Adjustment to everyday life for balance and movement or vestibular challenges

	Balance / Movement
Activity	Overreactive	Avoider
Dress	Place clothing at chest level in drawers and shelves.	Gather clothing for child to dress in one place.
Eat	Create a single seating arrangement.	Select an assigned seat, with minimal passing.
Play	Create predictable patterns for movement play.	Honor quiet play. Make toys easily accessible.
Going Out	Create typical rituals for moving child in and out of seating, stroller, and car.	Use stroller with upright sitting position.
Bath	Pick one stable position for bath.	Pick one position and stick with it, no bending over or reaching.
Sleep	Use repetitive movements for calming, like rocking and slowly swaying.	Create exact ritual for getting into bed.

	Balance / Movement
Activity	Underreactive	Seeking
Dress	Place items in distant spaces so child moves around while dressing.	Place clothing items in different places to increase opportunities for moving.
Eat	Have child carry utensils and items to table.	Have child help with setting the table.
Play	Place favorite toys in harder to get places.	Place favorite toys in places to increase climbing, crawling, etc. Put toys away one at a time
Going Out	Be extra aware of safety when the child is moving about, because child may not notice objects, stairs, and changes in terrain.	Select errands that require moving about, like walking in aisles.
Bath	Place bath objects and toys out of easy reach.	Place bath objects and toys out of easy reach.
Sleep	Jostle child and pick up to vertical position.	Incorporate a rocking or swaying sequence into bedtime routine.