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The child who is Multidisabled Sensory Impaired (MSI) is the child with a visual and/or auditory impairment with one or more other needs (disabling conditions) such as physical, intellectual, emotional and learning disabilities. Many children who are MSI have some degree of brain damage. Very often, not just the sensory channels of vision and hearing are affected, but also some of the other systems, such as the tactile (touch), vestibular (balance), proprioceptive (body position), olfactory (smell), and gustatory (taste) system. Limitations in one of these areas can also have a definite effect on a child’s functioning and development. Even in children without brain damage, a sensory loss can affect the development of other sensory channels; for example, a blind child may be tactilely defensive and have vestibular problems. There is, then, a wide range of functioning levels in these children, from mild to severe developmental delays. No two are alike and this fact calls for individualized programming for each child and his/her family.