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.
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.
Objectives:
We aimed to estimate the frequency of sleep disorders in children with cerebral palsy (CP) using the Sleep Disturbance Scale for Children (SDSC) and to evaluate the relations between sleep disorders and motor, cognitive, and behavioral problems.
Methods:
One hundred and sixty-five children with CP ages 6-16 years (mean age, 11years) were assessed using the SDSC, the Gross Motor Function Classification System (GMFCS), the Wechsler Intelligence Scale for Children and the Child Behavior Check List (CBCL) to assess sleep, motor, cognitive, and behavioral problems, respectively.
Results:
An abnormal total sleep score was found in 19% of children with CP; more than 40% of children had an abnormal score on at least one SDSC factor. The SDSC total score was significantly associated (P<.01) with mental retardation, epilepsy, CBCL scores, and level 5 on the GMFCS.
Conclusions:
Our results confirm that sleep disorders are common in children with cerebral palsy. The relationship between motor and cognitive behavior and epilepsy should be further explored to better understand how these factors influence one another to identify effective treatments and to improve the well-being of the child.
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