Sleep disorders in children with cerebral palsy: An integrative review
Ana Luíza P A Lélis1, Maria Vera L M Cardoso1, Wendy A Hall2
1Nursing Department, Federal University of Ceará (UFC), Alexandre Baraúna, 1115 Rodolfo Teófilo, CE, Brazil.
Insights
Children with cerebral palsy experience frequent sleep disorders, including insomnia and nightmares. Factors contributing to these issues range from intrinsic conditions to environmental and treatment-related aspects.
Area of Science:
- Pediatrics
- Neurology
- Sleep Medicine
Background:
- Sleep disorders are common in children with cerebral palsy.
- Understanding these disorders and their contributing factors is crucial for improving quality of life.
Purpose of the Study:
- To identify and synthesize information on sleep disorders in children with cerebral palsy.
- To explore factors associated with these sleep disorders.
Main Methods:
- Systematic literature review of studies published between 2004 and 2014.
- Searched multiple databases using terms related to sleep and cerebral palsy.
- Included studies in Portuguese, English, or Spanish involving children (0-18 years) with cerebral palsy.
Main Results:
- Twelve studies were included, identifying eleven types of sleep disorders.
- Common disorders include difficulty waking, insomnia, nightmares, and sleep anxiety.
- Twenty-one factors were linked to sleep disorders, categorized as intrinsic, extrinsic, and intervention-related.
Conclusions:
- Children with cerebral palsy exhibit a variety of sleep disorders.
- Both intrinsic and extrinsic factors, alongside medical interventions, influence sleep disturbances.
- Further research is needed to address these sleep issues effectively.
Abstract:
Sleep disorders are more prevalent in children with cerebral palsy. The review aimed to identify and synthesize information about the nature of sleep disorders and their related factors in children with cerebral palsy. We performed an electronic search by using the search terms sleep/child*, and sleep/cerebral palsy in the following databases: Latin American literature on health sciences, SCOPUS, medical publications, cumulative index to nursing and allied health literature, psycinfo, worldcat, web of science, and the Cochrane library. The selection criteria were studies: available in Portuguese, English or Spanish and published between 2004 and 2014, with results addressing sleep disorders in children (ages 0-18 y) with a diagnosis of cerebral palsy. 36,361 abstracts were identified. Of those, 37 papers were selected, and 25 excluded. Twelve papers were incorporated in the study sample: eight quantitative studies, three reviews, and one case study. Eleven types of sleep disorders were identified, such as difficult morning awakening, insomnia, nightmares, difficulties in initiating and maintaining nighttime sleep (night waking), and sleep anxiety. Twenty-one factors were linked to sleep disorders, which we classified as intrinsic factors associated with common comorbidities accompanying cerebral palsy, and extrinsic aspects, specifically environmental and socio-familial variables, and clinical-surgical and pharmacological interventions.
More Related Videos
Related Concept Videos
REM Sleep Behavior Disorder
RBD is significantly associated with...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Narcolepsy
Restless Leg Syndrome and Night Terrors
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
Nightmares and Night Terrors
Nightmares...


