Situations when this may occur:

• Personal preference
• Nerve damage due to burn injury, impingement, etc.
• Mental conditions such as ADHD and Autism Spectrum Disorder
• Conditions such as Fibromyalgia, Small Fiber Neuropathy, Dermatomyositis, etc.

Ways to mitigate:

• Let them choose from available rope options. Sometimes simply using a rope that has fewer loose fibers can address this issue. Synthetics like nylon or MFP are typically much smoother than natural fibers like hemp, jute or even cotton. Let them hold the rope and move it against their skin and give you feedback.
• Wearing protective clothing such as leggings or a tight shirt over the area of concern.
• Pad the area of concern (e.g. cover a sensitive burn scar with soft cloth or other cushioning material).
• Consider reducing other forms of sensory input such as light or noise, which may contribute to sensory overload (blindfold, earplugs or headphones with noise cancelling capabilities, turning down music or lights)