Sensory Registration

Helping children respond to the world around them 

👂 What Is Sensory Registration? 

Sensory registration is the brain’s ability to notice and respond to sensory input (like touch, sound, or movement). 

🧩 Signs of Difficulty: 

  • Doesn’t notice things others do (e.g., loud sounds, pain) 
  • Overreacts to everything—can’t “tune out” background noise or distractions 

🎚️ What Is Sensory Modulation? 

Sensory modulation is the ability to adjust responses to sensory input appropriately. 
It helps us: 

  • Focus on what’s important 
  • Stay calm or alert when needed 
  • Respond appropriately to touch, sound, movement, and more 

🌀 Modulation Spectrum: 

Under-Responsive ← “Optimal” → Over-Responsive 

🚩 Signs of Sensory Modulation Difficulties 

Under-Responsive Over-Responsive 
Doesn’t notice pain or noise Overwhelmed by lights, sounds, or touch 
Seeks intense input (crashing, spinning) Meltdowns from small changes or transitions 
Constant movement or rough play Trouble focusing or calming down 

🛠️ Strategies for Over-Responsive Children 

  • 🧘 Prevention: Avoid or modify overwhelming situations 
  • 🏠 Create a “hideout”: A quiet, cozy space with favorite toys 
  • 📅 Use routines: Picture schedules and countdowns for transitions 
  • 🗣️ Give warnings: “5 more minutes” instead of abrupt changes 
  • 🤝 Consistency: Respond calmly and predictably 

💪 Strategies for Under-Responsive Children 

  • 🧠 Create a sensory diet with your therapist 
  • 💥 Use intense input: Stronger sensations may be needed 
  • 🏋️ Encourage heavy work
    • Pushing/pulling laundry baskets 
    • Jumping, climbing, carrying groceries 
    • Squeezing playdough or stress balls 

🧠 What Are Heavy Work Activities? 

Heavy work involves activities that push or pull against the body, giving proprioceptive input—the deep pressure that helps children: 

  • Increase attention 
  • Decrease sensory defensiveness 
  • Regulate energy and emotions 

🏠 Everyday Heavy Work at Home 

  • 🧺 Carry laundry baskets 
  • 🧹 Sweep, mop, vacuum floors 
  • 🪣 Carry buckets of water to clean or water plants 
  • 🛏️ Change sheets and toss linens down the stairs 
  • 🧽 Scrub rough surfaces or wipe tables 
  • 🪑 Push in chairs after meals 

🧸 Play-Based Heavy Work 

  • 🧱 Build with large blocks or push toy trucks filled with blocks 
  • 🛷 Pull a friend in a wagon or on a blanket 
  • 🛋️ Jump, crash, or hide in sofa cushions 
  • 🐻 Animal walks: bear crawl, crab walk, army crawl 
  • 🧗 Climb playground equipment or inner tubes 
  • 🥋 Try gymnastics, karate, or wrestling (with rules!) 
  • 🛏️ “Sandwich game” – gently squish child between cushions or beanbags 

🏃‍♂️ Movement & Outdoor Activities 

  • 🧗‍♀️ Hike with a weighted backpack 
  • 🧺 Rake leaves, mow lawn, push wheelbarrow 
  • 🧼 Wash the car or bathe the dog 
  • 🧳 Pull a suitcase or child’s shopping cart 
  • 🏀 Play catch or bounce a heavy ball 
  • 🧗 Rearrange bedroom furniture (with help!) 

🧘 Quiet Heavy Work Options 

  • 🪑 Chair push-ups 
  • 🧸 Squeeze stress toys under the desk 
  • 🧘 Isometric exercises (pushing hands together, wall push) 
  • 🧶 Push weighted carts or boxes across carpet 
  • 🧘 Use weighted blankets or tight pajamas at night 

🎨 Creative Play Ideas 

  • 🎨 Color rainbows on the floor while on hands and knees 
  • 🚗 Play “cars” under the table while crawling 
  • 🛏️ Build a blanket fort and “go camping” 
  • 🧵 Tug-of-war with a jump rope or theraband (with supervision) 
  • 🛷 Swing in a sheet (watch for signs of overstimulation)