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The effect of supported physical activity on parental-reported sleep qualities and pain severity in children with
Cindy B Dodds1, Kristie F Bjornson2, Jane K Sweeney3
1Division of Physical Therapy, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
Insights
Supported physical activity (PA) for children with medical complexity (CMC) improved sleep and reduced pain. This 5-week intervention showed no adverse effects, suggesting PA is safe and beneficial for CMC.
Area of Science:
- Pediatric Health
- Rehabilitation Medicine
- Clinical Intervention Studies
Background:
- Children with medical complexity (CMC) often experience challenges with sleep and pain.
- Supported physical activity (PA) is a potential therapeutic approach for improving well-being in pediatric populations.
- Limited research exists on the effects of structured PA interventions on sleep and pain in CMC.
Purpose of the Study:
- To evaluate the impact of a 5-week supported physical activity (PA) intervention.
- To assess changes in parental-reported sleep qualities and duration.
- To determine the effect on pain severity in children with medical complexity (CMC).
Main Methods:
- A pre- and post-test design was employed with 29 CMC.
- Participants engaged in 180 minutes of daily supported PA over 5 weeks.
- Sleep qualities, duration, and pain severity were measured using validated parental-report tools and sleep diaries.
Main Results:
- The supported PA intervention demonstrated no adverse effects, including pain, in CMC.
- Significant improvements were observed in sleep problems (P<0.05).
- Statistically significant enhancements in sleep duration and pain severity were reported (P<0.05).
Conclusions:
- Short-term supported PA is safe for CMC and does not negatively impact sleep or pain.
- The intervention appears to enhance parental-reported sleep qualities, sleep duration, and pain severity.
- Healthcare professionals should consider expanding opportunities for supported PA participation among CMC.
Purpose:
To study the impact of a 5-week supported physical activity (PA) intervention on parental report of sleep qualities, sleep duration, and pain severity in children with medical complexity (CMC).
Methods:
Twenty-nine CMC participated in 180 minutes of daily supported PA on weekdays over 5 weeks. A pre- and post-test design was used to collect sleep qualities (Children's Sleep Habits Questionnaire) and pain severity (Faces Pain Scale- Revised) as reported by parents. Using a repeated measures design, weekly sleep diaries captured sleep duration.
Results:
Children with medical complexity experienced no adverse effects, including pain, with the supported PA intervention. Significant improvements in sleep problems, sleep duration, and pain severity (P< 0.05) were demonstrated.
Conclusion:
Short-term supported PA did not interfere with sleep or pain in CMC, and in fact, seems to have enhanced parental report of sleep qualities, sleep duration, and pain severity. Supported PA appears safe for CMC and healthcare professionals should explore methods to expand opportunities for supported PA participation.
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