Sensory vests are increasingly being used in schools as a tool to support students with sensory processing difficulties. These vests, weighted, compression, or a combination of the two, come in various designs, provide deep pressure stimulation to the body, which can have a calming and focusing effect for some children.

Not all school districts allow for use of weighted vests, so be sure to do your homework and know your school’s stance on this topic

While anecdotal evidence suggests compression vests, as well as weighted vests and lap pads, can be helpful for some students, research on their effectiveness is ongoing. For some, this intervention is helpful, and for others it makes no significant difference. A team approach, including the student’s occupational therapy practitioner (OTP), teacher(s), and parents is needed when evaluating a sensory vest intervention for a school-age child.

Implementing a Weighted or Compression Vest

Evaluation: An occupational therapist (OT) should assess the student’s sensory needs to determine if a sensory vest is appropriate. They’ll consider the student’s sensory processing style, preferences, and any potential challenges.

Selection: The OT will help choose the right size and/or weight for the student. Vests should be comfortable and not restrict movement. It’s important to start with a lighter pressure or weight, and gradually increase as needed.

Introduction: Introduce the vest in a calm and supportive environment. Let the student explore how it feels and allow them to wear it for short periods initially, gradually increasing wear time as they become comfortable.

Monitoring: The OT and teacher will monitor the student’s response to the vest, including their behavior, focus, and any discomfort. Adjustments can be made to compression or weight, wearing time, or approach as needed.

Communication: Open communication is key. Educate the student, parents, and teachers about the vest’s purpose, proper use, and any potential challenges.

Contraindications for Weighted Vests

Weighted vests are not suitable for everyone. Students with certain medical conditions, breathing difficulties, or claustrophobia may not be good candidates. It’s important to consult with a healthcare professional before using a weighted vest, especially if there are any underlying health concerns.