Which statement best describes the overall sensory profile discussed for these conditions?

• A. Sensory processing can be multi-dimensional with either over- or under-responsiveness in vestibulo-proprioceptive and tactile-proprioceptive systems
• B. All sensory modalities are normal
• C. There is no tactile involvement
• D. Only auditory processing is affected

Answer: (A)

Sensory processing in these conditions is typically multi-faceted, with children showing a range of responses across different sensory systems rather than a uniform pattern. The best description recognizes that processing can be either heightened or diminished (over- or under-responsiveness) in multiple modalities, particularly the vestibular and proprioceptive systems, as well as the tactile system. This means a child might be highly sensitive to certain textures or touch, while also needing or seeking more input about position, movement, and balance, or conversely may show little awareness of movement and body position. In practice, you might see tactile defensiveness alongside a craving for deep-pressure (a proprioceptive input) or an unusual need for movement to stay organized.

This multifaceted view is why the statement is the best fit: it captures the idea that sensory processing can be variable across modalities and response patterns, not confined to a single sense or to normal functioning. The other options imply normal sensory processing, no tactile involvement, or only one modality being affected, which don’t align with how these profiles typically present.