Research Article  |   July 2017
Examining Sensory Overresponsiveness in Preschool Children With Retentive Fecal Incontinence
Author Affiliations
  • 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; ibbergo@gmail.com
  • 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
Article Information
Neurologic Conditions / Pediatric Evaluation and Intervention / Sensory Integration and Processing / Children and Youth
Research Article   |   July 2017
Examining Sensory Overresponsiveness in Preschool Children With Retentive Fecal Incontinence
American Journal of Occupational Therapy, July 2017, Vol. 71, 7105220020p1-7105220020p8. doi:10.5014/ajot.2017.022707
American Journal of Occupational Therapy, July 2017, Vol. 71, 7105220020p1-7105220020p8. doi:10.5014/ajot.2017.022707
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.