I'd put her back in nappies/nightime pants for now, personally. 4 isn't that old yet to be bedwetting in any case. (One of my NT 4yos is still not dry at night)
My 7yo with dyspraxia has all sorts of toileting issues, and our OT did tell us that whatever you can see on the outside is likely to be affected on the inside too, so there probably is a link. They also said that with therapy and building up core bodily strength they thought that would help, but not quite sure how!
Sorry I can't be more helpful, you aren't alone though!
thanks for that Both Ot & chiropractor are working on core/pelvic stability at the moment so maybe we will see a difference She HATES pullups and fights not to wear them, then usually takes them off when I leave the room!
My DS has definite dyspraxic tendencies though not formally DX'd dyspraxic - he is nearly 5 and still in a pullup at night. He is now dry 95-98% of the time but still the occasional accident. At 4, we were still getting a lot of wet pullups.
I was told by HV and GP that they do not worry about bedwetting until a child is 7...
If she hates the pullups have you tried lifting her before you go to bed to see if that makes any difference? To be honest a lot of 4/5 year old children I know are still regularly lifted to do a wee late in the evening to avoid the chance of a wet bed the following morning!
that's interesting about the brushing - we did do it for quite a long time but stopped as she had made so much progress and had no tactile issues.... and now we do massage of specific areas as prescribed by the chiropractor Maybe I should be doing both ( bad, bad, neglectful mother...) She is such a light sleeper and always wake s- I will trying taking her to the loo at midnight or so which is usually the first time she gets up