感觉统合联合内感受性干预治疗儿童功能性尿失禁1例报告。

IF 1.9 Q3 REHABILITATION
Frontiers in rehabilitation sciences Pub Date : 2025-07-08 eCollection Date: 2025-01-01 DOI:10.3389/fresc.2025.1599599
Lingshan Ma, Yuanxun Zhang, Songjun Yao, Shuang He, Jie Li
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引用次数: 0

摘要

背景:功能性尿失禁在儿童中普遍存在,并影响他们的日常生活、心理和行为。虽然之前有一些行为疗法的报道,但对于儿童功能性尿失禁的治疗方案仍未达成共识。病例信息:该病例描述了一名8岁女孩,表现为尿急、尿漏和频繁的夜间遗尿。采用为期8周的感觉统合治疗结合内感受性训练,并在干预后4周和8周进行随访。在8周的治疗中,患者的尿急和尿漏症状逐渐减轻,到第12周完全消失。然而,夜间遗尿仍然存在,这表明在非清醒状态下,基于感觉的干预效果有限。结论:本病例研究的治疗效果表明,内感觉统合训练对清醒时膀胱知觉和排尿控制障碍有积极作用,为功能性尿失禁的评估和治疗提供了新的视角。然而,感官增强对遗尿的改善仍需进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sensory integration combined with interoceptive interventions for functional urinary incontinence in children: a case report.

Sensory integration combined with interoceptive interventions for functional urinary incontinence in children: a case report.

Background: Functional urinary incontinence is prevalent among children and affects their daily life, psychology, and behavior. Although some behavioral therapies have been reported before, there is still no consensus on the treatment plan for functional urinary incontinence in children.

Case information: This case describes an 8-year-old girl presenting with urgency, urine leakage and frequent nocturnal enuresis. An 8-week sensory integration therapy combined with interoceptive training was implemented, followed by follow-up visits at 4 and 8 weeks after the intervention. Her urinary urgency and leakage symptoms gradually decreased over the 8 weeks of treatment and resolved completely by week 12. However, nocturnal enuresis persisted, suggesting the limited efficacy of sensory-based interventions in non-awake states.

Conclusions: The therapeutic effect of this case study indicates that interoceptive-sensory integration training has a positive effect on impaired bladder perception and voiding control during wakefulness and provides a new perspective for the evaluation and treatment of functional urinary incontinence. However, the improvement of enuresis by sensory enhancement still needs further research.

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