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.