Cupelli E T, Escallier L, Galambos N, Xiang S, Franco I
Maimonides Medical Center & Pediatric Urology Associates, 909 49th Street, Brooklyn, New York 11219, NY, USA.
Stony Brook University HSC, Room 224, Stony Brook, New York 11794, NY, USA.
J Pediatr Urol. 2014 Oct;10(5):880-5. doi: 10.1016/j.jpurol.2014.01.002. Epub 2014 Feb 6.
Urinary Incontinence (UI) is a common problem among school-aged children (5-11 years). Symptoms such as urgency, diminished awareness of wetting, or apparent apathy may represent differences in sensory processing (SP). This study aims to describe the SP abilities of incontinent school-aged children with typical development to determine if they differ from established norms for continent children.
The SP abilities of 209 school-aged children with UI were evaluated using the short sensory profile (SSP), a judgment-based caregiver questionnaire, then compared with established norms using descriptive and inferential statistics.
Forty-four percent of children showed significant differences in global SP with the greatest differences noted in tactile sensitivity. Higher section subscores were also noted in "seeks sensation/under responsive" and "auditory sensitivity". Children with dysfunctional voiding (DV) were more likely to show global differences (p = 0.015), differences in "seeks sensation" (p = 0.006), and auditory sensitivity (p = 0.041). The odds for low tactile sensitivity scores were five times greater for children with UI and DV (p = 0.006).
These results suggest that differences in SP may be found among typical school aged children with UI. Continued research is indicated to understand the significance of the study results.
尿失禁（UI）是学龄儿童（5 - 11岁）中的常见问题。尿急、对尿床的意识减弱或明显的冷漠等症状可能代表感觉处理（SP）方面的差异。本研究旨在描述患有尿失禁的发育正常学龄儿童的感觉处理能力，以确定他们是否与尿失禁儿童的既定标准存在差异。
使用简短感觉概况量表（SSP）对209名患有尿失禁的学龄儿童的感觉处理能力进行评估，这是一份基于判断的照顾者问卷，然后使用描述性和推断性统计方法与既定标准进行比较。
44%的儿童在整体感觉处理方面存在显著差异，其中触觉敏感性差异最大。在“寻求感觉/反应不足”和“听觉敏感性”方面也观察到较高的分项得分。排尿功能障碍（DV）儿童更有可能出现整体差异（p = 0.015）、“寻求感觉”差异（p = 0.006）和听觉敏感性差异（p = 0.041）。患有尿失禁和排尿功能障碍的儿童触觉敏感性得分低的几率高出五倍（p = 0.006）。
这些结果表明，在患有尿失禁的发育正常学龄儿童中可能存在感觉处理差异。需要继续开展研究以了解研究结果的意义。
