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

## TL;DR

A case study shows that combining sensory integration and interoceptive training can help reduce daytime urinary incontinence in children, but nighttime issues remain.

## Contribution

This case report introduces a novel approach combining sensory integration and interoceptive training for treating functional urinary incontinence in children.

## Key findings

- Urinary urgency and leakage symptoms improved over 8 weeks of treatment.
- Symptoms resolved completely by week 12, but nocturnal enuresis persisted.
- Sensory-based interventions may be effective for bladder control during wakefulness.

## Abstract

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.

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.

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.