Sensory Integration Dysfunction checklist for infants & toddlers

Sensory integration dysfunction Checklist For Infants &Toddlers

__ Resists being held or cuddled

__ Cries and/or arches back when people try to hold him/her

__ Distressed by diaper changes

__ Distressed by baths and/or water splashing on him/her

__ Doesn’t fall into a predictable sleep/wake pattern or cycle

__ Cries excessively throughout the day (more than a half hour or hour at a time)

__ Doesn’t smile often, appears “sad” or “uncomfortable” much of the time

__ Has distinct preferences for adults of certain energy levels or voices (i.e., intonation, loudness, high pitched, low pitched, etc.)

__ Avoids eye contact, has difficulty focusing on objects or following them with eyes

__ Distressed when moved suddenly or whole body and/or head is tipped

__ Distressed by rocking motions

__ Distressed when moving in space (i.e., swinging around, bouncing up and down, or being “thrown” up in the air)

__ Doesn’t appear to respond to name or familiar voice

__ Can’t seem to calm baby down no matter what you try (or there is only ONE thing that does, i.e., a car ride)

__ Difficulty breastfeeding

__ Difficulty with sucking, chewing, or swallowing

__ Doesn’t tolerate new foods well

__ Gags or vomits from textured foods or on variety of different foods (very limited diet for age)

__ Does not seem to sense when diaper is wet or dirty

__ Cries inconsolably until a wet or dirty diaper is changed

__ Prefers to be without clothing

__ Severe separation anxiety

__ Tantrums many times a day

__ Distressed by sunlight or bright lights

__ Distressed in public places, especially if crowded or noisy

__ Doesn’t enjoy regular interactive movement games, i.e., peek-a-boo, pat-a-cake, etc.

__ Doesn’t notice new toys/novel toys and/or resists playing with them

__ Only uses one hand to manipulate and explore toys and/or can’t switch from hand to hand

__ Unable to bang toys together or clap hands (at appropriate age)

__ Keeps hands fisted and closed most of the time

__ Distressed by dirty hands or face

__ Cries inconsolably when left with strangers or less familiar people

__ Significantly late to talk, walk, gesture, smile, hold bottle, sleep through the night, manipulate/play with toys, etc.

__ Major difficulties transitioning to solid foods and/or rice cereal after bottle or breast fed

__ Can not hold onto or use objects or utensils well for age

__ Regularly avoids certain foods, food categories, consistencies, temperatures of food, eliminates whole food groups, etc.

__ Difficulties with excessive reflux or allergies to foods and/or formulas

__ Doesn’t seem to notice sounds others do

__ Frequent ear infections

__ Sensitive to sounds others don’t seem to be bothered by

__ Difficult to engage; is an observer, doesn’t interact with peers or adults

__ Apprehensive and/or distressed by playground equipment

__ Distressed by baby swings, jolly jumpers, wagon/stroller rides, car rides, etc.

__ Avoids putting toys in mouth, exploring them with her mouth

__ Baby gags or vomits when objects are placed in his mouth

__ Beyond teething stage, always has something in his/her mouth, or chewing on clothes, hands, fingers

__ Avoids categories of toys, i.e., vibrating, stuffed animals, rough textured toys, slippery/slimy toys, brightly colored objects, etc.

__ Appears overwhelmed, cries, or falls asleep when over stimulated

__ Refuses/distressed by certain positions, i.e., being on tummy, on back, sitting, etc.

__ Stays in one position and becomes uncomfortable when moving to another; if moving on own has significant difficulty transitioning to another position (hard to do, awkward)

__ You find you are always trying to be one step ahead of baby; trying to control his environment and “warning” people what to do/not to do so baby is comfortable

__ Difficulty staying asleep for more than 30 minutes at a time, or wakes up frequently throughout the night, unable to soothe himself back to sleep

__ Seems to get too much sleep, very short time when he is alert, playing, responding, and interacting

__ Has significant difficulty waking up

__ Needs a particular sound to stay asleep, i.e., fan, nature tape, white noise, music, etc.

__ Will not sleep if there is any noise

__ Wakes with the sun

__ Can not fall asleep anywhere but home, in familiar environment

__ Needs excessive help to fall asleep…rocking, bouncing, singing, rubbing back, etc. for long periods of time

__ Uncomfortable if not swaddled tightly; or, if older, needs heavy blankets, stuffed animals, or tighter pajamas for weight and pressure on them to fall asleep well

__ Able to switch moods effectively and relatively quickly… easily distracted if upset, “gets over it” within a reasonable amount of time, a favorite toy/face/sound will soothe him/her

__ Excessively attached to a pacifier

__ Never attached to any comfort object, i.e., blanket, stuffed animal, rubbing something, pacifier, thumb, etc.

__ Doesn’t reach for or hold toys (especially textured toys) at appropriate age

__ Closes hand if toy coming near it, or drops it immediately if placed in hand

__ When begins to walk, walks on tip toes only, will not put bare feet on ground/floor

__ Distressed by textured materials under themselves

__ Appears distressed by movement; i.e., a startled response, arches back, frightened look in eyes, etc.

__ Does not crawl before walks (or limited/different type of crawl)

__ Craves movement, distressed if not moving, being swung, rocking, bouncing, rocks self constantly

__ Does not play reciprocally with caregivers or familiar people

__ Frequently engages in repetitive, non-purposeful play with one or two objects

__ Can not switch activities or participate in daily routines without distress when transitioning from one to another

__ Baby is not understood using language, cues, gestures, etc. and becomes frustrated frequently

__ Frequent head banging, hitting, biting, pinching, or hurting self or others

__ Breaks toys frequently

__ Unable to be gentle with animals

__ Appears uncoordinated, frequently bumps into things

__ Can not focus attention on play, caregiver, or toy long enough to interact (for age level)

__ Wanders around aimlessly or engages in non-purposeful activities in excess, i.e., spinning, rocking, staring at certain objects, etc… not interested in play or doesn’t use objects for purposeful play.

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