Sleep disorders in children with cerebral palsy: neurodevelopmental and behavioral correlates

Domenico M Romeo1, Claudia Brogna1, Michela Quintiliani1

  • 1Paediatric Neurology Unit, Catholic University, Rome, Italy.

Sleep Medicine
|January 16, 2014
PubMed

Insights

Sleep disorders are common in children with cerebral palsy (CP), affecting 19% overall. Sleep problems correlate with cognitive, behavioral, and motor impairments, highlighting the need for integrated care.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Developmental Disabilities

Background:

  • Sleep disorders are prevalent in children with cerebral palsy (CP).
  • Understanding the frequency and associated factors of sleep disturbances in CP is crucial for improving quality of life.

Purpose of the Study:

  • To determine the frequency of sleep disorders in children with CP using the Sleep Disturbance Scale for Children (SDSC).
  • To investigate the relationship between sleep disorders and motor, cognitive, and behavioral issues in this population.

Main Methods:

  • 165 children with CP (ages 6-16) were assessed.
  • Evaluations included the SDSC, Gross Motor Function Classification System (GMFCS), Wechsler Intelligence Scale for Children, and Child Behavior Check List (CBCL).

Main Results:

  • 19% of children with CP exhibited abnormal total sleep scores.
  • Over 40% had abnormal scores on at least one SDSC factor.
  • Sleep scores correlated significantly with intellectual disability, epilepsy, CBCL scores, and GMFCS level 5.

Conclusions:

  • Sleep disorders are indeed common in children with cerebral palsy.
  • Further research is needed to explore the interplay between motor function, cognitive behavior, epilepsy, and sleep disturbances.
  • Identifying these relationships can lead to better treatments and improved child well-being.
Abstract

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