Date Presented 03/27/20 This study investigated the relationship between sensory reactivity and FDD. Parents of three- to six-year-old children with and without FDD completed two questionnaires: the Toileting Habit Profile Questionnaire-Revised and the Short Sensory Profile. Children with FDD had higher levels of sensory hyper-reactivity. Screening for sensory hyper-reactivity may be important when working with children with FDD who have difficulty participating in toileting routines. Primary Author and Speaker: Isabelle Beaudry-Bellefeuille Additional Authors and Speakers: Shelly Lane Contributing Authors: Alison Lane, Eduardo Ramos-Polo

Date Presented 04/06/19 Reports indicate that sensory issues may be related to atypical defecation habits in some children. Practice in this area is limited by the lack of validated measures. The THPQ-R appears to capture defecation behaviors related to sensory over-reactivity. While preliminary studies regarding the THPQ-R are promising, further examination of its validity is warranted. In this study, we examined discriminative and concurrent validity. Primary Author and Speaker: Isabelle Beaudry-Bellefeuille Contributing Authors: Shelly Lane, Simon Chiu, Alison Lane, Eduardo Ramos-Polo

Date Presented 04/06/19 Reports support the hypothesis that sensory issues may be related to atypical defecation habits in children. Practice in this area is limited by the lack of validated measures. We used Rasch analysis, directed content analysis, and expert review to validate the Toileting Habit Profile Questionnaire (THPQ). After adjusting items, we examined the construct validity of the revised version (THPQ-R). The THPQ-R appears to capture challenging defecation behaviors related to sensory over-reactivity. Primary Author and Speaker: Isabelle Beaudry-Bellefeuille Contributing Authors: Shelly Lane, Anita Bundy, Alison Lane, Eduardo Ramos-Polo

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.