Research Article
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Sensory Processing Patterns in Preterm Toddlers

Year 2025, Issue: 26, 525 - 533, 31.08.2025
https://doi.org/10.38079/igusabder.1628977

Abstract

Aim: This study aimed to investigate the sensory processing patterns of preterm toddlers aged 12 to 24 months and compare them with term peers. Sensory processing difficulties in this population may contribute to developmental delays and behavioral challenges later in life; thus, early identification is critical.
Method: A total of 49 preterm toddlers born before 37 weeks of gestation and 45 healthy term toddlers were included in the study. Sensory processing skills were evaluated using the Toddler Sensory Profile-2, a caregiver-reported assessment tool that examines responses to sensory input across multiple domains, including auditory, visual, tactile, vestibular, and oral. The sensory quadrants of low registration, sensory sensitivity, sensory avoidance, and sensory seeking were also analyzed.
Results: Atypical sensory processing patterns were seen more frequently in preterm toddlers than in their peers (p<0.05). Atypical sensory processing patterns in the low registration, sensory sensitivity, sensory avoidance, and sensory seeking sensory quadrants were statistically higher in preterm toddlers (p<0.05). In addition, atypical sensory processing patterns were statistically more common in preterm toddlers in all sensory processing areas, such as auditory, visual, tactile, verbal, behavioral, and movement (p<0.05).
Conclusion: The study highlights that preterm toddlers process sensory stimuli atypically compared to their counterparts. These differences may hinder the child's ability to adapt to their environment and affect their participation in daily activities.

References

  • 1. Blencowe H, Cousens S, Chou D, et al. Born too soon: The global epidemiology of 15 million preterm births. Reproductive Health. 2013;10:1-14.
  • 2. Feldman R, Eidelman AI. Neonatal state organization, neuromaturation, mother-infant interaction, and cognitive development in small-for-gestational-age premature infants. Pediatrics. 2006;118(3):e869-e878.
  • 3. Lubbe W. Prematurity: Adjusting your dream. London: Little Steps Publications CC; 2008.
  • 4. Powers KM. Sensory Processing. In: Wolkmar FR, ed. Encyclopedia of Autism Spectrum Disorders. Springer; 2021:4261-4265.
  • 5. Dunn W. The sensations of everyday life: Empirical, theoretical, and pragmatic considerations. The American Journal of Occupational Therapy. 2001;55(6):608-620.
  • 6. Dunn W. The infant toddler sensory profile. Psychological Corporation. 2002.
  • 7. Celik HI, Elbasan B, Gucuyener K, Kayihan H, Huri M. Investigation of the relationship between sensory processing and motor development in preterm infants. The American Journal of Occupational Therapy. 2018;72(1):7201195020p1-7201195020p7.
  • 8. Yildiz R, Yildiz A, Zorlular R, Elbasan B. Relationship between sensory processing and motor skills in 12‐month‐old infants. Brain and Behavior. 2024;14(9):e70052.
  • 9. Adams JN, Feldman HM, Huffman LC, Loe IM. Sensory processing in preterm preschoolers and its association with executive function. Early Human Development. 2015;91(3):227-233.
  • 10. Dunn W. Child Sensory Profile–2 User’s Manual. Bloomington: Pearson; 2014.
  • 11. Kılıç BK, Kayıhan H, Çifci A. Sensory processing in typically developing toddlers with and without sleep problems. Infant Behavior and Development. 2024;76:101981.
  • 12. Crozier SC, Goodson JZ, Mackay ML, et al. Sensory processing patterns in children born very preterm. The American Journal of Occupational Therapy. 2016;70(1):7001220050p1-7.
  • 13. Ryckman J, Hilton C, Rogers C, Pineda R. Sensory processing disorder in preterm infants during early childhood and relationships to early neurobehavior. Early Human Development. 2017;113:18-22.
  • 14. Wickremasinghe A, Rogers E, Johnson B, Shen A, Barkovich A, Marco E. Children born prematurely have atypical sensory profiles. Journal of Perinatology. 2013;33(8):631-635.
  • 15. Pekçetin S, Sarıdaş B, Üstünyurt Z, Kayıhan H. Sensory-processing patterns of preterm children at 6 years of age. Infants & Young Children. 2019;32(1):33-42.
  • 16. Niutanen U, Harra T, Lano A, Metsäranta M. Systematic review of sensory processing in preterm children reveals abnormal sensory modulation, somatosensory processing, and sensory‐based motor processing. Acta Paediatrica. 2020;109(1):45-55.
  • 17. Yardımcı-Lokmanoğlu BN, Mutlu A, Livanelioğlu A. The early spontaneous movements, developmental functioning and sensory processing outcomes in preterm toddlers: A prospective study. Early Human Development. 2021;163:105508.
  • 18. Bar‐Shalita T, Vatine JJ, Parush S. Sensory modulation disorder: A risk factor for participation in daily life activities. Developmental Medicine & Child Neurology. 2008;50(12):932-937.
  • 19. Bart O, Shayevits S, Gabis L, Morag I. Prediction of participation and sensory modulation of late preterm infants at 12 months: A prospective study. Research in Developmental Disabilities. 2011;32(6):2732-2738.
  • 20. MacKay TL, Jakobson L, Ellemberg D, Lewis T, Maurer D, Casiro O. Deficits in the processing of local and global motion in very low birthweight children. Neuropsychologia. 2005;43(12):1738-1748.
  • 21. Woodward LJ, Anderson PJ, Austin NC, Howard K, Inder TE. Neonatal MRI to predict neurodevelopmental outcomes in preterm infants. New England Journal of Medicine. 2006;355(7):685-694.

Yürümeye Yeni Başlayan Preterm Çocuklarda Duyusal İşlemleme Paternleri

Year 2025, Issue: 26, 525 - 533, 31.08.2025
https://doi.org/10.38079/igusabder.1628977

Abstract

Amaç: Bu çalışmanın amacı, 12 ila 24 aylık preterm bebeklerin duyusal işleme modellerini araştırmak ve term akranlarıyla karşılaştırmaktır. Bu popülasyondaki duyusal işleme problemleri, yaşamın ilerleyen dönemlerinde gelişimsel gecikmelere ve davranışsal zorluklara katkıda bulunabilir; bu nedenle erken teşhis kritik öneme sahiptir.
Yöntem: Çalışmaya 37 haftadan önce doğan toplam 49 preterm bebek ve 45 sağlıklı term bebek dahil edildi. Duyusal işleme becerileri, işitsel, görsel, dokunsal, vestibüler ve oral olmak üzere birden fazla alanda duyusal girdiye verilen yanıtları inceleyen, bakıcı tarafından bildirilen bir değerlendirme aracı olan Yeni Yürümeye Başlayan Çocuk Duyu Profili-2 kullanılarak değerlendirildi. Düşük kayıt, duyusal duyarlılık, duyusal kaçınma ve duyusal arama kadranları da analiz edildi.
Bulgular: Preterm bebeklerin duyusal işleme performansı term bebeklerden önemli ölçüde farklıydı (p<0,05). Düşük kayıt, duyusal hassasiyet, duyusal kaçınma ve duyusal arama gibi örüntüler preterm bebeklerde daha sık gözlendi. Preterm bebekler işitsel, görsel, dokunsal, oral, davranışsal ve hareket işleme alt alanlarında atipik puanlar aldı (p<0,05).
Sonuç: Çalışma, preterm bebeklerin duyusal uyaranları akranlarına kıyasla atipik olarak işlediğini vurgulamaktadır. Bu farklılıklar çocuğun çevresine uyum sağlama yeteneğini engelleyebilir ve günlük aktivitelere katılımını etkileyebilir.

Ethical Statement

The Erzurum Technical University Ethics Committee approved the study to conduct the study (Meeting number: 7, Decision number: 5, Date: 06.06.2024).

Supporting Institution

The study was supported by TUBITAK (Application No. 1919B012314473) under the 2209-A Program, 2nd term, 2023.

References

  • 1. Blencowe H, Cousens S, Chou D, et al. Born too soon: The global epidemiology of 15 million preterm births. Reproductive Health. 2013;10:1-14.
  • 2. Feldman R, Eidelman AI. Neonatal state organization, neuromaturation, mother-infant interaction, and cognitive development in small-for-gestational-age premature infants. Pediatrics. 2006;118(3):e869-e878.
  • 3. Lubbe W. Prematurity: Adjusting your dream. London: Little Steps Publications CC; 2008.
  • 4. Powers KM. Sensory Processing. In: Wolkmar FR, ed. Encyclopedia of Autism Spectrum Disorders. Springer; 2021:4261-4265.
  • 5. Dunn W. The sensations of everyday life: Empirical, theoretical, and pragmatic considerations. The American Journal of Occupational Therapy. 2001;55(6):608-620.
  • 6. Dunn W. The infant toddler sensory profile. Psychological Corporation. 2002.
  • 7. Celik HI, Elbasan B, Gucuyener K, Kayihan H, Huri M. Investigation of the relationship between sensory processing and motor development in preterm infants. The American Journal of Occupational Therapy. 2018;72(1):7201195020p1-7201195020p7.
  • 8. Yildiz R, Yildiz A, Zorlular R, Elbasan B. Relationship between sensory processing and motor skills in 12‐month‐old infants. Brain and Behavior. 2024;14(9):e70052.
  • 9. Adams JN, Feldman HM, Huffman LC, Loe IM. Sensory processing in preterm preschoolers and its association with executive function. Early Human Development. 2015;91(3):227-233.
  • 10. Dunn W. Child Sensory Profile–2 User’s Manual. Bloomington: Pearson; 2014.
  • 11. Kılıç BK, Kayıhan H, Çifci A. Sensory processing in typically developing toddlers with and without sleep problems. Infant Behavior and Development. 2024;76:101981.
  • 12. Crozier SC, Goodson JZ, Mackay ML, et al. Sensory processing patterns in children born very preterm. The American Journal of Occupational Therapy. 2016;70(1):7001220050p1-7.
  • 13. Ryckman J, Hilton C, Rogers C, Pineda R. Sensory processing disorder in preterm infants during early childhood and relationships to early neurobehavior. Early Human Development. 2017;113:18-22.
  • 14. Wickremasinghe A, Rogers E, Johnson B, Shen A, Barkovich A, Marco E. Children born prematurely have atypical sensory profiles. Journal of Perinatology. 2013;33(8):631-635.
  • 15. Pekçetin S, Sarıdaş B, Üstünyurt Z, Kayıhan H. Sensory-processing patterns of preterm children at 6 years of age. Infants & Young Children. 2019;32(1):33-42.
  • 16. Niutanen U, Harra T, Lano A, Metsäranta M. Systematic review of sensory processing in preterm children reveals abnormal sensory modulation, somatosensory processing, and sensory‐based motor processing. Acta Paediatrica. 2020;109(1):45-55.
  • 17. Yardımcı-Lokmanoğlu BN, Mutlu A, Livanelioğlu A. The early spontaneous movements, developmental functioning and sensory processing outcomes in preterm toddlers: A prospective study. Early Human Development. 2021;163:105508.
  • 18. Bar‐Shalita T, Vatine JJ, Parush S. Sensory modulation disorder: A risk factor for participation in daily life activities. Developmental Medicine & Child Neurology. 2008;50(12):932-937.
  • 19. Bart O, Shayevits S, Gabis L, Morag I. Prediction of participation and sensory modulation of late preterm infants at 12 months: A prospective study. Research in Developmental Disabilities. 2011;32(6):2732-2738.
  • 20. MacKay TL, Jakobson L, Ellemberg D, Lewis T, Maurer D, Casiro O. Deficits in the processing of local and global motion in very low birthweight children. Neuropsychologia. 2005;43(12):1738-1748.
  • 21. Woodward LJ, Anderson PJ, Austin NC, Howard K, Inder TE. Neonatal MRI to predict neurodevelopmental outcomes in preterm infants. New England Journal of Medicine. 2006;355(7):685-694.
There are 21 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Article
Authors

Ayşe Yıldız 0000-0002-1101-1069

Zehra Ebrar Bakırcı 0009-0007-2043-7380

Ramazan Yıldız 0000-0002-8007-7854

Early Pub Date August 30, 2025
Publication Date August 31, 2025
Submission Date January 29, 2025
Acceptance Date July 7, 2025
Published in Issue Year 2025 Issue: 26

Cite

JAMA Yıldız A, Bakırcı ZE, Yıldız R. Sensory Processing Patterns in Preterm Toddlers. IGUSABDER. 2025;:525–533.

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