The vestibular system, located in the inner ear, gives us information about how our head is oriented in space and is essential for balance. The vestibular system is closely linked to the visual system and postural control. Some children experience challenges related to the development of this system, and it may reflect in their poor balance, frequent movement-seeking behaviors, or reluctance to participate in activities that involve positional changes. Input to the vestibular system is often organized, and the effects of stimulation can last for up to eight hours!
Occupational therapists provide interventions that develop the vestibular system to help children fully participate in movement activities, whether they:
Seek vestibular input- These children love to spin, swing, and be on the move.
Have postural control challenges- Postural challenges are indicated by frequent leaning, falling out of a chair, or a child resting their body on a table surface.
Are over-responsive to vestibular input- Children in this category may be fearful of swinging, get carsick, and dislike climbing stairs.
Have perceptual challenges- Children who often appear uncoordinated or have trouble timing the movement of their body to music (such as during circle-time songs) may fall into this category.
Since there are a variety of dysfunctions possible within the vestibular system, it is best to get an occupational therapy evaluation when there are concerns. This system can be easily overloaded for over-responsive children, resulting in nausea for a prolonged period. Occupational therapists provide services and ideas for carryover in various settings so that children can be exposed to activities both in and outside of the school or clinic setting.
