The results of the above assessment indicate an underlying integrative sensory dysfunction. Kianah's functional difficulties and the issues discussed throughout this protocol are the end result of inefficient and irregular sensory processing of specific sensory information by the brain. Ayres (2005:54) believed that although the integration of sensory information develops together, some functions lead to others and that many processes are involved in the integration of sensory information. The first level of integration occurs when the five major sensory systems are stimulated. adequately and their impulses spread from the receptors to the brain. Integration occurs primarily within the vestibular, proprioceptive and tactile systems at this level, as the organization of a child's CNS depends on these more fundamental sensations, rather than visual and auditory sensations (Ayres, 2005: 54) . Kianah's vestibular system appears to effectively register, modulate, and discriminate sensory inputs, and integrate these stimuli to generate an appropriate adaptive response. Functionally, this is observed in their well-developed postural control, such as well-organized eye movements, posture, balance and postural reactions, postural adjustments, and muscle tone. It also responds appropriately to vestibular input and is not overly sensitive to or disorganized by movement. Kianah's effective vestibular system is a strength of hers and she uses it when she needs to employ self-regulation strategies to try to maintain a calm alert state in the classroom. However, Kianah does not appear to register touch inputs adequately, which in turn impacts its ability to accurately distinguish touch inputs. If it can't register middle of paper, it's a cult, rather than an integrative sensory dysfunction. Functionally, this contributes to his poor fine motor skills and endurance when writing. In conclusion, Kianah has an integrative sensory dysfunction in her somatosensory system that impacts her somatopraxis, bilateral integration and sequencing, as well as her haptic form and spatial perception. In addition, his poor visual spatial perception leads to visuopraxia problems. These areas of dysfunction negatively affect their gross and fine motor skills and lead to functional difficulties in their self-care, school activities, and leisure activities. Kianah exhibits additional difficulties with attention and concentration, which may be the result of her sensory integrative dysfunction or other neurological disorders such as ADHD. She also has residual weakness in the proximal stability of her upper limbs...