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Sensory processing patterns in pediatric mild traumatic brain injury: A longitudinal study.

Marilien C Marzolla1,2, Christine Resch1,2,3, Petra Hurks1

  • 1Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.

Applied Neuropsychology. Child
|September 9, 2025
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Summary

Sensory processing difficulties after mild traumatic brain injury (mTBI) in children and adolescents show distinct patterns. These patterns, including hypersensitivity and hyposensitivity, can persist and impact participation, highlighting the need for early intervention.

Keywords:
Adolescentschildrenclass analysisparticipationpediatric mild traumatic brain injurysensory processing

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Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Rehabilitation Medicine

Background:

  • Sensory processing (SP) difficulties are linked to prolonged recovery in adults with mild traumatic brain injury (mTBI).
  • Limited research exists on SP patterns across sensory inputs following pediatric mTBI.
  • Understanding these patterns is crucial for effective pediatric mTBI management.

Purpose of the Study:

  • To examine sensory processing patterns in children and adolescents after mTBI.
  • To identify distinct subgroups based on SP profiles.
  • To investigate the persistence of SP issues and their impact on participation over time.

Main Methods:

  • A cohort of children (6-11 years) and adolescents (12-17 years) with mTBI were assessed at 2 weeks and 6 months post-injury.
  • The Short Sensory Profile - Dutch version (SSP-NL) and Adolescent/Adult Sensory Profile - Dutch version (AASP-NL) were administered.
  • Multilevel latent class growth analysis (MLCGA) was used to identify SP patterns and their changes.

Main Results:

  • Four SP classes were identified in children: taste/smell sensitivity, general hypersensitivity, general hyposensitivity, and under-responsiveness with auditory filtering issues. General hypersensitivity was associated with lower participation.
  • Two SP classes emerged in adolescents: avoidant/passive and mild. The avoidant/passive class showed lower participation.
  • SP issues, including hypersensitivity and hyposensitivity, showed limited change and persisted at 6 months post-injury for some groups.

Conclusions:

  • Pediatric mTBI is associated with diverse and persistent sensory processing patterns.
  • Subgroup identification is essential as SP profiles differentially impact children's and adolescents' participation.
  • Early identification of sensory processing difficulties is recommended for tailored interventions to improve outcomes after pediatric mTBI.