink and refocus. The child with poor bilateral coordination may have trouble using both feet together to jump from a ledge, or both hands together to catch a ball or play clapping games. She may have difficulty coordinating her hands to hold a paper while she cuts, or to stabilize the paper with one hand while she writes with the other. Poor bilateral coordination, a sensory-based motor disorder, is often misinterpreted as a learning disability such as dyslexia. In fact, this difficulty can lead to learning or behavior problems, but it does not ordinarily mean that a child is lacking in intelligence or academic ability.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“Nature designed our vestibular receptors to be extremely sensitive. Indeed, our need to know where we are in relation to the earth is more compelling than our need for food, for tactile comfort, or even for a mother-child bond.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“The vestibular system tells us about up and down and whether we are upright or not. It tells us where our heads and bodies are in relation to the earth’s surface. It sends sensory messages about balance and movement from the neck, eyes, and body to the CNS for processing and then helps generate muscle tone so we can move smoothly and efficiently. This sense tells us whether we are moving or standing still, and whether objects are moving or motionless in relation to our body. It also informs us what direction we are going in, and how fast we are going. This is extremely useful information should we need to make a fast getaway! Indeed, the fundamental functions of fight, flight, and foraging for food depend on accurate information from the vestibular system. Dr. Ayres writes that the “system has basic survival value at one of the most primitive levels, and such significance is reflected in its role in sensory integration.” The receptors for vestibular sensations are hair cells in the inner ear, which is like a “vestibule” for sensory messages to pass through. The inner-ear receptors work something like a carpenter’s level. They register every movement we make and every change in head position—even the most subtle. Some inner-ear structures receive information about where our head and body are in space when we are motionless, or move slowly, or tilt our head in any linear direction—forward, backward, or to the side. As an example of how this works, stand up in an ordinary biped, or two-footed, position. Now, close your eyes and tip your head way to the right. With your eyes closed, resume your upright posture. Open your eyes. Are you upright again, where you want to be? Your vestibular system did its job. Other structures in the inner ear receive information about the direction and speed of our head and body when we move rapidly in space, on the diagonal or in circles. Stand up and turn around in a circle or two. Do you feel a little dizzy? You should. Your vestibular system tells you instantly when you have had enough of this rotary stimulation. You will probably regain your balance in a moment. What stimulates these inner ear receptors? Gravity! According to Dr. Ayres, gravity is “the most constant and universal force in our lives.” It rules every move we make. Throughout evolution, we have been refining our responses to gravitational pull. Our ancient ancestors, the first fish, developed gravity receptors, on either side of their heads, for three purposes: 1) to keep upright, 2) to provide a sense of their own motions so they could move efficiently, and 3) to detect potentially threatening movements of other creatures through the vibrations of ripples in the water. Millions of years later, we still have gravity receptors to serve the same purposes—except now vibrations come through air rather than water.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“In addition, the child with poor tactile awareness in his mouth, lips, tongue, and jaw may have a sensory-based motor problem called oral apraxia, which affects his ability to produce and sequence sounds necessary for speech.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“The child who feels uncomfortable in his own skin may have poor motor planning, or dyspraxia. He may move awkwardly and have difficulty planning and organizing his movements. Thus, he may shun the very activities that would improve his praxis.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“Sensory Processing Disorder is difficulty in the way the brain takes in, organizes and uses sensory information, causing a person to have problems interacting effectively in the everyday environment. Sensory stimulation may cause difficulty in one’s movement, emotions, attention, or adaptive responses. SPD is an umbrella term covering several distinct disorders that affect how the child uses his senses. Having SPD does not imply brain damage or disease, but rather what Dr. Ayres called “indigestion of the brain,” or a “traffic jam in the brain.” Here is what may happen: • The child’s CNS may not receive or detect sensory information. • The brain may not integrate, modulate, organize, and discriminate sensory messages efficiently. • The disorganized brain may send out inaccurate messages to direct the child’s actions. Deprived of the accurate feedback he needs to behave in a purposeful way, he may have problems in looking and listening, paying attention, interacting with people and objects, processing new information, remembering, and learning.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“A Variation of Dr. Ayres’s “Four Levels of Sensory Integration” By the time a child is ready for preschool, the blocks for complex skill development should be in place. What are these blocks? • Ability to modulate touch sensations through the skin, especially unexpected, light touch, and to discriminate among the physical properties of objects by touching them (tactile sense), • Ability to adjust one’s body to changes in gravity, and to feel comfortable moving through space (vestibular sense), • Ability to be aware of one’s body parts (proprioceptive sense), • Ability to use the two sides of the body in a cooperative manner (bilateral coordination), and • Ability to interact successfully with the physical environment; to plan, organize, and carry out a sequence of unfamiliar actions; to do what one needs and wants to do (praxis).”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“According to Dr. Ayres, “Over 80 percent of the nervous system is involved in processing or organizing sensory input, and thus the brain is primarily a sensory processing machine.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“Our senses give us the information we need to function in the world. Their first job is to help us survive. Their second job, after they assure us that we are safe, is to help us learn how to be active, social creatures. The senses receive information from stimuli both outside and inside our bodies. Every move we make, every bite we eat, every object we touch produces sensations. When we engage in any activity, we use several senses at the same time. The convergence of sensations—especially touch, body position, movement, sight, sound, and smell—is called intersensory integration. This process is key and tells us on the spot what is going on, where, why, and when it matters, and how we must use or respond to it. The more important the activity, the more senses we use. That is why we use all our senses simultaneously for two very important human activities: eating and procreating. Sometimes our senses inform us that something in our environment doesn’t feel right; we sense that we are in danger and so we respond defensively. For instance, should we feel a tarantula creeping down our neck, we would protect ourselves with a fight-or-flight response. Withdrawing from too much stimulation or from stimulation of the wrong kind is natural. Sometimes our senses inform us that all is well; we feel safe and satisfied and seek more of the same stimuli. For example, we are so pleased with the taste of one chocolate-covered raisin that we eat a handful. Sometimes, when we get bored, we go looking for more stimulation. For example, when we have mastered a skill, like ice skating in a straight line, we attempt a more complicated move, like a figure eight. To do their job well, so that we respond appropriately, the senses must work together. A well-balanced brain that is nourished with many sensations operates well, and when our brain operates smoothly, so do we. We have more senses than many people realize. Some sensations occur outside our bodies, and some inside.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“For example, attending a noisy, crowded party can be overwhelming. Taking a bumpy airplane ride can overload your brain with rapid movement sensations. Lingering in bed with the flu can prevent you from receiving sufficient movement experiences and make you feel weak. Walking from a well-lit room into a dark closet can deprive your eyes of light and therefore your brain of visual sensations. Not being in control of oneself is very unpleasant, but an occasional disorganizing experience is normal. It is when the brain is so disorganized that a person has difficulty functioning in daily life that the person is diagnosed as having Sensory Processing Disorder.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“That most people with autism have some degree of SPD is a recognized fact. Understanding how sensory and motor problems complicate the child’s daily life is crucial for designing an appropriate intervention program. Parents must ensure that their child’s treatment program includes ample sensory-motor experiences and an individualized sensory diet.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“Autism is a neurobiological disorder. The structures of the brains of people with autism are atypical. Research is pointing to differences in overall brain size and the numbers of certain cells; to abnormalities in the cerebellum that affect motor, sensory, language, cognitive and attention functions; and to altered genes that interfere with brain development. A new “underconnectivity theory” suggests that autism interferes with efficient integration, timing, and synchronization of brain activation patterns. Autism, or the umbrella term, Autistic Spectrum Disorders (ASD), is not one thing but many. Like SPD and LD, the term autism encompasses a wide array of symptoms. In broad terms, autism is a Pervasive Developmental Disorder (PDD) that affects verbal and nonverbal communication, social interaction, imagination, and problem-solving.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder

“the brain cannot do its most important job of organizing sensory messages.”
― Carol Stock Kranowitz, The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder