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Sleep disordered breathing in children with cerebral palsy

Engin Koyuncu1, Mustafa H Türkkani2, Fatma G Sarikaya1

  • 1Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.

Sleep Medicine
|February 21, 2017
PubMed

Insights

Sleep Disordered Breathing (SDB) is more common in children with Cerebral Palsy (CP) than in healthy children. Early identification of SDB using the SRBD scale is recommended in routine clinical practice for children with CP.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Developmental Pediatrics

Background:

  • Cerebral Palsy (CP) is a common neurodevelopmental disorder.
  • Sleep Disordered Breathing (SDB) can significantly impact health and development.
  • The prevalence of SDB in children with CP requires further investigation.

Purpose of the Study:

  • To determine the frequency of Sleep Disordered Breathing (SDB) in children with Cerebral Palsy (CP).
  • To explore potential relationships between SDB and various clinical factors in children with CP, including age, gender, weight status, CP type, motor function, and spasticity.

Main Methods:

  • A case-control study involving 94 children with CP and 94 healthy controls aged 2-18 years.
  • Sleep-Related Breathing Disorder (SRBD) was assessed using the SRBD scale of the Pediatric Sleep Questionnaire (PSQ).

Main Results:

  • Children with CP exhibited a statistically significant higher prevalence of SRBD compared to the control group.
  • Specific symptoms like snoring (9.6%), sleepiness (12.8%), and attention deficit-hyperactivity (37.2%) were noted in the CP cohort.
  • No significant associations were found between SRBD and age, gender, weight status, CP type, motor function level, spasticity, or epilepsy.

Conclusions:

  • Sleep Disordered Breathing is more prevalent in children with Cerebral Palsy than in typically developing children.
  • Routine clinical screening for SDB using the SRBD scale of the PSQ is recommended for children with CP.
Abstract

Keywords:
Cerebral palsyRehabilitationSleepSleep disordered breathingThe Pediatric Sleep Questionnaire

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