Sensory processing differences — branching viva

Stem

You see a school-age child with sensory concerns. ^[1]

Examiner: What are sensory processing differences? ^[1]

Strong answer: Dimensional ways of responding to sensory input that impair participation. Useful teaching patterns include over-responsivity, under-responsivity and seeking. SPD as a stand-alone label is contested; function first. ^[1]

Examiner: How common are sensory symptoms in autism? ^[2]

Strong answer: Meta-analyses show elevated sensory modulation symptoms in ASD, confirmed in later updates — clinically important but not pathognomonic alone. ^{[2] [3]}

Examiner: First-line management? ^[4]

Strong answer: Map contexts, exclude medical mimics, change environment, school adjustments, OT for participation goals, treat comorbidity. Do not promise cure. ^[4]

Examiner: What about Ayres sensory integration evidence? ^[4]

Strong answer: Mixed/evolving. Systematic reviews urge caution; trials and comparative studies continue. Measure play, self-care and school function. ^{[4] [11]}

Examiner: Caregivers refuse a needed procedure because of touch sensitivity. ^[10]

Strong answer: Tactile defensiveness is not an ethical reason to abandon indicated care. Adapt preparation and supports; proceed safely. ^[10]