检查患有粪便潴留性大便失禁的学龄前儿童的感觉过度反应。

Examining Sensory Overresponsiveness in Preschool Children With Retentive Fecal Incontinence.

作者信息

Beaudry-Bellefeuille Isabelle, Lane Shelly J

机构信息

Isabelle Beaudry-Bellefeuille, MScOT, is PhD Candidate, University of Newcastle, School of Health Sciences, Callaghan, New South Wales, Australia, and Occupational Therapist, private practice, Oviedo, Spain. At the time of the study, she was MOT Student, Virginia Commonwealth University, Richmond;

Shelly J. Lane, PhD, OTR/L, FAOTA, is Professor, University of Newcastle, School of Health Sciences, Faculty of Health and Medicine, Callaghan, New South Wales, Australia. At the time of the study, she was Professor, Department of Occupational Therapy, School of Allied Health Professions, Virginia Commonwealth University, Richmond.

出版信息

Am J Occup Ther. 2017 Sep/Oct;71(5):7105220020p1-7105220020p8. doi: 10.5014/ajot.2017.022707.

DOI:10.5014/ajot.2017.022707

PMID:28809659

Abstract

The development of bowel control is an important activity of daily living in early childhood, and challenges in this area can limit participation in key occupations. Retentive fecal incontinence (RFI) is a common disorder in children. Up to 50% of children do not respond adequately to initial medical intervention, and behaviors around toileting, some related to sensory overresponsivity (SOR), may be partly responsible. Therefore, this study investigated the relationship between RFI and SOR and also examined the discriminative validity of the Toileting Habit Profile Questionnaire (THPQ). Per parent report, children with RFI (n = 16) showed significantly more behaviors related to SOR compared with typically developing children (n = 27). In addition, results indicated that the THPQ effectively discriminates between children with RFI and typically developing children. Results are discussed regarding RFI and SOR, the impact of RFI on childhood occupational engagement, and the role of occupational therapy with this population.

摘要

排便控制能力的发展是幼儿期日常生活中的一项重要活动，这一领域的挑战可能会限制儿童参与关键活动。潴留性大便失禁（RFI）是儿童常见的一种疾病。高达50%的儿童对初始医学干预反应不佳，一些与如厕相关的行为，部分与感觉过度反应（SOR）有关，可能是造成这种情况的部分原因。因此，本研究调查了RFI与SOR之间的关系，并检验了如厕习惯概况问卷（THPQ）的区分效度。根据家长报告，与发育正常的儿童（n = 27）相比，患有RFI的儿童（n = 16）表现出更多与SOR相关的行为。此外，结果表明THPQ能够有效区分患有RFI的儿童和发育正常的儿童。本文将讨论RFI与SOR、RFI对儿童期职业参与的影响以及职业治疗在这一人群中的作用等相关结果。