Department of Occupational Therapy, Thomas Jefferson University, Philadelphia, PA, USA.
Am J Occup Ther. 2013 Sep-Oct;67(5):601-6. doi: 10.5014/ajot.2013.008086.
OBJECTIVE. We present the case report of a 3-yr-old boy with retentive fecal incontinence and sensory overresponsivity. Sensory integration theory was used to address the overresponsivity affecting the child's ability to acquire age-appropriate toileting habits. We describe the 7 mo of treatment and 3 mo of follow-up in occupational therapy. METHOD. We analyzed a retrospective chart review of daily defecation log outcome data and parent interview. RESULTS. Notable improvements in acquiring age-appropriate toileting habits were documented and measured using daily defecation logs. Improvements in sensory processing were documented using the Sensory Profile and corroborated improvements in the child's ability to participate in toileting routines and parent report of improved quality of life. CONCLUSION. Occupational therapy using Ayres Sensory Integration(®) was a useful framework for addressing this child's toileting habits. This case explicates occupational therapy using data-driven intervention principles to address the relationship among sensory processing, behavior, and occupational performance.
目的。我们报告了一例 3 岁男孩的病例，其表现为粪便潴留和感觉过度敏感。我们运用感觉统合理论来解决过度敏感问题，该问题影响了孩子获得适当如厕习惯的能力。我们描述了 7 个月的职业治疗和 3 个月的随访。方法。我们分析了日常排便日志结果数据和家长访谈的回顾性图表。结果。使用日常排便日志记录和衡量了在获得适当如厕习惯方面的显著改善。使用感觉统合概况（Sensory Profile）记录了感觉处理方面的改善，并证实了孩子在参与如厕常规和家长报告生活质量提高方面的能力有所提高。结论。使用 Ayres 感觉统合（®）的职业治疗是解决该儿童如厕习惯的有效框架。该案例阐述了使用基于数据的干预原则的职业治疗，以解决感觉处理、行为和职业表现之间的关系。
