The neurological patterns of sensory integration in children with psychological trauma

Children aged 4-16 (n=65) with behavioural challenges and a history of psychological trauma were externally referred for SI assessment. Data from two standardised tools, the Sensory Integration and Praxis Test (SIPT) and the Sensory Processing Measure (SPM) were analysed, including past cases (n=55) and newly collected data (n=10). Semi-structured interviews with the 10 new parents explored their child’s behaviours, how they interpreted them, and their experiences of the assessment journey.</p><p dir="ltr">What was Found: Quantitative data revealed a pattern of decreased balance and movement, identified as vestibular bilateral integration sequencing (VBIS), potentially underlying negative behaviours in children with PT.

Qualitative findings showed parents viewed behaviours through a trauma-focused lens, with prior support focusing on parenting rather than the child’s sensory-motor needs.</p><p dir="ltr">What Conclusions were drawn from the Evidence: Distinct neurological patterns in children with psychological trauma were identified, and parent experiences highlighted why SI assessments are often delayed. Findings support recommending earlier inclusion of SI assessment within referral pathways, especially for children with distinct sensory needs before other trauma-focused interventions.</p>