Sensory Issues Research Articles

Evaluation of Work-related Musculoskeletal Injuries Among Coal Miner

Mining work is quite tedious, and it takes the whole body into account. Underground mine environment has sensory issues, and working conditions are not ideal. It results in maximum chances for the occurrence of work-related musculoskeletal injuries (WRMSIs). WRMSIs are the conditions which affect muscles, bones, joints, nerves, vessels, and supporting system. These are the significant cost occurring disorders in the workplace. This research aims to assess the WRMSIs in Lakhra coal mines to identify critical issues. Fifty operational workers completed the self- administrated questionnaire survey. Data related to personal and work information, physical activities age, nature of job, and WRMSIs was collected. A physical wellbeing checklist and Body Part Diagram were used to know the response of the worker. The research findings show that shoulder and knee disorders occur more frequently among workers. Almost 54% of cases were reported knee pain, whereas 44% reported toe/foot disorders, 38% for a wrist disorder, 36% stuck with shoulder pain, 16% had neck pain, 10% were with elbow pain, and only 2% have the hip disorder. The study is a positive addition in the research area to carry out better health and safety measures for the miners.

Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders.

Food selectivity (FS) in children with autism spectrum disorders (ASD) is common, and its impact on a nutritional level is known. However, the etiology of gastrointestinal disorders (GID) related to alterations in the intestinal microbiota in children with ASD remains unclear. This article provides a narrative review of the literature on FS from the last 15 years, and its relationship with GID in children with ASD. Sensory aversion in ASD leads to food elimination, based on consistencies, preferences, and other sensory issues. The restriction of food groups that modulate the gut microbiota, such as fruits and vegetables, as well as the fibers of some cereals, triggers an intestinal dysbiosis with increased abundance in Enterobacteriaceae, Salmonella Escherichia/Shigella, and Clostridium XIVa, which, together with an aberrant immune response and a leaky gut, may trigger GID. It is observed that FS can be the product of previous GID. GID could provide information to generate a hypothesis of the bidirectional relationship between FS and GID. Emphasis is placed on the need for more studies with methodological rigor in selecting children with ASD, the need for homogeneous criteria in the evaluation of GID, and the adequate classification of FS in children with ASD.

جدلية العلاقة بين الشعر والفلسفة عند الفلاسفة الغربيين والشعراء العرب "دراسة إبستمولوجية"

جدليَّةُ العلاقةِ بين الشعر والفلسفة هي إشكاليَّةٌ حديثةٌ قديمةٌ، فهي ترتبط في الأصل بالخلاف حول نوعيِّة المعرفة التي يحتاجها الإنسان، هل هي المعرفة بالقضايا الفيزيقيَّة، أو بقضايا الوجود الظاهريَّة الحسِّيَّة؟ كما ترتبط بتحديد مصدر المعرفة لدى الإنسان. فهل هو العقل المحض أو الحواسُّ؟ وهل ننقاد خلف المنطق والحساب أم خلف الخيال والوجدان؟ وقد مثَّلت هذه التساؤلاتُ مُنطَلَقَ الخِلافِ بين الفلاسفة والشعراء حول طبيعة العلاقة بين الشعر والفلسفة، وقد بدأت هذه الجدليَّةُ مع طرد أفلاطون للشعراء من جمهوريِّته، حيث رأى أنَّ الشعراء مقلِّدون، وأنَّ الشعر فنٌّ ضارٌّ، يجب أن تتخلَّص منه الدول الصالحة، كما أكَّد أفلاطون قِدَمَ هذا الصراعِ عليه، ونقل لنا أشكالا منه. تتناول هذه الدراسةُ موقفَ الفلسفة اليونانيَّة القديمة (أفلاطون وأرسطو) والفلسفة الغربيَّة الحديثة (فرديريش نيتشه ومارتن هيدجر) من الشعر، كما تعرض لموقف الشعراء العرب من جدليَّة العلاقة بين الشعر والفلسفة، وتأثير ذلك على الشعر، وقد جاءت الدراسة في مقدمةٍ ومبحثين، وهما: الأول: موقف الفلسفة من الشعر، ويشمل مطلبين، هما: موقف الفلسفة اليونانيَّة القديمة من الشعر، وموقف الفلسفة الغربية الحديثة من الشعر. والثاني: موقف الشعر العربيِّ من العلاقة بين الشعر والفلسفة، ويشمل مطلبين، هما، الشعراء الرافضون لوجود علاقة بين الشعر والفلسفة، والشعراء المؤيدون لوجود علاقة بين الشعر والفلسفة.

Predicting intervention use in autistic children: Demographic and autism-specific characteristics.

Autism is a condition that is characterised by social communication difficulties and restrictive and repetitive behaviours or interests. Autism can present in many different ways and various interventions are available. Some interventions are conventional, and they are recommended to be used for children with autism (guideline therapies) or for other disorders such as anxiety or attention-deficit hyperactivity disorder (mainstream therapies or medication), while others are less conventional (other therapies or medication, they are discouraged, unknown or alternative). Little is known about who chooses which intervention. This study found that most autistic children use some kind of intervention. Children who attend special education or have an additional diagnosis (other than autism) tend to receive more therapies, while children with a lower IQ receive fewer therapies. Older children, children with a higher IQ and girls are more likely to use conventional (mainstream or guideline) therapies. Children whose parents have a lower educational level are more likely to have used conventional medication. Whereas, children with more sensory issues (e.g. sensitivity to sound, smell or movement) were more likely to have used unconventional medication. This study found that other autism-related characteristics such as the number of autism symptoms, social skills and repetitive and restrictive behaviours were not related to the interventions used. More treatments focussed on multiple problems should be available for children with autism who have additional difficulties.

CAN YOU ACCESS CULTURE? AN EVALUATION MODEL FOR THE ACCESSIBILITY OF CULTURAL LOCATIONS

Participation in social and cultural life is the right of every human being, but for some persons (with disability, chronic illness, mobility and sensory issues…) it is greatly hindered by the inaccessibility of spaces and content. This topic has recently gained importance, owing to our growing awareness of the percentage of persons with mobility problems, and particularly regarding the aging population in many countries. Moreover, for several countries, the issue of accessibility is also related to the growing importance of tourism to their economy or the presence of many persons with disabilities related to wars. This paper presents the research on the evaluation of the accessibility of cultural locations (urban sites, museums, parks, theatres, etc.) through in-depth interviews and surveys with representatives of persons with disabilities, chronic illness, mobility and sensory issue and mental health issues, and by creating an evaluation multicriteria model with guidelines based on these inputs. The results reveal that while it is possible to evaluate the flow and content of cultural activities, there are problems of inaccessibility and lack of awareness among the general and professional public.

Occupational and speech therapists' perceptions of their role in dental care for children with autism spectrum disorder: A qualitative exploration.

Children with autism spectrum disorder (ASD) have challenges in home oral care, accessing a dentist and accepting dental treatment. Occupational therapists (OTs) and speech therapists (STs) are likely to be involved earlier in managing communication, behavioural and sensory processing issues. To determine perceived issues, barriers and potential solutions to dental care for children with ASD in Singapore from the perspective of OTs and STs. Semi-structured interviews and a focus group discussion involving OTs and STs who treat children with ASD were conducted. Audio recordings were transcribed and coded into themes using the NVivo 12 software. Emergent themes indicated that: (i) OTs and STs have important roles in recognition of issues with toothbrushing, oral pathology and harmful oral habits; (ii) OTs and STs were able to identify reasons for difficulties in oral home care for children with ASD and offer helpful strategies; and (iii) OTs and STs can play a role in pre-dental visit preparations but lack a clear dental referral pathway. OTs and STs exclusively assist in the early identification and referrals of children with ASD to the dentist. Interprofessional collaboration with dentists should be further explored to aid in the provision of preventive dental advice.

Clinical and behavioral attributes leading to sleep disorders in children on the autism spectrum.

Sleep disorders are a common comorbid condition in children diagnosed with autism spectrum disorder ("autism"). However, the relationship between the clinical features of autism and sleep disorders remains unclear. A better understanding of the inherent autism-related characteristics linked to comorbid sleep disorders would improve comprehensive assessment and management. This study examined the relationship between sociodemographics, autism symptoms, sleep problems, cognitive status, behavioral attributes, and sensory profiles. Using data from 1268 participants who took part in the Australian Autism Biobank, sleep-related measurements using the Child Sleep Habits Questionnaire (CSHQ) were compared between autistic children aged 2 to 17 (N= 969), their siblings (N= 188), and unrelated children without an autism diagnosis (N= 111). The known relationship between sleep problems and autism was further explored by including scores from the Autism Diagnostic Observation Schedule-2, Mullen Scales of Early Learning, Vineland Adaptive Behavioral Scale-II and the Short Sensory Profile-2; which were included in analyses for autistic participants who had a completed CSHQ. Multiple regression models were used to identify clinical/behavioral variables associated with CSHQ subscales. The autism group had a significantly higher total CSHQ score than the sibling and comparison groups (p< 0.001), indicating worse sleep quality. Within the autism group, lower adaptive behaviors (i.e., VABS-II) and sensory issues (i.e., SSP-2 subclass scores) were positively associated with the severity of sleep problems (i.e., the CSHQ subclass scores) (p< 0.001). The significant functional impact of poor sleep on autistic children warrants an assessment of sleep as a critical part of a holistic approach to supporting autistic children and their families. LAY SUMMARY: Autistic children generally have co-occurring conditions. Sleep disorders impact approximately 50%-80% of autistic children. The impact on the quality of life for both the children and their families can be significant. This study compares sleep problems in autistic children and adolescents with their siblings and children without a diagnosis of autism, and investigates the relationship between specific autistic traits, daily life behaviors and sleep problems. The findings highlight the importance of a holistic assessment for autistic children and matching appropriate sleep intervention and supports where indicated.

Fruit Juice Industry Wastes as a Source of Bioactives.

Food processing sustainability, as well as waste minimization, are key concerns for the modern food industry. A significant amount of waste is generated by the fruit juice industry each year. In addition to the economic losses caused by the removal of these wastes, its impact on the environment is undeniable. Therefore, researchers have focused on recovering the bioactive components from fruit juice processing, in which a great number of phytochemicals still exist in the agro-industrial wastes, to help minimize the waste burden as well as provide new sources of bioactive compounds, which are believed to be protective agents against certain diseases such as cardiovascular diseases, cancer, and diabetes. Although these wastes contain non-negligible amounts of bioactive compounds, information on the utilization of these byproducts in functional ingredient/food production and their impact on the sensory quality of food products is still scarce. In this regard, this review summarizes the most recent literature on bioactive compounds present in the wastes of apple, citrus fruits, berries, stoned fruits, melons, and tropical fruit juices, together with their extraction techniques and valorization approaches. Besides, on the one hand, examples of different current food applications with the use of these wastes are provided. On the other hand, the challenges with respect to economic, sensory, and safety issues are also discussed.

Supporting Children on the Autism Spectrum as They Experience the Challenges of COVID-19.

The response to the COVID-19 pandemic has amplified stress and social isolation for many children, but those children living with a diagnosis of autism spectrum disorder (ASD) have been disproportionately affected. Prior to the pandemic, children with ASD often faced social isolation due to struggles with their social communication and social development. Planning for children with ASD to return to community experiences, including school, appointments, and even recreational activities, will require an understanding of the impact of COVID-19 on the child and their family. As the child and family are working to adjust to changes like new routines, sleep patterns, and sensory issues as a result of the pandemic, the pediatric nursing community should be knowledgeable and prepared to develop creative opportunities to meet the needs of this vulnerable population.

Gastrointestinal Symptoms in Autism Spectrum Disorder: A Systematic Review.

This systematic review aims to offer an updated understanding of the relationship between gastrointestinal symptoms (GIS) and autism spectrum disorder (ASD) in children and adolescents. The databases PsycINFO, Medline, Cinahl, and ERIC were searched using keywords, and relevant literature was hand-searched. Papers (n = 3319) were systematically screened and deemed eligible if they were empirical studies published in English since 2014 and measured the GIS of individuals with ASD who were under 18 years old. Thirty studies were included in the final review. The study findings were synthesized under eight themes, including the prevalence and nature of GIS and their relationship with developmental regression, language and communication, ASD severity, challenging behavior, comorbid psychopathology, sleep problems, and sensory issues. The review found that GIS were common and that there was contradictory evidence concerning their relationship with co-occurring conditions. It also identified evidence of some causal relationships that support the existence of the gut–immune–brain pathways. Future research needs to use large prospective designs and objective and standardized GIS measurements to provide a nuanced understanding of GIS in the context of ASD.

The sensory experiences of autistic people: A metasynthesis.

Sensory atypicalities are very common among autistic people and are integrated in several theories and explanatory models of autism. Qualitative studies have explored these singular sensory experiences from the perspectives of autistic people themselves. This article gathers all these qualitative studies and provides original findings regarding the everyday sensory experience of autistic people, that is, around four dimensions - physical, emotional, relational and social - experienced holistically, as inseparable, and not hierarchically or in terms of cause and effect. Adopting this holistic view could improve the adaptation of the sensory environment in health care facilities and the training of professionals around this specific issue.

The Chemistry Teaching Laboratory: A Sensory Overload Vortex for Students and Instructors?

Engaging in laboratory practical activities, developing laboratory practical skills, and, to a degree, even wearing laboratory protective equipment such as safety coats and goggles are all quintessential components of chemistry education. It is becoming quite common for institutions to invest in large-scale chemistry teaching laboratories, filling them with cutting-edge technology, chemicals and apparatus, digital learning tools and laboratory furniture. It is also becoming quite common for educators to develop and execute well considered, research-based approaches to learning and teaching in the laboratory. However, despite such grand and admirable commitments and ambitions, there seems to be little acknowledgment of just how difficult it can be for some to be a room that is so noisy, bright, odorous and surrounded by hazards, risks, chemicals, glassware, electricity, gas, naked flames, eye washes, body showers, fume hoods─the list goes on. While sensory overload issues were once associated with psychiatric mental disorders such as Autism, Schizophrenia, and Attention Deficit Hyperactivity Disorder, it is now becoming known that anyone, regardless of whether they have a psychiatric mental disorder, can experience sensory issues for a variety of reasons. As such, while the chemistry teaching laboratory and all its sense-demanding intricacies might be manageable for some, for other students and instructors akin who experience sensory overload issues, it can be a most-unnerving environment to be in, let alone to think about chemical concepts. The purpose of this Article is to review literature on the concept of sensory overload, consider some research on sensory overload, and identify how this may implicate chemistry laboratory education.

Sensory spaces: sensory living – studio teaching the design of autism-friendly adult accommodation

PurposeThe study aims to evaluate: (1) How university students from interior architecture can create a forward-looking “Sensory Living” brief informed by both external autism experts and a specialist tutor, evidenced through Leeds City Council's live autism adult accommodation project. (2) Issues involved with moving an experimental studio teaching model online during the COVID-19 pandemic.Design/methodology/approachA grounded theory approach informs an innovative teaching model, run over two years, to create a better normal; challenges and opportunities are critiqued.FindingsFeedback from experienced autism-specific experts raises recurring sensory and communication issues which frame a series of design problems to help inform the student briefs. Students learn that the designer as advocate for vulnerable users is imperative. Aspects of online teaching that can benefit an experimental studio teaching model are identified.Practical implicationsIdentification of the responsive “Sensory Living Model” illustrates (1) How local authorities can avoid seclusion and integrate meaningful “continuous learning opportunities” into autism-friendly adult accommodation for post-pandemic health and wellbeing. (2) How to embed autism-friendly design in the university curriculum.Social implicationsThe study helps address some of the UK Government's “National strategy for autistic children, young people and adults: 2021 to 2026”.Originality/value“Ten Novel Sensory Living Themes” are uncovered to help inform the design of autism-friendly adult accommodation. These are of value to (1) local authorities and design practitioners in formulating design briefs and (2) universities in educating future designers of inclusive spaces.

Developing a Framework of Sensory Environment for Autism Centre

The learning environment is critical in developing the skill and mental of children with autism. However, designers are often unaware of the sensory issues and designing a unique environment that would affect learning process. The paper's objective is to identify the main factor in creating the physical learning environment for autism. Partial Least Square Structural Equation Modelling (PLS-SEM) was conducted to develop a framework of the sensory environment. It is hoped that this paper could be an impressive contribution to technical agencies and designers during their design stage, thus creating a better physical learning environment supported with sensory design features. Keywords: Sensory environment; autism; physical learning environment; eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning &amp; Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v7i19.3266

Exploring polygenic contributors to subgroups of comorbid conditions in autism spectrum disorder

Individuals with autism spectrum disorder (ASD) have heterogeneous comorbid conditions. This study examined whether comorbid conditions in ASD are associated with polygenic risk scores (PRS) of ASD or PRS of comorbid conditions in non-ASD specific populations. Genome-wide single nucleotide polymorphism (SNP) data were obtained from 1386 patients with ASD from the Autism Genetic Resource Exchange (AGRE) study. After excluding individuals with missing clinical information concerning comorbid conditions, a total of 707 patients were included in the study. A total of 18 subgroups of comorbid conditions (‘topics’) were identified using a machine learning algorithm, topic modeling. PRS for ASD were computed using a genome-wide association meta-analysis of 18,381 cases and 27,969 controls. From these 18 topics, Topic 6 (over-represented by allergies) (p = 1.72 × 10−3) and Topic 17 (over-represented by sensory processing issues such as low pain tolerance) (p = 0.037) were associated with PRS of ASD. The associations between these two topics and the multi-locus contributors to their corresponding comorbid conditions based on non-ASD specific populations were further explored. The results suggest that these two topics were not associated with the PRS of allergies and chronic pain disorder, respectively. Note that characteristics of the present AGRE sample and those samples used in the original GWAS for ASD, allergies, and chronic pain disorder, may differ due to significant clinical heterogeneity that exists in the ASD population. Additionally, the AGRE sample may be underpowered and therefore insensitive to weak PRS associations due to a relatively small sample size. Findings imply that susceptibility genes of ASD may contribute more to the occurrence of allergies and sensory processing issues in individuals with ASD, compared with the susceptibility genes for their corresponding phenotypes in non-ASD individuals. Since these comorbid conditions (i.e., allergies and pain sensory issues) may not be attributable to the corresponding comorbidity-specific biological factors in non-ASD individuals, clinical management for these comorbid conditions may still depend on treatments for core symptoms of ASD.

The lived experience of parenting a child with sensory sensitivity and picky eating.

“Picky eating” is a common behaviour seen in childhood in both clinical and nonclinical populations. Sensory processing difficulties have been repeatedly associated with food refusal and picky eating behaviours. The aim of this study was to explore the lived experiences of parents/caregivers who have a child displaying both sensory processing differences and picky eating behaviours utilising Interpretative Phenomenological Analysis (IPA). Participants were recruited from social media support groups for parents of picky eating children. Pre‐selection criteria utilised an adapted short sensory profile questionnaire to ensure the children displayed probable/definite taste‐smell, audio‐visual and tactile sensory sensitivities. Twelve participants fulfilling the required criteria were interviewed face to face utilising a semi‐structured interview schedule. Interviews were transcribed and analysed following IPA guidelines and three common themes are presented here: Battling for control of the sensory environment, Living with stigma and, disapproval, and Staying positive and moving forward. The findings show the very considerable day‐to‐day challenges of parenting a child with sensory issues with food, including a lack of support and criticism from others. It was apparent that the parents in our study gradually adopted a positive and accepting attitude to their child's eating. This acceptance allowed them to have positive interactions around food with their child such as cooking and playing with food, suggesting that experiential activities serve an important purpose in this population. Further research should examine whether parental interventions based on acceptance of child eating behaviour, and commitment to gradual positive food interactions would be the best strategy to support parents and children.

Effect of Sensory Integration, Neurodevelopmental Therapy and Behavioral Therapy on Overall Development in a Child with Cerebral Palsy: An Interesting Case Report

Cerebral palsy (CP) is a collection of conditions that impact a person's ability to move, balance, and maintain posture. Cerebral palsy is a disorder that affects the motor portion of the brain's outer layer, which controls muscular movement. The cerebral motor cortex hasn't formed normally in some situations throughout fetal development. In certain cases, the impairment is caused by a brain injury that occurred before, during, or after delivery. In either situation, the damage is irreversible, and the resulting disabilities are permanent. The nature and intensity of CP symptoms vary from one person to the next, and they can even alter over time. Depending on whether areas of the brain have been affected, symptoms might vary widely from person to person. Cerebral palsy affects mobility and posture in all persons, and some people may have intellectual disabilities, seizures, odd bodily feelings or perceptions, and other medical issues. People with CP may also have vision or hearing impairments, as well as language and speaking issues. The present case report is of a child of 2.5 years old. She came with complaints of difficulty in sit to stand, standing with maximum assistance, very minimal standing balance, requires total assistance in walking. She was also having some sensory and behavioral issues reported by parents like trying to catch her own shadow, blabbering among herself. She was assessed, treatment including Sensory integration and Neurodevelopmental therapy was given to her for a period of 6 months. Baby improved profoundly well.

Profile of Children suspected of ASD in a Tertiary Care Centre

Introduction: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition seen in children during their early develop-mental phase where children lack in achieving age-appropriate skills or they are unable to meet the social demands due to limited capacities. It is characterised by impairments in social communication, interaction and presence of restrictive, repetitive interests/behaviours. Prevalence of ASD has increased in recent times which warrants for early identification and intervention. *The word Autism is used in this study to denote Autism Spectrum Disorders. Aim: To study the profile of children less than 5yrs of age specifically brought for suspicion of ASD by parents. Methodology: This is a cross sectional descriptive study conducted at Child Psychiatry Department of Asha Hospital for 1year with children less than 5yrs of age. 44 children with suspicion of ASD, brought by parents were evaluated through clinical inter-view using DSM-5, psychological tests- Developmental screening test, CARS-2(Childhood Autism Rating Scale), M-CHAT and CBCL. Results: Most children were between 3-5yrs of age (68.18%), were predominantly males (72.73%), 47.73% had significant prena-tal factors, 22.73% of mothers had preterm delivery, 27.27% had postnatal complications, 36.36% of children had Delayed mile-stones and 59.09% speech delay. The symptoms presented were, ‘poor/no’ response to name (90.90%), poor Eye-Eye contact (95.46%), poor socialisation (97.73%), stereotypic behaviour (81.18%) and sensory issues (52.27%). ADHD (54.54%) &amp; intel-lectual disability (95.45%) were the common psychiatric comorbidity.18.18% children had mild autism and 15.90% children were at a risk of autism. Conclusions: The symptoms presented by parents for suspicion of autism were depicted to be either mild or risk of ASD on screening

Mealtime Behavior in Autism Spectrum Disorder

Autism spectrum disorder is a neurodevelopmental disorder characterized by impaired social and communication skills and repetitive and restricted behaviors or interests. No exact cause has been determined that may be responsible for its occurrence. However, genetic and environmental factors could be responsible for this disorder. Autism spectrum disorder is one area where little research has been done regarding mealtime behavior and increasing prevalence of this disorder indicated a dire need to study this area. The study aimed to observe the mealtime behavior of 15-year-old adolescent boy during his mealtime and understanding the factors that might be responsible for the idiosyncratic mealtime behavior. Nonparticipatory observation method was used for about 1 month, and data were collected till the point of saturation, where the data collection process no longer offered any new or relevant data. Speech impairment, restricted interest, vestibular difficulties, interference, sensory issues, lack of social interest, and self-absorbed behavior were some of the factors that might be responsible for his idiosyncratic behavior during mealtimes. The study recommended that nutrition-based intervention programs must be initiated by the professionals as early as possible to minimize the effect of such factors during mealtime of people with autism spectrum disorder.

Occupational Therapy Assessment and Intervention of a 22 Month Old Girl with Feeding Refusal

Feeding difficulties, resulting from refusal to eat certain foods, are a frequent complaint in pediatric clinical practice. In many instances the initial situation is not necessarily serious but ongoing issues around feeding may lead to the adoption of inappropriate feeding practices that can have long lasting consequences. An extremely selective food choice, or picky eating, has been linked to sensory reactivity difficulties. In the general population it is estimated that between 5-10% of children experience sensory reactivity issues. Understanding how this can affect participation in feeding and mealtime is critical. This article presents a case report of a 22-month year old girl with selective food choices and feeding refusal. Occupational Therapy intervention based on Ayres Sensory Integration®, in the context of collaboration with the child’s pediatrician, was used to address the sensory issues underlying this child’s feeding and mealtime participation difficulties. From the results of the assessment, the following hypothesis were made; a) over-reactivity to oral and tactile sensory input was affecting acceptance of new foods and textures, b) vestibular processing difficulties and tactile over-reactivity were impacting this child´s ability to regulate level of alertness and the ability to stay sitting at the table during appropriate periods of time. Following the Occupational Therapy intervention this child showed improved feeding and mealtime participation and was also able to adequately sit at the table for the duration of the meal.