Occupational therapy based on Ayres Sensory Integration in the treatment of retentive fecal incontinence in a 3-year-old boy

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 treatmen...

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Bibliographic Details
Published in:The American journal of occupational therapy 2013-09, Vol.67 (5), p.601-606
Main Authors: Bellefeuille, Isabelle Beaudry, Schaaf, Roseann C, Polo, Eduardo Ramos
Format: Article
Language:English
Subjects:
Behavior
Care and treatment
Case reports
Child, Preschool
Children & youth
Constipation
Constipation - rehabilitation
Defecation
Drug therapy
Fecal incontinence
Fecal Incontinence - rehabilitation
Feces
Gastroenterology
Humans
Intervention
Laxatives
Male
Methods
Occupational therapy
Occupational Therapy - methods
Parents & parenting
Pediatrics
Preschool Children
Preschool Education
Quality of life
Retrospective Studies
Sensory Integration
Sensory perception
Toilet Training
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Summary: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.
ISSN:0272-9490
1943-7676
DOI:10.5014/ajot.2013.008086