Study of sensory processing disorders in children with cerebral palsy attending the Alexandria University Children’s Hospital

Background Cerebral palsy (CP) is a chronic neurological disorder that impairs body movement and posture, leading to activity limitations in affected children. While the motor impairments in CP are widely recognized, the sensory processing difficulties these children experience are less understood. In fact, sensory processing abnormalities can lead to even greater functional limitations for these children than their actual motor deficit. Therefore, understanding these sensory issues in children with CP is essential for health professionals, as it allows for more precise and effective rehabilitation strategies. This study investigated sensory processing challenges in young children with CP, using the Toddler Sensory Profile 2 (TSP2) questionnaire with the goal of improving overall management by addressing both sensory and motor difficulties. Patients and method Sensory processing abilities were evaluated in 44 children with CP, aged 12–36 months, using the TSP2. Results Sensory processing problems were prevalent in young children with CP, particularly affecting auditory, behavioral, general, oral, and movement domains. Touch and visual processing were the least affected domains. Children with CP showed less sensory seeking and more sensory sensitivity pattern. The severity of sensory processing difficulties correlated with the severity of motor impairment. Conclusion Sensory processing disorder is common in children with CP with selective vulnerability among sensory domains. The TSP2 was effective in identifying atypical sensory patterns in children with CP, highlighting the need for early, multidisciplinary interventions targeting both motor and sensory domains to improve functional outcomes.